tci ED Coding & Reimbursement Alert - 2009 Issue 4

Reader Questions: Submit Separate Code for G Tube Monitoring

Question: A hospice patient presents to the ED with a malfunctioning gastrostomy tube (G tube). The tube was installed two weeks earlier, and seems to have just "popped" out of place. The ED physician puts the tube back in place and ensures that it is in the proper position using contrast monitoring. Is this part of the G tube placement code, or can I code the monitoring separately? Minnesota Subscriber Answer: When the physician needs to use contrast monitoring while replacing a G tube, it is separately reportable. On the claim, report the following: - 43760 (Change of gastrostomy...

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