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The CPT® Code 91030 refers to the esophagus acid perfusion test, commonly known as the Bernstein test, which is specifically utilized for diagnosing esophagitis. This diagnostic procedure is essential in distinguishing between chest pain that arises from gastroesophageal reflux disease (GERD) and pain that may be attributed to cardiac conditions. The test involves a series of steps that include the administration of a mild hydrochloric acid solution into the esophagus, allowing healthcare professionals to assess the patient's response to the acid. The procedure begins with the numbing of one nostril using lidocaine, which facilitates the passage of a catheter through the nasal passage and into the esophagus. As the catheter is advanced, the patient is instructed to swallow, aiding in the catheter's progression. The introduction of hydrochloric acid followed by saline solution allows for the evaluation of any discomfort or pain experienced by the patient, providing critical information for accurate diagnosis and treatment planning. This test is particularly valuable in clinical settings where differentiating the source of chest pain is crucial for appropriate management and intervention.
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The esophagus acid perfusion (Bernstein) test is indicated for the following conditions:
The procedure for the esophagus acid perfusion test involves several key steps that are crucial for its execution:
After the completion of the esophagus acid perfusion test, patients may be monitored for any immediate reactions to the procedure. It is important to assess the patient's comfort level and any symptoms that may arise following the instillation of the hydrochloric acid and saline solutions. Patients may experience transient discomfort, but this typically resolves shortly after the procedure. Further evaluation and follow-up may be necessary based on the results of the test and the patient's reported symptoms. Healthcare providers should ensure that patients understand any post-procedure care instructions and when to seek further medical attention if needed.
| Short Descr | ACID PERFUSION OF ESOPHAGUS | Medium Descr | ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS | Long Descr | Esophagus, acid perfusion (Bernstein) test for esophagitis | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | 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) | 0 - Payment restriction for assistants at surgery applies 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, Not Discounted when Multiple | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 97 - Other gastrointestinal diagnostic procedures |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GA | Waiver of liability statement issued as required by payer policy, individual case |
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| Pre-1990 | Added | Code added. |
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