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