Radiology Coding Alert

Reader Question:

Enteroclysis Tube

Question: Please tell me how to code the placement of an enteroclysis tube. We would not also bill for the imaging required to place the tube, correct?

California Subscriber
 
Answer: The choice of the exact code or codes to use depends on the circumstances under which the tube was placed. If the tube is placed percutaneously during another procedure (+44015, Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method [list separately in addition to primary procedure]) or via a gastrostomy tube (43761, Repositioning of the gastric feeding tube, any method, through the duodenum for enteric nutrition), the RS&I code would be either 74355 (Percutaneous placement of enteroclysis tube, radiological supervision and interpretation) or 75984 (Change of percutaneous tube or drainage catheter with contrast monitoring [e.g., gastrointestinal system, genitourinary system, abscess], radiological supervision and interpretation). If the long tube is placed transorally or by way of the snares, the correct procedural code would be 44500 (Introduction of long gastrointestinal tube [e.g., Miller-Abbott] [separate procedure]) accompanied by RS&I code 74340 (Introduction of long gastrointestinal tube [e.g., Miller-Abbott], including multiple fluoroscopies and films, radiological supervision and interpretation). Code 74251 (Radiologic examination, small intestine, include multiple serial films; via enteroclysis tube) should also be reported if such a study is performed in addition to the tube placement.