AHA Coding Clinic® for ICD-9 - 2013 Issue 3; Clarifications

Percutaneous (Endoscopic) Gastrojejunostomy (PEG/J)

The indication for the procedure is listed as inattentive to oral intake due to advanced dementia. The procedure is listed as percutaneous (endoscopic) gastrojejunostomy (PEG/J). Provider documentation indicates that the endoscope was introduced. The stomach was entered and a suitable location for a gastrostomy tube was palpated over the abdomen. A small incision was made. A G-tube was attached to the guide wire and pulled into position in the patient’s abdomen. A guide wire was passed through the G-tube, and maneuvered into the small intestine. A jejunal extender tube was threaded over the guide wire and left in position on the patient’s small bowel. The scope was removed. What is the correct ICD-9-CM procedure code for the PEG/J? ...

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