In the United States, coins are the most frequently ingested objects among children. Whether a coin will pass naturally depends on factors like its position in the esophagus, the child's age, and the coin's size. Typically, around 30% of patients experience spontaneous clearance of ingested coins. If the coin is located in the distal esophagus, it may pass on its own before endoscopic removal in up to 60% of cases, with the likelihood influenced by both the coin's size and the child's age.