AMA CPT® Assistant - 2019 Issue 2 (February)

Gastrostomy Tube Replacement Without Imaging or Endoscopic Guidance (February 2019)

February 2019 page 5 Gastrostomy Tube Replacement Without Imaging or Endoscopic Guidance Current Procedural Terminology (CPT®) code 43760, Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance, was identified as potentially misvalued by the Centers for Medicare & Medicaid Services (CMS) through a screen for codes reported with an evaluation and management (E/M) service more than 50% of the time. Code 43760 was also identified by the American Medical Association (AMA)/Specialty Society Relative Value Scale (RVS) Update Committee (RUC) as a service surveyed by one specialty, but now performed by another specialty, specifically emergency medicine. In addition...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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