General Surgery Coding Alert

Reader Question:

43760 Service Might Warrant Additional Codes

Question: Our surgeon sometimes changes a gastrostomy tube in the office. Should we code 43760 for the service, and can we bill separately for materials used for the new G-tube? Virginia SubscriberAnswer: Yes, 43760 (Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance) is the appropriate code to describe the service. Regarding materials, because the procedure is in the physician office, not a facility, you may separately report the G-tube using one of the following HCPCS level II codes:B4087 -- Gastrostomy/jejunostomy tube, standard, any material, any type, eachB4088 -- ... low profile, any material, any type, each.Don't miss E/M: In addition to charging 43760 for percutaneously removing and replacing a percutaneous endoscopic gastrostomy (PEG) tube in the physician office, you should also code for any distinct, separately identifiable E/M service on the same day (such as 99213) if the surgeon documents the work. You'll need to append modifier 25 (Significant, separately [...]
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

General Surgery Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.