tci General Surgery Coding Alert - 2008 Issue 6

Don't Let Your PEG Coding Go Down the Tubes: 5 Tips You Need Now

G-tube procedures now include fluoroscopic guidance, when used Recent AMA revisions have made reporting gastrostomy tube procedures much clearer, but coders familiar with G-tube coding prior to CPT 2008 will have to unlearn old habits. Follow these five tips to re-educate yourself now and avoid trouble later. 1. Stick With 43246 for True PEG If your physician places a true percutaneous endoscopic gastrostomy (PEG) tube, you should continue to select 43246 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube). "There's only one acceptable way to code...

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