AMA CPT® Assistant - 2010 Issue 9 (September)

Surgery: Digestive System (Q&A) (September 2010)

September 2010 page 9c Surgery: Digestive System Question: The patient’s gastrostomy tube has fallen out and he now presents to have a gastrostomy tube inserted using the existing tract. Is CPT code 49450 or 49440 the appropriate code to report in this situation? Answer: In the event the gastrostomy tube was removed for the purpose of replacement (or had previously fallen out), code 49450, Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report, is reported to describe “replacement” tube insertion performed via the same access site. If the...

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