tci ED Coding & Reimbursement Alert - 2007 Issue 4

Reader Question: Check for Radiologic Guidance, Then Code for G Tube Placement

Question: A patient comes to the ED with a displaced gastrostomy tube (G tube). The physician examined the G tube and placed a new tube through the established tract. During the encounter, the physician used radiologic guidance to confirm the tube placement. I cannot find a CPT code to represent this service. Should I just use 43760 on the claim?Virginia SubscriberAnswer: You should use 43760 (Change of gastrostomy tube), along with another CPT code. When your physician re-inserts a G tube using radiologic guidance, CPT suggests using a separate code for the radiologic guidance.On your claim, you...

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