tci General Surgery Coding Alert - 2011 Issue 6

Reader Questions: 43246: PEG Tube Removal, Replacement, Relocation

Question: Sometimes our surgeon removes a previously-placed PEG tube during an office visit. Occasionally, the surgeon will percutaneously remove and replace a PEG tube during an office visit. When the surgeon needs to relocate the PEG tube, it involves an EGD to place a new tube in a different location, plus removing the old tube. Based on the reader question "43246 Includes Removal" in General Surgery Coding Alert Vol. 13 No. 4, I would like a clarification -- how should we code each of these scenarios?Ohio SubscriberAnswer: You would report only 43246 (Upper gastrointestinal endoscopy including esophagus, stomach...

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