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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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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