Gastroenterology Coding Alert

Reader Questions:

Report 43219 for Feeding Tube Insertion

Question: The gastroenterologist performed an esophagoscopy and inserted a feeding tube into a patient with esophageal cancer. I was going to report 43200 because I could find no better code. Is there a code for feeding tube insertion that I missed?


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Answer:
Yes, there is a more specific code than 43200 (Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]), but you may have missed it because what you refer to as a -feeding- tube is called a -plastic- tube in CPT.

In your case, you should report 43219 (Esophagoscopy, rigid or flexible; with insertion of plastic tube or stent).

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