Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Percutaneous removal of PEG inpatient setting

Dawna Posted Wed 09th of January, 2013 13:20:33 PM

What would the cpt code be for the following procdure when performed in the inpatient setting:

Procedure: "Non-endoscopic G-tub Removal"

Findings: "It was decided that, due to improved nutritional status, the patient no longer requires G-tube. Because it was no longer necessary the G-tube required removal. Using traction, removal was easily accomplished."

What about the diagnosis codes? I have:
783.3 (the reason the tube was placed initially)
and V53.59 (Fitting and adjustment of other gastrointestinal appliance and device)

SuperCoder Answered Thu 10th of January, 2013 18:32:30 PM

When the physician removes the PEG tube, the code depends on how she does so. If the doctor uses a scope for safety reasons or because a piece of the tube broke off in the stomach, you would use 43247 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign body).

If the physician removes the tube manually, you can only bill the service as an E/M code (for example, 99201-99215). There is no CPT code for manual removal.

You can choose 935.2 as the Dx code along with V53.59

Related Topics