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The procedure described by CPT® Code 43753 involves gastric intubation and therapeutic aspiration, which requires the skill of a physician, particularly in cases such as gastrointestinal hemorrhage. Gastric intubation is a medical procedure where a tube is inserted into the stomach through the nose or mouth to facilitate the removal of gastric contents or to administer medications and fluids. The process begins with the selection of the most open nostril for tube insertion, followed by the application of local anesthesia using viscous lidocaine to minimize discomfort. The physician estimates the necessary length of the tube for proper placement in the stomach and marks it accordingly. The tube is then carefully advanced through the nasal passage, oropharynx, and esophagus until it reaches the stomach. Verification of correct placement is crucial and is typically done by either instilling air into the stomach and listening for the sound of air or by aspirating gastric contents. In addition to the intubation, the procedure may include therapeutic aspiration, where the physician removes gastric contents to address specific medical conditions. If indicated, the physician may also perform gastric lavage, which involves washing out the stomach by instilling a liquid and subsequently aspirating both the liquid and gastric contents. After the aspiration procedure, the gastric tube may either be left in place for further treatment or removed, depending on the clinical situation and physician's judgment.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 43753 is indicated for various medical conditions that necessitate the removal of gastric contents or the administration of therapeutic interventions. The following are specific indications for performing gastric intubation and aspiration:
The procedure for gastric intubation and aspiration involves several critical steps to ensure safety and effectiveness. Each step is outlined below:
Following the gastric intubation and aspiration procedure, the patient may require monitoring for any adverse effects or complications. The physician will assess the patient's condition and determine if further interventions are necessary. If the gastric tube is left in place, the healthcare team will ensure that it is properly secured and that the patient is comfortable. Instructions regarding the care of the tube and any follow-up appointments will be provided to the patient. Additionally, the physician will document the procedure, including the indications, findings, and any complications encountered during the process, to ensure comprehensive medical records and facilitate ongoing patient care.
| Short Descr | TX GASTRO INTUB W/ASP | Medium Descr | GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE | Long Descr | Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 221 - Nasogastric tube |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | GF | Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2011-01-01 | Added | Added |
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