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Wiki Proper CPT codes for EGD with peg to button

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ltingle1

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Grovetown, GA
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I am currently discussing this scenario with one of our physicians. He performed an EGD, snared the PEG, and cut and removed then placed a button. No new incision was made. My office manager instructed me to bill:
43247 - EGD, flexible, transoral; with removal of foreign bodies and
43762 - Replacement of gastrostomy tube, percutaneous, includes removal, when performed; without imaging or endoscopic guidance; not requiring revision of gastrostomy tract.

However, these codes are contradictory, as 43247 is for endoscopy and 43762 states without endoscopic guidance.

Does anyone have any insight on this?

Thanks,
Lauren
 
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