I know there is no cpt code for PEG tube removal....but my physician (GI specialist)performed a PEG tube removal w/upper GI endoscopy...i usually will code the diagnostic EGD 43235 but in the report he specifies that the "PEG tube was removed using polypectomy snare technique" which would warrant the 43251?...is it possible to code a PEG tube removal by upper GI using a snare polypectomy technique?

I'VE READ THAT THE 43247 CAN ONLY BE USED TO RETRIEVE/REMOVE A BROKEN PORTION OF THE PEG TUBE...NOT TO JUST SIMPLY REMOVE THE PEG TUBE...
http://medicalnewswire.com/artman/pu...cle_8278.shtml

So…..how should/can this procedure be coded?

Any insight is appreciated! Thank you!!