tci Part B Insider - 2012 Issue 31

Reader Question: CPT Does Not Include PEG Tube Removal Code

Question: Our gastroenterologist performed EGD on a patient on one day and colonoscopy along with PEG tube removal on the following day. I reported 43235 for the EGD and 45378 for the colonoscopy. However I am not too sure about how to code the removal of the PEG tube. I know that there is no removal code and it is usually included in the E/M codes.Oregon SubscriberAnswer: You are right in reporting 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...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Part B Insider +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!