CPT Knowledgebase - Jun 15, 2015

A patient of ours had an EGD performed by one physician and, at the same time, a PEG tube (percutaneous gastrostomy tube) inserted by another physician. I reported code 43246 (REVISED IN 2014), Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube, and code 43750, Percutaneous placement of gastrostomy tube.The insurance company denied the second procedure, stating: "It is an integral part of the overall surgical procedure performed." Would you please verify for me the correct coding of these procedures?

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