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Code deleted, see 43754, 43755.

Official Description

Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 3 hours, including gastric stimulation

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 89141 involves gastric intubation, aspiration, and fractional collections, specifically designed for a gastric secretory study that lasts for three hours. This process entails the insertion of a tube through the patient's nose or mouth, which is then guided into the stomach. Once the tube is in place, fluid is drawn from the stomach over a period of three hours. This collected gastric fluid is subsequently analyzed to assess various gastric secretions and functions. The procedure may also include gastric stimulation, which is a critical component that can influence the results of the study. It is important to note that this code is specifically used when the gastric stimulation occurs during the three-hour duration of the test. For similar procedures with different time frames or conditions, other codes such as 89136 and 89140 are applicable, depending on the duration and whether stimulation is involved. This structured approach allows healthcare professionals to accurately document and code the procedure for billing and compliance purposes.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 89141 is indicated for various clinical scenarios where assessment of gastric secretions is necessary. The following conditions may warrant the performance of this procedure:

  • Gastric Secretory Study This procedure is performed to evaluate the gastric secretions over a specified period, which can provide insights into gastric function and potential disorders.
  • Assessment of Gastric Stimulation It is indicated when there is a need to assess the effects of gastric stimulation on secretion and motility, which can be crucial for diagnosing certain gastrointestinal conditions.
  • Investigation of Gastric Disorders The procedure may be indicated in cases where patients present with symptoms suggestive of gastric disorders, such as unexplained nausea, vomiting, or abdominal pain, to help determine the underlying cause.

2. Procedure

The procedure for CPT® Code 89141 involves several key steps that ensure accurate collection and analysis of gastric secretions. The following outlines the procedural steps:

  • Step 1: Preparation The patient is prepared for the procedure, which includes obtaining informed consent and ensuring that the patient has fasted for the required duration prior to the test. This preparation is crucial to minimize any interference from food or other substances in the stomach.
  • Step 2: Insertion of the Tube A nasogastric or orogastric tube is carefully inserted through the patient's nose or mouth and advanced into the stomach. Proper placement is confirmed to ensure that the tube is correctly positioned for aspiration.
  • Step 3: Aspiration of Gastric Contents Once the tube is in place, gastric contents are aspirated at specific intervals over the three-hour duration. This involves drawing fluid from the stomach to collect samples for analysis.
  • Step 4: Gastric Stimulation During the procedure, gastric stimulation may be applied as indicated. This stimulation can involve the administration of specific agents or techniques designed to enhance gastric secretory activity, which is essential for evaluating the stomach's response.
  • Step 5: Collection and Analysis The collected gastric fluid is then analyzed to assess various parameters, including volume, pH, and the presence of specific substances. This analysis provides valuable information regarding gastric function and potential abnormalities.

3. Post-Procedure

After the completion of the procedure, the patient is monitored for any immediate adverse effects related to the gastric intubation. It is important to ensure that the patient is stable and that the tube is removed safely. Patients may be advised to resume normal activities as tolerated, but specific post-procedure instructions should be provided based on the individual patient's condition and the findings from the gastric secretory study. Follow-up appointments may be necessary to discuss the results of the analysis and any further diagnostic or therapeutic steps that may be required.

Short Descr SAMPLE STOMACH CONTENTS
Medium Descr GSTR INTUBAJ ASPIR&FXJAL COLLJ 3 HR GSTR STIMJ
Long Descr Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 3 hours, including gastric stimulation
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) T1G - Lab tests - other (Medicare fee schedule)
MUE Not applicable/unspecified.
CCS Clinical Classification 234 - Pathology
Date
Action
Notes
2011-01-01 Deleted Code deleted, see 43754, 43755.
2008-01-01 Changed Code description changed.
Pre-1990 Added Code added.
Code
Description
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