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EGD with placement of nasal-jejunal feeding tube

Amy Posted Fri 23rd of May, 2014 16:48:20 PM

What CPT code best describes this procedure?
We have been using 43241, but wonder if there is a better choice.

SuperCoder Answered Fri 23rd of May, 2014 17:16:16 PM

When your gastroenterologist places a naso-jejunal tube during an EGD procedure, you will have to report this procedure with 43241 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic intraluminal tube or catheter placement). Many coders are confused about using 43241 for placement of a naso-jejunal tube, as the insertion of the tube occurs through the nose. However, the EGD procedure your gastroenterologist conducts along with the tube placement is an aid to position the tube in the jejunum. So, even though the placement of the tube occurs through the nose, you need to report 43241, as your gastroenterologist performed the EGD for the correct placement of the tube.

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