© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 43754 involves gastric intubation and aspiration for diagnostic purposes, specifically focusing on obtaining a single specimen, such as for acid analysis. This process begins with the insertion of a gastric tube, which can be done through either the nose or mouth. When opting for nasal insertion, the physician examines both nostrils to determine which one is more open (patent) and suitable for the procedure. To facilitate the insertion and minimize discomfort, the patient's head is tilted backward, and a local anesthetic, typically viscous lidocaine, is applied to the selected nostril. The physician then estimates the necessary length of the tube to reach the stomach and marks it accordingly. The tube is carefully inserted into the nostril and advanced through the nasopharynx. To aid in the passage of the tube through the oropharynx and esophagus into the stomach, the patient may be instructed to sip water. Once the tube is in place, its proper positioning is confirmed by either instilling air into the stomach and listening for a rush of air or by aspirating gastric contents. The primary goal of this procedure is to perform a diagnostic aspiration, where a single specimen of gastric content is collected for further analysis. This procedure is distinct from CPT® Code 43755, which involves obtaining multiple fractional specimens for a more comprehensive evaluation of gastric secretions, often requiring the administration of various drugs to stimulate gastric secretion.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 43754 is indicated for various diagnostic purposes related to gastric function and content analysis. The following conditions may warrant the performance of this procedure:
The procedure for gastric intubation and aspiration as outlined in CPT® Code 43754 involves several key steps to ensure accurate specimen collection and patient safety.
After the completion of the gastric intubation and aspiration procedure, the patient is monitored for any immediate adverse effects or complications. It is important to ensure that the patient is stable and comfortable. The collected gastric specimen is then sent for laboratory analysis as per the diagnostic requirements. Patients may be advised to refrain from eating or drinking for a short period following the procedure to allow for any residual effects of the local anesthetic to wear off. Additionally, the physician may provide specific instructions regarding follow-up care or further diagnostic testing based on the results of the gastric analysis.
| Short Descr | DX GASTR INTUB W/ASP SPEC | Medium Descr | GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN | Long Descr | Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) | 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. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GW | Service not related to the hospice patient's terminal condition |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Added | Added |
Get instant expert-level medical coding assistance.