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Thread: Peg/PegJ placement coding help

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    Default Peg/PegJ placement coding help

    AAPC: Back to School
    Has anyone ever coded this procedure before?

    A transverse incision was made in the skin. A large bore
    sheath was advanced through the skin into the gastric lumen. A wire was
    advanced down the sheath and grasped with a snare. It was pulled out
    through the oropharynx, hooked to the PEG, and the PEG was pulled down
    through the oropharynx and out through the abdominal wall. It was trimmed
    to a short size. A snare was passed down the newly placed peg. The snare
    was opened. The scope was passed through the open snare, and the scope
    itself was snared. I then passed the snared scope down to the bowel beyond
    the ligament of Treitz, confirmed with x-ray. I dumped off a 450 0.03 Jag
    wire and left it well beyond the ligament of Treitz, pulled back the scope,
    opened the snare, snared the wire, pulled the scope out the oropharynx,
    pulled the wire out through the PEG and pulled the oral end of the wire out
    from the mouth and out through the PEG. I then threaded a Boston
    Scientific PEG/PEG-J tube over wire under fluoroscopy and confirmed it
    beyond the ligament of Treitz with contrast injection
    Last edited by SPECIALTYCODING; 09-06-2012 at 10:09 AM.

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