AMA CPT® Assistant - 1997 Issue 2 (February)
Digestive System, 43246 (Q&A) (February 1997)
February 1997 page 10c Coding Consultation Digestive System, 43246 (Q&A) Question What is the correct code to use for percutaneous endoscopic gastrostomy tube (PEG) placement when two physicians performs the procedure (eg, a gastroenterologist and a surgeon)? AMA Comment From a CPT coding perspective, when a percutaneous endoscopic gastrostomy tube, or PEG, is placed by one physician, code 43246, Upper gastrointestinal endoscopy including esophagus . . . as appropriate; with directed placement of percutaneous gastrostomy tube, is used. When a PEG is placed by two physicians, each will code 43246-62, with the modifier -62 representing two surgeons. Digestive System, 43246 (Q&...
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Article Overview
This article presents a coding consultation from CPT Assistant focused on digestive system endoscopy billing guidance for a gastrostomy tube placement scenario involving multiple physicians. It is relevant to coders, billers, and clinical documentation staff who need to understand the article’s scope, the CPT code family involved, and the modifier topic addressed in the discussion.
Why This Topic Matters
It helps readers determine whether the consultation applies to multi-physician procedure reporting questions in digestive system endoscopy and surgical coding workflows.
Article Sections
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Coding Consultation
A question-and-answer discussion about a digestive system procedure coding scenario and the related CPT coding perspective.
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Question
The coding question asks about procedure reporting when a specific tube placement is performed by two physicians.
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AMA Comment
The response discusses the applicable CPT code and notes a modifier issue tied to the multi-physician scenario.
What You Will Learn
- The scope of a CPT coding consultation involving digestive system endoscopy.
- The type of documentation issue addressed when more than one physician participates in a procedure.
- The general role of modifier-related guidance in this article.
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- disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}]}
Who Should Read This
- Medical coders
- Medical billers
- Coding auditors
- Clinical documentation staff
Codes Discussed
Modifiers Discussed
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