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Thread: EGD with PEG removal

  1. #1

    Default EGD with PEG removal

    AAPC: Back to School
    I have a dr coding EGD with PEG removal as 43247-EGD with foreign body removal. This is being done with a POS of outpatient hospital. Is this correct?

    Thanks in advance for your help!

  2. #2
    Join Date
    Apr 2007
    Lauderdale Lakes


    If it is just to remove the peg tube then it should be just an E/M code. If it broke off and he had to do the egd to remove the broken piece then you can bill the 43247.

    Below is a link explaining this:


  3. #3
    Join Date
    Apr 2007


    I believe tpontillo is talking about the removal of the PEG without an EGD. That is when one would use the E & M code only.

    EGD with foreign body removal sounds reasonable to me. Any other thoughts anyone?

  4. #4
    Join Date
    Apr 2007
    Pensacola, Florida


    It is my understanding that if the Dr. performs an EGD, then does a manual PEG removal, you can only charge for the EGD - 43235. If no EGD was performed, and just a manual PEG removal, you could look at E&M codes.

    Bridgette Martin, LPN, CPC, CGIC

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