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replacement peg tube

  1. Default replacement peg tube
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    I have a pt that was seen in the ED after pulling out their peg tube. Dr gives final dx of PEG tube replacement. Dr. tells me that he used a 20 FR PEG tube aseptically and that is all he wrote for procedure. I know that dx code is V55.1 for replacement of PEG. Would this be considered just a regular E&M level or CPT code for replacement of PEG?

  2. Default
    Since there were no complications, for example, infection, and the decision was straight forward, I would use 99281.
    For peg tube replacement: 43760 (Change of gastrotomy tube, percutaneous, without imaging or endoscopic guidance).
    Last edited by TonyaMichelle; 12-05-2011 at 03:30 PM.

  3. #3
    Default
    Since there was no seperately identifiable e/m, i would say e/m inclusive to procedure

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