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Thread: removal of PEG tube

  1. #1

    Default removal of PEG tube

    Would I use code 43247 for the removal of PEG tube with dx V55.1? I am fairly new to gastro and this is the first I have came accross this procedure.

    thanks

  2. #2
    Join Date
    Apr 2007
    Location
    Stuart
    Posts
    322

    Default

    Check on this CPT's and see if any apply:

    49460 with 536.40, 536.42 536.49 or you can also use the V55.1

    43760 with 536.40, 536.41, 536.42, 536.49 or V44.1

    49450 same DX's

    hope this helps
    nORaM

  3. #3
    Join Date
    Apr 2007
    Location
    Stuart
    Posts
    322

    Default

    Check on this CPT's and see if any apply:

    49460 with 536.40, 536.42 536.49 or you can also use the V55.1

    43760 with 536.40, 536.41, 536.42, 536.49 or V44.1

    49450 same DX's

    hope this helps
    nORaM

  4. #4

    Default removal of PEG

    As far as our local carrier and payers have stated simply removing PEG tube without replacing or changing it is not a billable service.

  5. #5

    Default

    I think it's just a visit code-also I'm pretty sure I've seen directives specifically excluding 43247 for PEG removal.
    C.Martin CPC-GENSG

  6. #6

    Default peg tube removal

    In Chapter VIigestive system of the NCCI edits it states:

    "Intubation of the GI tract (e.g. percutaneous placement of g-tube) includes subsequent removal of the tube. CPT codes such as 43247 should not be reported for routine removal of previously placed therapeutic devices."

    I would bill an appropriate e/m.

  7. #7

    Default

    I always bill a visit code because the procedure is not billable per CCI edits

  8. #8

    Question Replacement of PEG tube

    What would I bill for the replacement of PEG tube with Mickey button? My doctor turned in 43247 but I'm not sure if I can bill it.

    Thanks,
    Tammy

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