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Wiki PEG replacement in office

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pscar

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Pt presented by EMS from Hospice. Pt PEG came out during the night. We replaced in office. I have chosen the code 43760. Can I charge the E/M with -25? Would this be the correct CPT for replacement? PLease help. I kinda new to Gastro..
 
CPT 43760 seems to be correct and if you look under CPT code 49450 there is some informational guidance to use code 43760 for a percutaneous change of gastrostomy tube done without imaging or endoscopic guidance. For code 43760 there is a global 000 days and Medicare will include a visit same day as included with your work value of 43670 and the visit should not be coded separately. If anyone has additional information on this I would like know as well. Thank you and I hope this helps.
 
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