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Old 04-15-2008, 04:16 PM
SLELISON SLELISON is offline
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Default removal of PEG tube

Would I use code 43247 for the removal of PEG tube with dx V55.1? I am fairly new to gastro and this is the first I have came accross this procedure.

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Old 04-16-2008, 06:47 AM
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Check on this CPT's and see if any apply:

49460 with 536.40, 536.42 536.49 or you can also use the V55.1

43760 with 536.40, 536.41, 536.42, 536.49 or V44.1

49450 same DX's

hope this helps
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Old 04-16-2008, 06:48 AM
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Check on this CPT's and see if any apply:

49460 with 536.40, 536.42 536.49 or you can also use the V55.1

43760 with 536.40, 536.41, 536.42, 536.49 or V44.1

49450 same DX's

hope this helps
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Old 04-16-2008, 08:32 AM
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Default removal of PEG

As far as our local carrier and payers have stated simply removing PEG tube without replacing or changing it is not a billable service.
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Old 04-16-2008, 12:25 PM
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I think it's just a visit code-also I'm pretty sure I've seen directives specifically excluding 43247 for PEG removal.
C.Martin CPC-GENSG
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Old 05-01-2008, 12:32 PM
Cyndy Cyndy is offline
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Default peg tube removal

In Chapter VIigestive system of the NCCI edits it states:

"Intubation of the GI tract (e.g. percutaneous placement of g-tube) includes subsequent removal of the tube. CPT codes such as 43247 should not be reported for routine removal of previously placed therapeutic devices."

I would bill an appropriate e/m.
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Old 05-04-2008, 09:23 PM
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I always bill a visit code because the procedure is not billable per CCI edits
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Old 10-14-2008, 08:34 AM
tamw29 tamw29 is offline
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Question Replacement of PEG tube

What would I bill for the replacement of PEG tube with Mickey button? My doctor turned in 43247 but I'm not sure if I can bill it.

Thanks,
Tammy
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