© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 43757 refers to a diagnostic procedure known as duodenal intubation and aspiration, which involves the insertion of a gastric tube through the nose or mouth to collect specimens from the duodenum. This procedure is performed using image guidance to ensure accurate placement of the tube into the duodenum. The process begins with the selection of the more patent nostril for tube insertion, followed by the administration of local anesthesia using viscous lidocaine to minimize discomfort. The length of the tube required for proper insertion is estimated and marked accordingly. The tube is then carefully advanced through the nasal passages, oropharynx, esophagus, and into the stomach, ultimately reaching the duodenum. During this procedure, the patient may be asked to sip water to facilitate the advancement of the tube. Once the tube is correctly positioned in the duodenum, multiple fractional specimens are collected for analysis, which is essential for evaluating duodenal content as well as pancreatic and gallbladder secretions. This procedure also includes the administration of specific drugs that stimulate the secretion of bile salts from the pancreas and gallbladder, enhancing the diagnostic yield of the specimens collected.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 43757 is indicated for the evaluation of various gastrointestinal conditions. The following are the explicitly provided indications for performing duodenal intubation and aspiration:
The procedure for CPT® Code 43757 involves several detailed steps to ensure accurate specimen collection. The following procedural steps are outlined:
After the completion of the duodenal intubation and aspiration procedure, the patient may be monitored for any immediate adverse effects related to the tube insertion or drug administration. It is important to assess the patient for any signs of discomfort or complications. The collected specimens will be sent for laboratory analysis to evaluate the duodenal content, pancreatic secretions, and gallbladder function. The healthcare provider will discuss the results with the patient at a follow-up appointment, where further management or treatment options may be considered based on the findings.
| Short Descr | DX DUOD INTUB W/ASP SPECS | Medium Descr | DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN | Long Descr | Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes drug administration | 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 | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | 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 |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | CR | Catastrophe/disaster related |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Added | Added |
Get instant expert-level medical coding assistance.