tci General Surgery Coding Alert - 1999 Issue 3

Proper Coding Means Avoiding Entanglements When Billing J-tubes and G-tubes

Following various abdominal procedures, patients often are malnourished and the general surgeon will insert a tube to nourish the patient.Typically, the surgeon will perform a jejunostomy (J-tube) or a gastrostomy (G-tube), depending on the location of the primary procedure.When performing the most common type of jejunostomy, CPT 44015 (tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method [list separately in addition to primary procedure]), the surgeon makes an abdominal incision and chooses a section of proximinal jejunum. A jejunostomy tube (J-tube) is then placed in the jejunum and brought out through the abdominal wall. The...

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