tci General Surgery Coding Alert - 2005 Issue 10

Reader Questions: Unlisted Procedure Is the Choice for Tube Change

Question: How can I code and get paid for a jejunostomy tube change? Someone suggested 43760-22, but Medicare requested records and ultimately denied the claim.Michigan Subscriber Answer: In spite of any advice you may have heard, CPT doesn't include a specific code or a code-and-modifier combination to describe a jejunostomy tube change. Therefore, your best bet is to call on an unlisted-procedure code, such as 43999 (Unlisted procedure, stomach). Although 43760 (Change of gastrostomy tube) seems reasonably similar to changing a jejunostomy tube, close isn't good enough in this situation. CPT guidelines strictly state that you shouldn't select...

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