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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Article Overview
This short coding article focuses on a percutaneous endoscopic gastrojejunostomy procedure and the ICD-9-CM procedure coding question it raises. It is aimed at coders and billing professionals who need to identify the appropriate procedure code from a brief clinical documentation scenario. The article centers on PEG/J placement, the documentation elements mentioned in the case, and the code assignment discussed in the answer.
Why This Topic Matters
PEG/J procedures are common in enteral access coding, and small differences in documentation can affect procedure code selection. This article helps readers match a documented endoscopic feeding-tube placement scenario to the relevant ICD-9-CM procedure code.
What You Will Learn
- How a PEG/J procedure is described in the clinical scenario
- How the article frames the ICD-9-CM procedure coding question
- Which procedure code the article identifies for the scenario
- How the documentation elements relate to the coding discussion at a high level
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Clinical documentation improvement specialists
Codes Discussed
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