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Gastroenterology Coding Alert

You Be the Coder:

Get Your Tube Fix Claim Right Using Descriptor as Key

Published on Mon Jun 21, 2010

Question: Our gastroenterologist treats a patient whose gastrojejunostomy tube has migrated to his stomach. The gastroenterologist perfoms a problem focused interval history and exam, after which he decides to perform an esophagogastroduodenoscopy (EGD) to reposition the tube. How should I code this scenario, considering there's no code for repositioning a G tube?Kentucky Subscriber Answer: Based on the scenario given, the patient's percutaneous jejunostomy tube (J tube) slipped and became a percutaneous gastrostomy tube (G tube). Here's how you should report it:44373 (Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube) for the EGD;99231 (Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: a problem focused interval history; a problem focused examination; medical decision making that is straightforward or of low complexity ...) for [...]
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