cpt code gastric emptying study
CPT Code Gastric Emptying Study: An In-Depth Guide
Introduction
A gastric emptying study (GES) is a procedure that measures how quickly food leaves your stomach. It is used to diagnose gastroparesis, a condition in which the stomach takes too long to empty. Gastroparesis can cause a variety of symptoms, including nausea, vomiting, bloating, and abdominal pain.Indications for a GES
A GES is typically recommended for people who have symptoms of gastroparesis. These symptoms may include: * Nausea * Vomiting * Bloating * Abdominal pain * Early satiety * Weight loss * Gastroesophageal reflux disease (GERD) * Diabetes * Multiple system atrophy * Parkinsons disease * Scleroderma * AmyloidosisProcedure
A GES is performed by swallowing a small amount of radioactive material in a liquid or solid form. The material is then tracked through your stomach and small intestine using a gamma camera. The camera takes pictures of your stomach and intestines and measures how quickly the radioactive material leaves your stomach. The entire procedure usually takes about 4 hours. You will need to fast for 8 hours before the test and avoid eating or drinking anything during the test. You may also be asked to avoid taking certain medications before the test.What to Expect During a GES
During the test, you will lie on a table and the gamma camera will be positioned over your stomach. You will then swallow a small amount of radioactive material in a liquid or solid form. The material will be tracked through your stomach and small intestine using the gamma camera. The camera will take pictures of your stomach and intestines and measure how quickly the radioactive material leaves your stomach. The test is painless, but you may experience some mild cramping or nausea. You will be able to go home after the test and resume your normal activities.Results
The results of a GES are typically available within a few days. The results will show how quickly the radioactive material left your stomach. A normal GES shows that the stomach empties 50% of its contents within 90 minutes. A delayed GES shows that the stomach takes longer than 90 minutes to empty 50% of its contents.Diagnosis
A delayed GES is diagnostic of gastroparesis. Gastroparesis is classified as mild, moderate, or severe based on the severity of the delay. * Mild gastroparesis: The stomach empties 50% of its contents in 90-120 minutes. * Moderate gastroparesis: The stomach empties 50% of its contents in 120-240 minutes. * Severe gastroparesis: The stomach empties less than 50% of its contents in 240 minutes.Treatment
The treatment for gastroparesis depends on the severity of the condition. Treatment options may include: * Medications to improve gastric emptying * Dietary changes * Gastric electrical stimulation * SurgeryPrognosis
The prognosis for gastroparesis varies depending on the severity of the condition. With treatment, most people with gastroparesis can manage their symptoms and live a normal life.Case Studies
* **Case 1:** A 55-year-old woman with a history of diabetes presented with nausea, vomiting, and bloating. A GES showed that her stomach emptied 50% of its contents in 120 minutes. She was diagnosed with moderate gastroparesis and was treated with medications to improve gastric emptying. Her symptoms improved significantly with treatment. * **Case 2:** A 30-year-old man with a history of multiple system atrophy presented with nausea, vomiting, and weight loss. A GES showed that his stomach emptied less than 50% of its contents in 240 minutes. He was diagnosed with severe gastroparesis and was treated with gastric electrical stimulation. His symptoms improved significantly with treatment. * **Case 3:** A 20-year-old woman with a history of anorexia nervosa presented with nausea, vomiting, and abdominal pain. A GES showed that her stomach emptied 50% of its contents in 90 minutes. She was diagnosed with mild gastroparesis and was treated with dietary changes. Her symptoms improved significantly with treatment.Conclusion
A GES is a valuable tool for diagnosing gastroparesis. The procedure is safe and painless, and the results can help to guide treatment decisions. With treatment, most people with gastroparesis can manage their symptoms and live a normal life. **CPT Code for Gastric Emptying Study:** * 76849: Gastric emptying study, solid phaseRelated recommon
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