tci General Surgery Coding Alert - 2022 Issue Q4

Reader Questions: Code Replacement G-tube Case

Question: How should we code the following procedure? The surgeon replaced a dislodged gastrostomy tube (G-tube) through the well-established percutaneous tract. The surgeon aspirated gastric contents to confirm the tube is safely in the stomach. Texas Subscriber Answer: Look to 43762 (Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract) for this case, as you have no documentation that the surgeon used imaging, and the notes make no mention of the provider revising the gastrostomy tract. Caveat: If the provider replaces a G-tube during initial placement procedure’s...

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