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g-tube button change in office

Tina Posted Tue 01st of January, 2013 20:23:35 PM

I am looking for the code for mickey button change in the office. Any help?

SuperCoder Answered Fri 04th of January, 2013 17:47:04 PM

The Mic-Key button is a low-profile gastrostomy tube that lies closer to the skin than a regular gastrostomy tube. In most cases, this type of change can be done manually and should be reported with code 43760 (change of gastrostomy tube).

If the change was done endoscopically, then you may use code 43247 (upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate, with removal of foreign body) to report the removal and code 43246 (upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate, with directed placement of percutaneous gastrostomy tube) to report the placement.

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