tci General Surgery Coding Alert - 2008 Issue 2

You Be the Coder: What's the Code for PEG Removal?

Question: Which code should I use for a PEG tube removal in the office? Should I use a foreign-body removal code? Pennsylvania Subscriber Answer: You cannot report a separate code for simple percutaneous endoscopic gastrostomy (PEG) tube removal because CPT contains no such code. If the surgeon removes the tube only, you can report only an appropriate-level outpatient E/M code (99201-99215). Specifically, for a removal in the office for an established patient, select from among the outpatient E/M codes 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient -). You definitely should not...

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