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Gastroenterology Coding Alert

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Choose Foreign Body Removal Code For PEG Tube Removals

Published on Sun Nov 25, 2012

Question:If one of my doctors does and EGD with a PEG (43246) on a patient and at a later date removes that PEG via EGD would it be appropriate to bill an EGD with FBR (43247)? Michigan Subscriber Answer: You are right in your assumption of using 43246 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube) when a PEG tube is placed using EGD and using 43247 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign body) when it is removed using EGD. However, note that removal of PEG tubes is not always done using an EGD procedure and is many a time done manually. So, prior to using 43247, it is best to make sure that your doctors performed an EGD procedure and did not remove the [...]
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