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peg tube

Janet Posted Fri 05th of April, 2013 17:44:13 PM

My dr did a peg placement and stated,"18F G-tube replaced with 24F G-tube then 12F Jejunal tube place through g-tube" he coded it as egd w/jejunal tube placement and egd w/gastric tube placement. I don't think I can bill both because it's the same procedure just different tubes. What would be the best cpt code for both procedures?

SuperCoder Answered Mon 08th of April, 2013 15:40:49 PM

If the G tube was placed endoscopically, like via EGD process, code 43246. If G-tube was placed without imaging or endoscopic guidance, code 43760.

If it's a conversion of gastrostomy tube to G-J tube, via percutaneous process, under fluoroscopic guidance, but not via EGD, code 49446.

For replacement of a gastrostomy tube, via percutaneous process, under fluoroscopic guidance, but not via EGD, code 49450.

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