tci General Surgery Coding Alert - 2006 Issue 7

Are You Reporting 43246 for All Gastrostomy Placements? Not So Fast

Without a careful reading of the op note, you-re probably coding incorrectly Not all gastrostomy placements are endoscopic, and CPT actually contains four codes for procedures of this type. In addition, if your surgeon performs other procedures at the same time, you may not be able to code for the gastrostomy placement at all. True PEG Calls for 43246 If your surgeon places a true percutaneous endoscopic gastrostomy (PEG) tube, 43246 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube) should be your code of choice.  ...

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