Advanced Search

Gastroenterology Coding Alert

You Be the Coder:

Choose Foreign Body Removal Code For PEG Tube Removals

Published on Sun Nov 25, 2012

Question:If one of my doctors does and EGD with a PEG (43246) on a patient and at a later date removes that PEG via EGD would it be appropriate to bill an EGD with FBR (43247)? Michigan Subscriber Answer: You are right in your assumption of using 43246 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube) when a PEG tube is placed using EGD and using 43247 (Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign body) when it is removed using EGD. However, note that removal of PEG tubes is not always done using an EGD procedure and is many a time done manually. So, prior to using 43247, it is best to make sure that your doctors performed an EGD procedure and did not remove the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Gastroenterology Coding Alert

View All