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The procedure described by CPT® Code 89140 involves gastric intubation, aspiration, and fractional collections, which are essential components in conducting a gastric secretory study. This procedure entails the insertion of a tube through the patient's nose or mouth, extending it into the stomach. The primary objective is to draw fluid from the stomach over a specified duration, which in this case is two hours. During this time, the stomach may be stimulated using agents such as histalog or pentagastrin, which are pharmacological substances that enhance gastric secretory activity. This stimulation is crucial for obtaining accurate measurements of gastric secretions, which can provide valuable insights into the digestive process and the functionality of the stomach. It is important to note that if the test is performed over a different duration or without stimulation, different CPT codes should be utilized, such as Code 89136 for a one-hour test or Code 89141 for a three-hour test with stimulation. Understanding these distinctions is vital for accurate coding and billing in medical practice.
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The procedure associated with CPT® Code 89140 is indicated for various clinical scenarios where assessment of gastric secretory function is necessary. The following conditions may warrant the performance of this procedure:
The procedure for CPT® Code 89140 involves several critical steps to ensure accurate gastric secretory assessment. The following outlines the procedural steps:
After the completion of the procedure, the patient may be monitored for any immediate adverse effects related to the gastric intubation. It is important to ensure that the patient is stable and that there are no complications arising from the tube insertion. Patients may be advised to resume normal activities as tolerated, but specific post-procedure instructions should be provided based on individual circumstances. Additionally, the results of the gastric secretory study will be communicated to the referring physician for further evaluation and management of the patient's condition.
| Short Descr | SAMPLE STOMACH CONTENTS | Medium Descr | GSTR INTUBAJ ASPIR&FXJAL COLLJ 2 HR GSTR STIMJ | Long Descr | Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 2 hours including gastric stimulation (eg, histalog, pentagastrin) | 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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