tci General Surgery Coding Alert - 2024 Issue Q3

You Be the Coder: Review What Replacement Tubes Cover

Question: Could you please explain the coding process for percutaneous tube insertions like duodenostomy or cecostomy? Also, would the same codes apply when replacing these tubes? AAPC Forum Participant Answer: No, you should not use the same codes for placement and replacement of gastrointestinal (GI) tubes. According to Terri Brame Joy, MBA, CPC, COC, CGSC, CPC-I, product manager, MRO, in Philadelphia, “Ensure the documentation properly describes the type of tube and location of placement to select the correct code. Explain to surgeons that there are different codes for placement and replacement and what key documentation supports correct coding...

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