Results 1 to 3 of 3

EGD w/removal PEG and conversion to GJ

  1. Default EGD w/removal PEG and conversion to GJ
    Medical Coding Books
    Looking for help with this scenario: video endoscope introduced per os and directed under direct visualization. Esophagus appeared normal in it's entirety as did stomach and proximal duodenum. The existing PEG was visualized with the J going transpylorically. The J was pulled, the PEG was cut at the skin level and taken out the mouth using basket snare. Endoscope replaced showing gastric depth of 2.5 cm, therefore a 16x2.5x30 cm length skin level GJ button was sewn into the stoma and directed with both endoscopic care initially into the pylorus and then rat-tooth was used to push down into the duodenum. From there, fluoroscopic dye was used to show good C-loop position. Water-soluble dye was used. Balloon insufflated with 6 cc water.

    I am escpecially interested in the coding of the fluoroscopy - thoughts?

    Thanks!
    Judy

  2. Default
    are you talking 71090-26

  3. #3
    Default peg to gj
    Quote Originally Posted by judyp53 View Post
    Looking for help with this scenario: video endoscope introduced per os and directed under direct visualization. Esophagus appeared normal in it's entirety as did stomach and proximal duodenum. The existing PEG was visualized with the J going transpylorically. The J was pulled, the PEG was cut at the skin level and taken out the mouth using basket snare. Endoscope replaced showing gastric depth of 2.5 cm, therefore a 16x2.5x30 cm length skin level GJ button was sewn into the stoma and directed with both endoscopic care initially into the pylorus and then rat-tooth was used to push down into the duodenum. From there, fluoroscopic dye was used to show good C-loop position. Water-soluble dye was used. Balloon insufflated with 6 cc water.

    I am escpecially interested in the coding of the fluoroscopy - thoughts?

    Thanks!
    Judy
    Look at 49446 conversion of gastrostomy to gastro-jejunostomy, percutaneous under fluoroscopic guidance including contrast. See if this might help, and fluoro is inclusive.

Similar Threads

  1. EGD through gastrostomy after PEG tube removal??
    By rlmiller in forum Gastroenterology
    Replies: 2
    Last Post: 05-30-2013, 09:12 AM
  2. EGD with PEG removal
    By anknight77 in forum Gastroenterology
    Replies: 3
    Last Post: 01-30-2012, 06:08 AM
  3. Egd w/ peg removal and replacement
    By eskycity in forum Diagnosis Coding
    Replies: 2
    Last Post: 01-10-2011, 09:20 AM
  4. Egd with removal of peg
    By rsboggs in forum Gastroenterology
    Replies: 8
    Last Post: 11-28-2010, 06:14 PM
  5. HELP- EGD,Rem.of Peg and Insert Of Peg
    By Hopp in forum General Surgery
    Replies: 1
    Last Post: 08-10-2009, 12:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.