tci General Surgery Coding Alert - 2013 Issue 5

Multiple Surgeons: Divide and Conquer 2-Physician PEG Tube Coding

Find out if you must use different procedure codes. When two surgeons band together for a percutaneous endoscopic gastrostomy (PEG) tube procedure — one to determine the gastrostomy site using an upper gastrointestinal duodenoscopy, and the other to make the abdominal wall incision and place the PEG tube — do you know how to code? Challenge: Check out our expert advice for code and modifier choices to ensure each surgeon receives appropriate pay for his work in multiple-surgeon PEG tube coding. Focus on Single Procedure Here’s the scenario: Under sedation, surgeon A uses a flexible endoscope to perform...

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