ED Coding and Reimbursement Alert
Reader Question ~ Find Evidence of Fluoroscopy Before Reporting 43752
Question: A patient with complaints of stomach pain and rectal bleeding reports to the ED. The doctor performed a gastric aspiration on the patient. What code best represents this procedure? Answer: The ED often has to perform gastric aspiration/lavage procedures on patients to discover if the patient is bleeding from the stomach. Your code choice depends on whether or not your doctor used fluoroscopic guidance during the encounter. If the physician does not use fluoroscopic guidance during the aspiration: But if the notes show that the physician used fluoroscopic guidance during the encounter:
Mississippi Subscriber
- report 91105 (Gastric intubation, and aspiration or lavage for treatment [e.g., for ingested poisons]) for the encounter.
- attach 569.3 (Hemorrhage of rectum and anus) to 91105 to represent the patient's bleeding.
- attach 536.8 (Dyspepsia and other specified disorders of function of stomach) to 91105 to represent the patient's stomach pain.
- attach 569.3 to 43752 to represent the patient's bleeding.
- attach 536.8 to 43752 to represent the patient's stomach pain.
ED Coding and Reimbursement Alert
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