In simple words: This procedure uses a moving X-ray (fluoroscopy) with both barium and air to create detailed images of your upper digestive system (esophagus, stomach, and the beginning of the small intestine). A medicine called glucagon may be given to relax the digestive system. The images help doctors find problems like tumors, blockages, or ulcers.

The provider uses fluoroscopy and both air and high-density barium contrast to better evaluate the upper gastrointestinal (GI) tract, including the esophagus, stomach, and duodenum. Glucagon may be administered to reduce spasms of the GI tract. The provider positions the patient, administers the contrast, and uses air to expand the anatomy for better visualization. Images are analyzed for tumors, obstructions, and ulcers, and a report is generated.

Example 1: A patient presents with persistent upper abdominal pain and vomiting. After an initial consultation, the physician orders an upper GI series with double contrast and glucagon administration (74246) to evaluate for possible ulcers or other abnormalities., A patient has difficulty swallowing and experiences frequent heartburn. The physician schedules an upper GI series using high-density barium and an effervescent agent, along with glucagon (74246), to assess the esophagus and stomach for potential strictures or other structural issues., Following a previous endoscopy that revealed a suspicious area in the duodenum, a patient undergoes a double-contrast upper GI study (74246) with delayed images to further characterize the finding.

The documentation should include the reason for the study (e.g., symptoms, history), details of the contrast agents used, administration of glucagon (if given), the areas examined (esophagus, stomach, duodenum), the findings or impressions, and any complications.