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Thread: PEG Tube Check

  1. #1

    Default PEG Tube Check

    AAPC: Back to School
    Our radiologist is doing a PEG tube check with a contrast injection and I wanted to use code 49465 but my manager said it includes fluoro and we can not use it since they were not using fluro for guidance. I checked CCI edits and fluoro is not included so I don't agree and I think that code 49465 would be used if they use fluoro or not. This is the procedure process:

    Approximately 20 cc of gastrograffin utilized. Catheter tip syringe fits most PEG tubes. For some tubes, may need Christmas tree adapter. X ray technologist does injection. After injection obtain x-rays.

    Views: AP supine centered over stomach/peg tube and cross table lateral to include anterior abdominal wall (again centered over peg tube site).

    Can someone please help?

  2. #2

    Default Peg tube check


    CPT Description for CPT code 49465 is "Contrast injection for Radiological Evaluation of gastrostomy,duodenostomy, Jejenostomy, gastro-jejenostomy, cecostomy(or other colonic) tube,from a percutaneous approach including image documentation and report".

    The CPT Description Nowhere says about fluoroscopy. It says Image documentaqtion and reporting. which means obtaining Permenant films(X-rays) after the injection of contrast.You can code 49465 according to the report you specified above.


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