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J Tube Removal with Debridement and Drainage

Kirsten Posted Wed 22nd of July, 2015 15:12:42 PM

The physician took this patient to the OR for a dislodged J Tube. His last 2-3 Tube feedings had apparently been deposited in the surrounding sub q.
The physician removed the J Tube. Then she debrided the granulomatous tissue at the J Tube site with electrocautery. She also irrigated and removed the tube feeding substance that was in the sub q. There was no tracking or infection present. The wound was packed open and dressed.
I cannot find any code specifically for a J Tube removal. What could be used in this scenario? I looked at 17250 for the granuloma tissue debridement, but I didn't think electrocautery would work for that code. What about 11042 or 10120 for the irrigation and expelling of the J Tube feeding substance?

SuperCoder Answered Thu 23rd of July, 2015 01:18:01 AM

There is no specific CPT code available for reporting the removal of a J tube alone (without replacement). The most appropriate unlisted code, 43999 Unlisted procedure, stomach should be reported for J tube removal. For removal of feeding substance would be coded as 10120/10121 with 52 modifier (if no incision was made).

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