tci General Surgery Coding Alert - 2017 Issue 8

You Be the Coder: Return Payment for PEG Tube Removal Error

Question: Under an internal audit, we identified a claim for an in-office PEG tube removal by the surgeon that we billed as 43760. The auditor claimed that the documentation for a simple PEG tube removal did not support 43760. Is that correct, and if so, what should we do?Oregon Subscriber Kentucky Subscriber Answer: Your auditor is correct that a simple in-office removal of a Percutaneous Endoscopic Gastrostomy (PEG) tube does not warrant reporting 43760 (Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance). Code 43760 describes changing the PEG tube, which means performing both a removal of...

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