Advanced Search

ED Coding and Reimbursement Alert

Reader Questions:

Submit Separate Code for G Tube Monitoring

Published on Fri Mar 27, 2009

Question: A hospice patient presents to the ED with a malfunctioning gastrostomy tube (G tube). The tube was installed two weeks earlier, and seems to have just "popped" out of place. The ED physician puts the tube back in place and ensures that it is in the proper position using contrast monitoring. Is this part of the G tube placement code, or can I code the monitoring separately? Minnesota Subscriber Answer: When the physician needs to use contrast monitoring while replacing a G tube, it is separately reportable. On the claim, report the following: - 43760 (Change of gastrostomy tube ...) for the tube replacement - 75984 (Change of percutaneous tube or drainage catheter with contrast monitoring [e.g., genitourinary system, abscess], radiological supervision and interpretation) for the contrast monitoring - modifier 26 (Professional component) appended to 75984 to show that you are only coding for your physician's role in the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

ED Coding and Reimbursement Alert

View All