2025 CPT code 43754
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Gastric intubation and aspiration for diagnostic purposes; single specimen collection (e.g., acid analysis).
Modifiers may be applicable depending on the circumstances of the service. Refer to the CPT codebook for a complete list of applicable modifiers.
Medical necessity for this procedure is established when there is a clinical indication for assessing gastric acid secretion or evaluating for other abnormalities within the stomach.This could include symptoms such as persistent abdominal pain, suspected peptic ulcer disease, or evaluation of unexplained gastrointestinal bleeding.
The procedure is performed by a physician or other qualified healthcare professional.It involves inserting a tube into the stomach, examining for abnormalities, instilling and aspirating fluid, and sending a sample to the lab.Post-procedure, the physician assesses for any injuries during tube removal.
In simple words: A tube is inserted into the stomach to collect a sample of stomach fluid for testing. The doctor looks for problems in the stomach, washes it out with fluid, and then removes the fluid to send to a lab for analysis.
This procedure involves inserting a tube (single or double lumen) into the stomach through the mouth or nose, examining the stomach for abnormalities, instilling fluid (e.g., saline or water) to wash the stomach, aspirating the contents, and sending a single specimen to the laboratory for analysis (e.g., acid analysis). The procedure concludes with tube removal and assessment for any injuries.
Example 1: A patient presents with persistent upper abdominal pain and suspected peptic ulcer disease.Gastric intubation and aspiration are performed to obtain a sample for acid analysis to assess gastric acid secretion., A patient undergoes a gastric secretory study to evaluate the response of gastric acid secretion to various stimuli. A single sample is obtained using this procedure., A patient with suspected gastric bleeding undergoes an emergency endoscopy.Before the endoscopy, a gastric intubation and aspiration are performed to obtain a specimen for immediate analysis.
* Detailed history and physical examination documenting the indication for the procedure.* Pre-procedure and post-procedure assessments.* Description of the procedure performed, including type of tube used (single or double lumen), fluids instilled, and volume of aspirated fluid.* Pathology report of the laboratory analysis of the aspirate.* Any complications or adverse events encountered during the procedure.
** This code is for a single specimen collection. If multiple specimens are obtained, use code 43755 instead.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Information not available in source.
- Global Days: Information not available in source.
- Payment Status: Active
- Modifier TC rule: Information not available in source.
- Fee Schedule: Information not available in source.
- Specialties:Gastroenterology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center