tci General Surgery Coding Alert - 2010 Issue 2

READER QUESTIONS: New or Old Tube not Relevant

Question: Our surgeon went to the hospital to treat an admitted patient whose gastrojejunostomy tube had migrated to his stomach. The surgeon performed a problem-focused interval history and exam, then decided to perform an esophagogastroduodenoscopy (EGD) to reposition the tube. How should I code this scenario? Utah Subscriber Answer: Judging by your encounter description, the patient's percutaneous jejunostomy tube (J tube) slipped and became a percutaneous gastrostomy tube (G tube). On the claim, report the following: • For the EGD, report 44373 -- Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous...

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