AAPC - Back to school
Results 1 to 5 of 5

Thread: Code for ET Tube Postion

  1. #1

    Default Code for ET Tube Postion

    AAPC: Back to School
    I have a radiology procedure (chest x-ray) that was done to check the ET Tube position. I am torn between codes. Can anyone offer any insight on which code they would use to bill this?
    Last edited by dasluna; 04-15-2009 at 09:11 AM.

  2. #2
    Join Date
    Apr 2007


    it would depend on the number of views. However, if the report does n0t state the views taken, then CPT 71010 with a DX of V58.82

  3. #3
    Join Date
    Apr 2007

    Default Ancillary Coder

    I'm very interested in reviewing answers to this question as I run into this situation a lot. Employed as an ancillary coder in an acute care hospital. My understanding is that, if the radiologist is reviewing a film for placement, and he is not actually placing the tube himself (ie; ER phys placing endotrachial tube and NG tube, portable xr done to check placement, radiologist reads film), you cannot code with a fitting and adjustment code as the radiologist is only reading the film and not making the adjustment.

    I would love to find some clear-cut documentation on this subject. If there is nothing else to code on the xr, can I use an 'Aftercare' code? Perhaps V58.89?

    Thanks in advance for all opinions and suggestions.

  4. #4
    Join Date
    Apr 2007


    You can also use the diagnosis for which they are intubating the patient. We do chest x-ray's all the time to check for placement but the ET tube is always placed by another physician.

  5. #5


    Remember, V58.82 is describing the reason for the encounter, not the encounter itself, so even if the radiologist didn't actually adjust the ET tube, (s)he can still use V58.82. Appending Modifier 26 to the CPT code will tell the payer that this is for the radiologist's interpretation of the x-ray, and V58.82 will tell them that the reason the patient had the x-ray was for the purpose of verifying the placement and position of the ET tube.

Similar Threads

  1. G tube/Peg tube/J tube change
    By Jess1980 in forum Gastroenterology
    Replies: 2
    Last Post: 06-18-2014, 08:26 AM
  2. How to code this g-tube/gj-tube??
    By suela923@aol.com in forum Interventional Radiology
    Replies: 1
    Last Post: 04-28-2014, 06:53 AM
  3. Which gi tube insertion code?
    By margaret fahy in forum Interventional Radiology
    Replies: 4
    Last Post: 10-24-2013, 06:31 AM
  4. Peg/J tube change ?code
    By ChristineA in forum Gastroenterology
    Replies: 0
    Last Post: 11-13-2012, 10:10 AM
  5. NG Tube placement/exchange code
    By arleenas@yahoo.com in forum Anesthesia
    Replies: 2
    Last Post: 07-27-2009, 02:21 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?


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.