Gastroenterology Coding Alert
Exchange Feeding Tubes, and Get Paid with 44372
Question: I need help with the CPT for the removal and replacement of a clogged transgastric jejunal feeding tube. Should I use 44372 even though the physician doesn't dictate going beyond the second portion of the duodenum? I think it's understood that the physician has to enter the small intestine in order to place a jejunal feeding tube, but I may be wrong. What should I report? Hawaii Subscriber Answer: You've got the right choice. Report 44372 (Endoscopy, small intestine and stomal with placement of percutaneous jejunostomy tube). To clarify, it is not necessary to go past the duodenum to replace the clogged tube. All the gastroenterologist has to do is to maneuver the tube into the proximal duodenum past the pylorus, or maybe the second portion of the duodenum. The motility of the GI tract will do the rest to propel the tube deeper into the small intestine.
Gastroenterology Coding Alert
- Tube Placement:
Get on the Fast Track to Tube Changes Claim Success by Zeroing in These Key Terms
Find out what codes include fluoroscopic guidance.When your gastroenterologist deals with any of several types [...] - Colonoscopy:
Fit Your Colonoscopy Exam Coding According to Diagnosis
G-codes are handy if the screening doesn't turn diagnostic. You know the deal: If your [...] - Modifiers:
Examine the Circumstance Before Using Modifier 52, 53
Anesthesia plays a role, too!When your gastroenterologist ends a procedure early, it automatically tells you [...] - You Be the Coder:
Prepare To Report 43247 When Peeking Into Upper GI Tract
Question:I'm not sure if the physician did an esophagogastroduodenoscopy (EGD) by removing several FBs from [...] - Reader Questions:
Put Colonoscopy Dx in the Right Order
Question:A patient comes in for screening colonoscopy that turns therapeutic. Could you clarify the diagnosis [...] - Reader Questions:
Mark Off Similar Proctosigmoidoscopy Codes
Question:A patient underwent formalin chemical fulguration of rectal mucosa with rigid sigmoidoscopy for radiation proctitis [...] - Reader Questions:
Exchange Feeding Tubes, and Get Paid with 44372
Question:I need help with the CPT for the removal and replacement of a clogged transgastric [...] - Reader Questions:
Billing Photo Documentation? Not So Fast
Question:My provider is billing an EGD. He states in his op report he states that [...] - Reader Questions:
Screening of Diagnostic? Choose the Appropriate FOBT
Question:The gastroenterologist in my practice orders fecal occult blood test (FOBT) for a patient who [...]
