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Wiki Gastrostomy replacement in ER

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patnron

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We have been using the code 43760 when the ER Doc, replaces a G Tube. Usually our note says they decompressed the balloon ( if still up), pull out the tube, replace the tube and reinflate the balloon, do an x-ray to confirm placement and stitch in place.
However new discussion is that procedure book states a much more detailed description states if the old gastrostomy tube has been placed endoscopically, ( which is never stated) the physician actually goes through the mouth, snags the tube and pulls it out through the mouth. Which I have never seen done in the ER.
Any comments on whether it should be billed by first description?
Thanks
 
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I use 43760 for peg changes also. This is without endoscopic assistance. What procedure book are you referencing (CPT book)?
 
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