ktews
Contributor
Below is a pH study; data is documented as incomplete as patient pulled the probe after only 13 hours. Wondering if the 91038 needs a modifier for an incomplete procedure? Repeat study is advised.
Findings (NOTE this is a 13hour study)
Gastric Acid Control: NA
Esophageal Acid Exposure:
3.1% (normal <6.3%) ? note there is no recumbent time as patient pulled probe after 13hrs
Total Number Reflux Episodes:
25 reflux episodes in 13 hrs (normal for 24hr study <48)
Symptom Association:
6 events of ?fumes? were 17% associated
6 events of burning sensation were 17% associated
Impression
Study data is incomplete due to short duration of the exam ? patient pulled the probe after 13hrs.
Consider repeat study with longer recording to get best diagnostic yield - although 1st 13hr of recording is normal.
Impedance-pH Monitoring Details
Reflux Study
Acid Exposure (pH) Upright Recumbent Total
Upright Normal Recumbent Normal Total Normal
Clearance pH : Channel 7
Number of Acid Episodes 16 0 16
Time 22.3 min 0.0 min 22.3 min
Percent Time 3.1% (< 6.3 %) 0.0% (< 1.2 %) 3.0% (< 4.2 %)
Mean Acid Clearance Time 84 sec 0 sec 84 sec
Longest Episode 4.9 min 0.0 sec 4.9 min
Acid Exposure normal values in parentheses are valid for un-medicated 95th percentile adult.
Reflux Episode Activity (Impedance)
Upright Recumbent Total Normal
Acid 18 0 18
Nonacid 7 0 7
All Reflux 25 0 25 (< 48)
NOTE: Reflux episodes are detected by Impedance and categorized as acid or nonacid by pH.
Symptom Correlation to Reflux (Impedance)
Acid Nonacid All Reflux
Symptom Occurrences Related Related Related Unrelated
Fumes 6 1 0 1 5
Burning Sensation 6 1 0 1 5
Reflux Symptom Index (Impedance)
Symptom Acid Nonacid All Reflux
Fumes 17% 0% 17%
Burning Sensation 17% 0% 17%
Findings (NOTE this is a 13hour study)
Gastric Acid Control: NA
Esophageal Acid Exposure:
3.1% (normal <6.3%) ? note there is no recumbent time as patient pulled probe after 13hrs
Total Number Reflux Episodes:
25 reflux episodes in 13 hrs (normal for 24hr study <48)
Symptom Association:
6 events of ?fumes? were 17% associated
6 events of burning sensation were 17% associated
Impression
Study data is incomplete due to short duration of the exam ? patient pulled the probe after 13hrs.
Consider repeat study with longer recording to get best diagnostic yield - although 1st 13hr of recording is normal.
Impedance-pH Monitoring Details
Reflux Study
Acid Exposure (pH) Upright Recumbent Total
Upright Normal Recumbent Normal Total Normal
Clearance pH : Channel 7
Number of Acid Episodes 16 0 16
Time 22.3 min 0.0 min 22.3 min
Percent Time 3.1% (< 6.3 %) 0.0% (< 1.2 %) 3.0% (< 4.2 %)
Mean Acid Clearance Time 84 sec 0 sec 84 sec
Longest Episode 4.9 min 0.0 sec 4.9 min
Acid Exposure normal values in parentheses are valid for un-medicated 95th percentile adult.
Reflux Episode Activity (Impedance)
Upright Recumbent Total Normal
Acid 18 0 18
Nonacid 7 0 7
All Reflux 25 0 25 (< 48)
NOTE: Reflux episodes are detected by Impedance and categorized as acid or nonacid by pH.
Symptom Correlation to Reflux (Impedance)
Acid Nonacid All Reflux
Symptom Occurrences Related Related Related Unrelated
Fumes 6 1 0 1 5
Burning Sensation 6 1 0 1 5
Reflux Symptom Index (Impedance)
Symptom Acid Nonacid All Reflux
Fumes 17% 0% 17%
Burning Sensation 17% 0% 17%