Gastroenterology Coding Alert

You Be the Coder:

Document to Support Pre-Existent J Tube

Question: My doctor performed an EGD with biopsy but also removed and then replaced a J-Tube. This was done without fluoroscopy. Could you please advise me on how to code this? I was looking at CPT® code 49451 but this specifically states “under fluoroscopic guidance” so I am uncomfortable using this code. Any help would be greatly appreciated.
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