Results 1 to 5 of 5

Peg Tube Removal

  1. Question Peg Tube Removal
    Medical Coding Books
    GI Dr. removed a peg tube by traction with counter traction on the abdominal wall he did not insert the peg tube initially it was done in another city. When he did the removal it was an inpatient setting. There is not a CPT for peg removal so......any recommendations on what we can charge? He only saw the patient for this procedure.

  2. #2
    Milwaukee WI
    Default E/M service
    If he took the patient to the OR to remove the PEG under anesthesia he could use 43999 (unlisted procedure).

    If this was done at bedside then it is part of an E/M service.

    F Tessa Bartels, CPC, CEMC

  3. #3
    What if the surgeon removed the PEG tube in the office and the patient is post-op Repair of Ruptured AAA? Can he bill an unrelated E/M??
    Mary Beth Gord, CPC

  4. #4
    Milwaukee WI
    Default He didn't do the original surgery?
    If he didn't do the original surgery the post-op global period doesn't apply at all ... UNLESS ...

    If you took over ALL post op management then the original surgeon should have used the -54 modifier and you would use the exact same procedure code the surgeon used with a -55 modifier. Obviously this requires coordination with the operating surgeon so you are both on the same page blling-wise.

    The other option would be for your doctor to just code the appropriate level E/M (there is no procedure code for removing the PEG).

    If you are the same surgeon who performed the original surgery and inserted the PEG, then you can't code anything for PEG removal UNLESS you had to take the patient back to the OR to perform this under anesthesia.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    I'm having a similar situation in the hospital setting - Surgeons are using teh GI suite to remove peg tubes, no anesthesia involved. I'm getting chares for supplies, room time, and maybe pharmacy items with no procedure to code. I certainly can not code an E/M visit for an outpatient OR room. Shouldn't these be done in the MDs office?

Similar Threads

  1. PEG tube removal 97.51
    By Colliemom in forum Outpatient Facilities
    Replies: 0
    Last Post: 06-29-2015, 11:51 AM
  2. PEG tube removal in the OR
    By MEZIESKY in forum General Surgery
    Replies: 3
    Last Post: 08-02-2013, 07:48 AM
  3. Peg Tube removal
    By in forum Gastroenterology
    Replies: 3
    Last Post: 03-26-2012, 02:15 PM
  4. PEG tube removal - certain CPT code
    By vdyer in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-13-2010, 01:28 PM
  5. PEG tube removal
    By seldercpc in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-23-2008, 04:43 AM

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.