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CPT 76010: Pediatric GI Foreign Body Single Radiographic Image
CPT code 76010 represents a single radiographic image performed to visualize a child’s gastrointestinal tract from the nasal passage to the rectum for detection of a foreign body. This targeted diagnostic imaging code captures an episodic evaluation commonly performed in emergency departments and outpatient radiology settings when ingestion or insertion of a foreign object is suspected. Nationally, accurate coding for these acute pediatric imaging services affects clinical triage, documentation clarity, and claims processing for high-frequency, time-sensitive encounters.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise benchmarks for utilization patterns and reimbursement ranges where available, an explanation of clinical contexts that commonly justify the service, and notes on documentation elements that support medical necessity. The publication also outlines typical sites of service and the procedural scope of a single-image radiographic evaluation so that coding staff, billing professionals, and clinicians understand how this procedure is represented on claims and its role in pediatric foreign body assessment.
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Billing Code Overview
CPT code 76010 describes a single radiographic image of a child’s gastrointestinal tract obtained from the nose through the rectum to detect a foreign body. The service type is diagnostic radiography for foreign body evaluation. The typical site of service is outpatient radiology or emergency department imaging where pediatric patients present with suspected ingested or inserted foreign objects.