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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Article Overview
This February 2019 CPT Assistant article explains a coding update for gastrostomy tube replacement procedures and the related revision of instructional cross-references in adjacent sections of the code set. It is relevant to coders, billers, and clinical documentation teams working with gastrointestinal, emergency medicine, and procedure coding workflows. The article also includes general background on the affected procedure family, associated code-set changes, and example-based procedure descriptions.
Why This Topic Matters
The article helps readers understand a CPT code-set revision that affects how gastrostomy tube replacement services are organized and referenced in the code book. It is important for accurate procedure classification, documentation support, and awareness of related coding guidance across connected code sections.
Article Sections
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Introduction
Overview of the code-set update and the reason the article was issued. Summarizes the scope of the procedural changes and the related reference updates.
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Gastrostomy Tube Replacement
General background on gastrostomy tube replacement services and the broad situations discussed in the article. Covers the procedure family and the distinction between the updated replacement approaches.
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Related Revisions
Discussion of accompanying cross-reference note changes in related sections of the code book. Focuses on where the updated guidance was applied.
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Clinical Example (43762)
A representative scenario and procedural description associated with one of the updated gastrostomy tube replacement codes.
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Description of Service (43762)
A procedural workflow summary associated with the same code example. Describes the general service steps at a high level.
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Clinical Example (43763)
A representative scenario and procedural description associated with the other updated gastrostomy tube replacement code.
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Description of Service (43763)
A procedural workflow summary associated with the second code example. Describes the general service steps at a high level.
What You Will Learn
- How the article frames a CPT update for gastrostomy tube replacement procedures
- Which parts of the code book received related cross-reference revisions
- What categories of clinical situations are illustrated by the included examples
- How the article situates the update within broader procedure and specialty coding context
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Clinical documentation specialists
- Physician practices
- Hospital coding departments
Codes Discussed
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