• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Can CPT 49446 be billed separately from 43830?

Create Wiki
S

sacrawford43013

New
Messages
2
Location
Newark, OH
Best answers
0
CPT 49446 states that for converstion to gastro-jejunostomy tube at the time of initial gastrostomy tube placement we are to use 49446 in conjuction with 49440. CPt 49440 is for a percutaneous approach. Our doctor performed an open approach which was coded as 43830. I have received a bundling denial. My question is, is it appropriate to bill 43830 and 49446-51 separately.
 
Just an FYI: 43830 is a separate procedure which means it is usually part of a more extensive procedure.

I do not think you should code them together. I think you might be better off using an unlisted code and comparing it to the RVU's for a 43830 and part of the RVU's for the 49446. I cannot locate an open approach procedure code for a 49446. To be really precise, I'd have to read the op note, but from what you've written, I would go unlisted.
 
You must log in or register to reply here.
Top