CPT Knowledgebase - Jun 15, 2015

Our physician performed the placement of a percutaneous endoscopic gastrostomy (PEG) tube. The physician passed the flexible fiberoptic esophagoscope into the stomach where the PEG tube was placed after transilluminating the anterior wall of the stomach. The scope was then removed. Is 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, appropriately reported, or is it necessary to bill the service with modifier 52, Reduced Services, since the scope was not advanced into the small intestine?

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