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Confusing EGD -HELP!!!!!!!!!!

Mary Posted Mon 12th of August, 2013 13:37:46 PM

Physician performed an EGD with positioning and securing of jejunostomy tube-His findings consisted of a blocked feeding j tube that required forced irrigation to unblock the tube. The PEG part of the tube was secured on the abdominal wall with 4-0 Prolene stitch to prevent inward ingression. This is very confusing and would appreciate any input on this.

SuperCoder Answered Fri 16th of August, 2013 19:41:44 PM

Since the scenario described says the findings were of a blocked J tube, I am assuming that the physician performed the EGD to check and position an already existing tube that had slipped. Since he performed an EGD to view the existing tube, you’ll have to report this part of the procedure with 43235. During the procedure, since the physician observed that the tube was blocked, he removed the obstruction by forced irrigation. This part of the procedure you’ll have to report with 49460. There is no need to report the securing of the tube using the Prolene stitch separately.

SuperCoder Answered Fri 16th of August, 2013 19:41:44 PM
With Sachin for 4 days. I have reminded him twice. Thanks

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