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Insertion of Jejunostomy

  1. #1
    Location
    Rockford, Illinois
    Posts
    14
    Default Insertion of Jejunostomy
    Medical Coding Books
    My surgeon inserted a feeding jejunostomy. The patient had a combonation of gastrostomy and j tubes in through the same tube but the j tube part clotted up frequently so a separate feeding j tube was placed. Code 44015 is an add-on code and I cannot find a code other than that to use. He did not do any other procedure... Can anyone suggest another code? Thanks
    Carrie Romine, CPC
    Senior Compliance Specialist
    Rockford Orthopedic Associates

  2. #2
    Location
    Johnson City
    Posts
    202
    Default
    Was the procedure open or percutaneous?

  3. Default
    My doctor does this sometimes and he chose code 44300 as the correct code. He always calls it a jejunostomy feeding tube and I can never find one that describes the correct placement method since it is not percutaneous.

    Hope this helps!

  4. #4
    Location
    Johnson City
    Posts
    202
    Default
    We also bill code 44300, for open j-tube placement. I always question my self too when choosing this code b/c it doesn't state jejunostomy tube, but I checked in the General Surgery Coding Companion 2008 and the lay description states "The physician places a tube in the small bowel for feeding....via open approach."
    Melissa-CPC

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