tci General Surgery Coding Alert - 2011 Issue 10

Reader Question: 43760 Service Might Warrant Additional Codes

Question: Our surgeon sometimes changes a gastrostomy tube in the office. Should we code 43760 for the service, and can we bill separately for materials used for the new G-tube? Virginia SubscriberAnswer: Yes, 43760 (Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance) is the appropriate code to describe the service. Regarding materials, because the procedure is in the physician office, not a facility, you may separately report the G-tube using one of the following HCPCS level II codes:B4087 -- Gastrostomy/jejunostomy tube, standard, any material, any type, eachB4088 -- ... low profile, any material, any type, each.Don't miss...

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