mq19026
New
EXAMINATION: G/COLON TUBE CHECK W/ CONTRAST
CLINICAL HISTORY: Rule out anastomotic leak.
PROCEDURE: Nasogastric Tube Injection
RESULTS:
Patient has a stent previously placed across the gastroesophageal
junction which is removed.
Contrast fills the distal esophagus, a small portion of gastric pouch and
the proximal small bowel. There is a tiny irregular linear density of
about a centimeter that projects from the gastroesophageal junction
superiorly which is difficult to characterize. It might indicate a
contained leak or it could be contrast within a fold of the
esophageal/gastric mucosa. No frank leak is seen in the left upper
quadrant.
1. No definite free flowing leak from the gastroesophageal junction area.
2. Small irregular contrast projections around this area that could
either be blind ending pouches or contrast within folds of the mucosa.
Help with coding above. this was an overread from C-arm images cpt 74220?
CLINICAL HISTORY: Rule out anastomotic leak.
PROCEDURE: Nasogastric Tube Injection
RESULTS:
Patient has a stent previously placed across the gastroesophageal
junction which is removed.
Contrast fills the distal esophagus, a small portion of gastric pouch and
the proximal small bowel. There is a tiny irregular linear density of
about a centimeter that projects from the gastroesophageal junction
superiorly which is difficult to characterize. It might indicate a
contained leak or it could be contrast within a fold of the
esophageal/gastric mucosa. No frank leak is seen in the left upper
quadrant.
1. No definite free flowing leak from the gastroesophageal junction area.
2. Small irregular contrast projections around this area that could
either be blind ending pouches or contrast within folds of the mucosa.
Help with coding above. this was an overread from C-arm images cpt 74220?