tci General Surgery Coding Alert - 2008 Issue 3

Don't Overlook These 4 'Tube' Changes

1. Beginning in January, you will use 49446 (Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection[s], image documentation and report) when your physician converts a gastrostomy tube to a gastro-jejunostomy tube. 2. Another new code covers the mechanical removal of obstructive material from a gastrostomy or any other type of tube: 49460(Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy [or other colonic] tube, any method, under fluoroscopic guidance including contrast injection[s], if performed, image documentation and report). 3. A final new code in this CPT section covers contrast injection(s)...

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