tci General Surgery Coding Alert - 2023 Issue Q1

You Be the Coder: Skip Removal Codes

Question: How should we code a case where the surgeon removes obstructive material from a G-tube but doesn’t replace the tube? What if the surgeon removes the tube entirely? Illinois Subscriber Answer: When the surgeon removes any items from a gastrostomy tube (G-tube), you’ll want to report 49460 (Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report). For the second part of the question, there is no procedure code to describe when the surgeon removes a...

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