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The procedure described by CPT® Code 89135 involves gastric intubation, aspiration, and fractional collections, specifically designed for conducting a gastric secretory study over a duration of one hour. In this procedure, a flexible tube is inserted through the patient's nose or mouth and advanced into the stomach. This tube allows for the aspiration, or drawing out, of gastric fluids. The collected fluid is then analyzed to assess various gastric secretions and functions. This test is crucial for diagnosing conditions related to gastric secretory activity. It is important to note that if the procedure is extended to two hours, CPT® Code 89136 should be used. Additionally, if the stomach is stimulated during the test, resulting in a duration of two hours, CPT® Code 89140 is applicable, and for a three-hour duration with stimulation, CPT® Code 89141 should be utilized. Each of these codes reflects specific variations in the procedure's duration and the conditions under which it is performed, ensuring accurate coding and billing for the services rendered.
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The gastric intubation, aspiration, and fractional collections procedure (CPT® Code 89135) is indicated for various clinical scenarios where assessment of gastric secretory function is necessary. This may include:
The procedure for gastric intubation, aspiration, and fractional collections involves several key steps to ensure accurate collection and analysis of gastric secretions. The steps are as follows:
After the completion of the gastric intubation and aspiration procedure, the patient is monitored for any immediate adverse reactions. It is common for patients to experience some discomfort or gagging during the procedure, but these symptoms typically resolve shortly after the tube is removed. Patients may be advised to resume normal activities and diet as tolerated, but specific instructions regarding dietary restrictions or follow-up appointments may be provided based on the results of the gastric secretory study. Additionally, any significant findings from the analysis of the gastric fluid may necessitate further evaluation or treatment, which should be discussed with the healthcare provider.
| Short Descr | SAMPLE STOMACH CONTENTS | Medium Descr | GSTR INTUBAJ ASPIR&FXJAL COLLJ 1 HR | Long Descr | Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 1 hour | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | 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) | 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 | Ancillary Services | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 234 - Pathology |
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