AAPC - Back to school
Results 1 to 2 of 2

Thread: Digestive Coding Assistance Please

  1. #1
    Join Date
    Apr 2007

    Default Digestive Coding Assistance Please

    AAPC: Back to School
    Need assistance with the following 2 scenarios please:

    1. percutaneous placement of gastrostomy tube w/ radiological S & I

    2. endoscopic placement of gastrostomy tube w/radiological S & I

    With rationale please.

    I think I am being thrown off because the only radiological S & I I can find is for Removal not placement and in the CPT book right before CPT code 74210 there is a note that states for percutaneous placement of gastrostomy tube, use 43246 however this code does not include radiological S & I and then under 43246 there is another note that states for nonendoscopic percutaneous placement of gastrostomy tube, see 49440. But doesn't percutaneous mean throught the skin by needle..which would be nonendoscopic?

    Hope I am making sense, I am a little rusty in this specialty.


    ~Cindy Cillo, CPC

  2. #2


    49440 includes includes fluoro guidance, contrast injections,image documentation and report. So, there no longer is a seperate S&I to code with 49440. It is an all inclusive code. This is the code used when the procedure is performed in Interventional Radiology.

    If this was done by the GI docs endoscopically, I would use 43246. My question is: was there a need to use fluoro to place this tube?

    Sorry I'm answering your question with a question:


Similar Threads

  1. Need assistance in coding this please.....
    By Cuteyr in forum Interventional Radiology
    Replies: 2
    Last Post: 06-19-2015, 08:30 AM
  2. non healing surgical wound or complication digestive system
    By Kelli3968 in forum Diagnosis Coding
    Replies: 1
    Last Post: 03-24-2011, 09:46 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.