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.