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EGD REMOVAL OLD PEG TUBE REPLACE WITH TRIFUNNEL TUBE

S

surfergirl

Networker
Messages
72
Location
Spring Lake, NJ
Good Morning,
Just wondering how would this be coded?

Patient is coming in due to a gastrostomy tube malfunction and needs to be replaced. I question the physician and am told its under MAC they go thru esophagus to remove the old tube and replace with Tri-funnel.
I was thinking 43247/43762 (59)
or should it be 43247 and 43241 (59)

thank you in advance.
 
Hello, you can't code for the removal when your replacing the tube. I'm leaning toward just 43246.

Intubation of the gastrointestinal tract (e.g., percutaneous placement of G-tube) includes
subsequent non-endoscopic removal of the tube. CPT codes such as 43247 (Upper
gastrointestinal endoscopic removal of foreign body(s)) shall not be reported for nonendoscopic
removal of previously placed therapeutic devices. However, if a previously
placed therapeutic device must be removed endoscopically because it cannot be removed
by a non-endoscopic procedure, a CPT code such as 43247 may be reported for the
endoscopic removal.
 
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