tci General Surgery Coding Alert - 2016 Issue 1

You Be the Coder: Account for Both EGD and Blockage Removal

Question: The surgeon performed an EGD with positioning and securing of jejunostomy tube. His findings consisted of a blocked feeding J tube that required forced irrigation to unblock the tube. The PEG part of the tube was secured on the abdominal wall with 4-0 Prolene stitch to prevent inward ingression. How should we code this? Florida Subscriber Answer: Based on your description, it appears that the surgeon performed the procedure to check and reposition an already existing J tube that had slipped. Assuming that the surgeon performed an esophagogastroduodenoscopy (EGD) to view the existing tube, you’ll have to...

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