tci General Surgery Coding Alert - 2001 Issue 5

Op Note Is Crucial for Billing PEG Tube Services

Because they often require replacement and have both a percutaneous and endoscopic component, percutaneous endoscopic gastrostomy (PEG) tubes present unique coding challenges. PEG codes vary considerably, depending on (a) whether the tube is being placed, replaced or removed and (b) whether endoscopy was used, and if so, the final location of the scope.Coding for Tube Placement If a new PEG tube is placed with a scope, 43246 (upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube) should be reported. If the surgeon also performs another endoscopic...

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