Diagnosis: Esophageal foreign body.
Treatment: Inpatient admission.
The insurer denied the inpatient admission.
The denial is upheld.

The patient is a male child. He presented with an esophageal foreign body. There was a witnessed coin ingestion, and the coin was noted on x-ray to be at the esophageal inlet. The patient was started on an IV and kept NPO (nothing by mouth). The coin was removed in the OR (operating room), and the patient was discharged.

No, the Inpatient admission was not medically necessary.

The patient's vital signs were stable, and the patient was afebrile. There was no respiratory distress. There were no complications during or after the procedure. The patient was taking POs (by mouth) after the procedure and the pain was in control. Esophageal FBs (foreign bodies) are typically addressed with same day removal followed by observation. Therefore, based on the information provided, the medical necessity of the inpatient admission from cannot be confirmed, as the patient could have been managed with a lower level of care, observation.