This functionality is implemented using Javascript. It cannot work without it, etc...

Estamos cargando la información...

Saltar al contenido

Esophageal pH Monitoring

Esophageal pH monitoring using a catheter or wireless-based system may be considered medically necessary for the following clinical indications in adults and children or adolescents able to report symptoms.a
Documentation of abnormal acid exposure in endoscopy-negative patients being considered for surgical antireflux repair;

Evaluation of patients after antireflux surgery who are suspected of having ongoing abnormal reflux;

Evaluation of patients with either normal or equivocal endoscopic findings and reflux symptoms refractory to proton pump inhibitor therapy;

Evaluation of refractory reflux in patients with chest pain after cardiac evaluation and after a 1-month trial of proton pump inhibitor therapy;

Evaluation of suspected otolaryngologic manifestations of gastroesophageal reflux disease (ie, laryngitis, pharyngitis, chronic cough) in patient who have failed to respond to at least 4 weeks of proton pump inhibitor therapy;

Evaluation of concomitant gastroesophageal reflux disease in patients with adult-onset, nonallergic asthma suspected of having reflux-induced asthma.

Twenty-four-hour catheter-based esophageal pH monitoring may be considered medically necessary in infants or children who are unable to report or describe symptoms of reflux with:

unexplained apnea;

bradycardia;

refractory coughing or wheezing, stridor, or recurrent choking (aspiration);

persistent or recurrent laryngitis; and

recurrent pneumonia.

The above medically necessary indications are in accordance with the policy guidelines (see below) and 2020 American College of Gastroenterology clinical guideline on the clinical use of esophageal physiologic testing (see Supplemental Information).

Catheter-based impedance pH monitoring is considered not medically necessary.

a Esophageal pH monitoring systems should be used in accordance with U.S. Food and Drug Administration-approved indications and age ranges.

787-277-6653 787-474-6326