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Ronda Posted Fri 29th of April, 2011 14:01:45 PM

How do I code the removal only of a jejunostomy tube. Also, what dx would you use?

SuperCoder Answered Fri 29th of April, 2011 14:33:31 PM

49460-V55.4, Dx not sure.

SuperCoder Answered Fri 29th of April, 2011 18:28:42 PM

There is no specific CPT code for Jejunostomy tube removal. CPT 49460 is for removal of obstructive materail from Jejunostomy and Not the removal of Jejunostomy tube.

As a practice, I have witnessed coders using E/M code such as 99212 (for this procedure,) that reflects the time and effort involved.

If this had been peroformed under anesthesia, then an unlisted procedure code such as 01999 (unlisted anesthesia procedure[s]) would be appropriate. You could also treat the removal as monitored anesthesia care (MAC), append modifier -QS (monitored anesthesia care service) and include a letter showing medical necessity for the anesthesia.

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