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Thread: Tube exchange

  1. #1

    Default Tube exchange

    AAPC: Back to School
    My doctor did a tube exchange of a pancreatic fistula drain at a patient's bedside. The patient had a pancreatic abscess. He wants to bill a 43760 for the procedure. In conjunction with the procedure, he wants to bill a subsequent E/M. Does anyone have any ideas as to what code we can use that more appropriately fits this procedure? He didn't put the tube in.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 49423?

    This is definitely NOT 43760 because he's not working on a G-tube.

    It's hard to give you a correct answer without the actual documentation. However, take a look at 49423. If no radiological guidance was used, you can append a -52 modifier.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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