tci General Surgery Coding Alert - 2013 Issue 9

Reader Question: Distinguish EGD and PEG Procedures

Question: Should I code the following note as 43246? “The stomach was inflated via nasogastric tube and punctured colon under fluoroscopic guidance. The GI tract was dilated and a gastrostomy tube pulled in place. The balloon was inflated and placement confirmed with contrast.” Ohio Subscriber Answer: No, you should not list 43246 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube) for the procedure you describe. The surgical note does not document an esophagogastroduodenoscopy (EGD) procedure, which is what 43246 describes. Instead, you’ve given...

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