tci General Surgery Coding Alert - 2006 Issue 6

READER QUESTIONS: Tube Conversion Calls for Endoscopy

Question: How can I report a PEG tube to J-tube conversion?Ohio Subscriber Answer: In most cases, the appropriate code for a conversion from a percutaneous gastrostomy (PEG) tube to a jejunostomy tube (a J-tube) is 44373 (Small intestinal endoscopy ...; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube).In conversions of this type, the PEG tube is already in place. A more slender tube is then passed through the PEG tube, into the stomach, and through the pyloric channel and duodenum into the jejunum.If the physician must reposition the jejunostomy tube--either manually, surgically or endoscopically--you may...

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