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NG removal

Eleen Posted Fri 28th of October, 2016 10:56:43 AM
An NG tube was seen in the esophagus and proximal stomach with clotted blood within it. NG was removed. Small amount of red blood seen was suctioned without bleeding. Mild NG trauma with erosion seen at UES and GE junction, no bleeding seen from this. Otherwise the upper third of esophagus, middle third of esophagus and lower third of esophagus were normal. What should be coded for Nasogastric tube removal?
SuperCoder Answered Tue 01st of November, 2016 03:27:41 AM

If the surgeon who originally billed the NG-tube placement, does Nasogastric tube removal, it cannot be billed. It is included in the E/M (office visit). However, When a G-tube is removed in the operating room, the unlisted code 43999 should be reported. Also, because an unlisted code is being reported, the claim should be submitted on paper and be accompanied by a copy of the operative report describing the service performed. Thank you.

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