tci General Surgery Coding Alert - 2008 Issue 10

Reader Questions: Avoid G-Tube, Endoscopy Unbundle

Question: In the past, we used 43750 for gastrostomy tube placement [CPT deleted 43750 for 2008]. Now, we must use 43246, but this code is not allowed with diagnostic endoscopy 43235. Is there any way that we can report the diagnostic endoscopy separately? Texas Subscriber Answer: No, you cannot unbundle the diagnostic endoscopy (43235, Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]) from the percutaneous endoscopic gastrostomy (PEG) tube placement (43246, ... with directed placement of percutaneous gastrostomy tube). Not only...

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