CPT code 74246 refers to a special kind of X-ray test used to examine the upper part of the digestive system. CPT 74246 represents “Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered.”
Procedure Explanation:
This procedure involves taking X-ray images of the upper digestive tract using a method called double-contrast, which generally includes high-density barium and a fizzy agent to improve image clarity. Before the main test, a preliminary image, known as a scout abdominal picture, may be taken. Additionally, some delayed images might be captured if needed. If necessary, a medication called glucagon, which helps relax the stomach, can be used to get better images. Not every step will happen in every test – it depends on the individual needs of the patient.
Common Names:
- Upper GI Series
- Double-Contrast Barium X-ray
- UGI Examination
Relative Value Units (RVU):
The RVUs associated with this code are 0.9.
How This Procedure Appears:
- Operating Room Schedule Name: Upper GI Double-Contrast Study
- Surgical Consent Form Name: Double-Contrast Barium X-ray Test
Typical Patients and Diagnoses:
This test is commonly performed on patients experiencing symptoms like persistent stomach pain, unexplained weight loss, or trouble swallowing. Doctors use it to help diagnose conditions such as ulcers, growths, or other abnormalities in the stomach and small intestine.
Associated ICD-10 Codes:
- K21.0: Gastroesophageal reflux disease with esophagitis, meaning stomach acid flows back into the esophagus causing inflammation.
- K25.9: Gastric ulcer, unspecified as acute or chronic, without bleeding or perforation, which is a sore in the stomach lining.
- K31.9: Disease of the stomach and duodenum, unspecified, a general term for any stomach or upper small intestine disorder not specifically identified.
Summary
In summary, code 74246 describes a diagnostic test for examining the upper digestive tract using a double-contrast method. Typical ICD-10 codes associated with 74246 include K21.0 (Gastroesophageal reflux disease with esophagitis) and K25.9 (Gastric ulcer).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.