Gastroenterology Coding Alert

Reader Questions:

Look for Documentation Details in This Tube Case

Question: Which code is most appropriate for percutaneous insertion of a duodenostomy or jejunostomy tube? Which code is used for the replacement of this tube?

Maine Subscriber

Answer: For this, you’ll want to report 49441 (Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report). The detail to pay attention to here is the type of service. If the provider replaces the tube rather than just inserting a new one, turn to 49451 (Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report).