Wiki PEG/PEJ Tube Placement

[lcmichaud]

I'm stuck!! My doc placed a PEG tube and a PEJ tube at the same time. Wondering how I should code this, any ideas? Reported as follows: Once adequate transillumination obtained, the PEG tube place into stomach with bumper rotating around its axis at 3 cm. Additional placement of a PEJ feeding tube through the PEG tube and placement confirmation obtained endoscopically......

 

[coachlang3]

I would just use the 43246 for placement and maybe look at using the 22 modifier for additional work.

 

[kbarron]

What about placing the peg tube and removing it 45 days later?

 

[hbeard]

Because the PEG was placed for therapeutic reasons then the removal would be 43235, not the FB removal, 43247. Seems unfair, I know, but devices placed for therapeutic reasons are not considered "true foreign bodies" as in swallowed foreign bodies. If removing the PEG in the office without endoscopy, just bill for an E/M code.