AMA CPT® Assistant - 2008 Issue 1 (January)

Surgery: Digestive System (January 2008)

January 2008 page 8c Surgery: Digestive System, 49440, 49442, 49451 (Q&A) Question: When a patient's jejunostomy tube is removed and a new tube is placed, is this considered a replacement? Answer: If an existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube is removed and a new tube is placed via a separate percutaneous access site, the placement of the new tube is not considered a replacement and would be reported using the appropriate initial placement codes 49440-49442. However, if the same site is used, it is considered a replacement and code 49451, Replacement of duodenostomy...

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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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