Wiki EGD w/ Dialation and Feeding tube placement

[pscar]

Just wanted to be sure I am on the right page here... MD has performed dilation with balloon for stricture and then performs " A Dobhoff feeding tube was placed endoscopically in the second portion of the duodenum."

My thinking is to code 43249 and 49411 ...

Is this right?

 

[Amy Pritchett]

Without seeing the operative report, I can say that I agree with the EGD/Dilation balloon of 43249. However, the insertion of the g-tube should be coded as 43246. The Dobhoff tube is just the name of a naso-gatric tube. 49411 is for placement of interstitial device for radiation therapy guidance.

Hope this helps!

 

[bwolfe1]

I'm learning as well. Would you use 43245 for the dilation since the notes describe a "stricture" or obstruction and 43249 specifically states the esophagus?

 

[Amy Pritchett]

Was the dilation in the esophagus or the duodenum prior to the insertion of the PEG tube?

 

[pscar]

Thank you Amy, I appreciate your help!!