Reader Question:
Jejunostomy Tube Removal
Published on Mon Oct 01, 2001
Question: Is there a way to code for the removal of a jejunostomy tube that was done under sedation in the OR? No other E/M service was performed that day.
Texas Subscriber
Answer: The procedure for removing the tube has no specific code, so an unlisted procedure code such as 01999 (unlisted anesthesia procedure[s]) would be appropriate. You could also treat the removal as monitored anesthesia care (MAC), append modifier -QS (monitored anesthesia care service) and include a letter showing medical necessity for the anesthesia. Another option is to bill for the procedure with an E/M code that reflects the time and effort involved, such as 99212 (office or other outpatient visit for the evaluation and management of an established patient).
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