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EGD with G-tube placement and removal of worn out tube

Melissa Posted Thu 20th of October, 2016 13:23:31 PM
Op note says: " the gastroscope was inserted into the patient's esophagus and advanced to the duodenum. In the body of the stomach the patient had a flange of worn out G-tube which was grasped with a snare and the distal tube was cut free. The flange was brought out through the patient's mouth, Under direct visualization, a MIC tube was introduced and anchored with a balloon" would 43246 include the removal of the old tube or can I bill 43247 as well? Thank you
SuperCoder Answered Fri 21st of October, 2016 01:11:59 AM

Greetings from SuperCoder.com!

 

You do not need to bill removal of old tube when it is replaced with a new tube. Removal is included in this case. So you should bill only one code 43246.

 

Please feel free to write if you have any further questions.

 

Thanks.

 

Melissa Posted Fri 21st of October, 2016 10:00:52 AM
Thank you.....I was wondering if it was considered removal of the old tube since it is a portion of a worn out tube?
SuperCoder Answered Mon 24th of October, 2016 02:08:58 AM

Hi,

 

You also might see tube descriptions with ports, balloons, or bumpers. They're all tubes. MIC and Bard are just some of the brand names. Placement of these shorter tubes is still coded with 43246.

 

We hope this helps you.

 

Warm Regards

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