The placement of a nasogastric tube does not need to be coded in the inpatient setting. However, for facilities that wish to collect this information, assign the following ICD-10-PCS codes: 0D9670Z, Drainage of stomach with drainage device, via natural or artificial opening
CPT 2001 introduced a new code (43752, naso- or oro-gastric tube placement, necessitating physician's skill ), but HCFA has indicated it will not pay for this service and the Medicare fee schedule assigns no relative value units to this code -- making it unlikely the surgeon will get paid for this procedure.
In ICD-10, however, proper coding of NG feeding tube insertion requires coders to consider a few more details. In the Coding Clinic edition published during the second quarter of 2015, on page 29, a question was asked about the insertion of a nasogastric tube for drainage and feeding.
Question: The surgeon admits a patient and instructs the nurse to start an IV and place a nasogastric tube. The nurse, unable to place the tube, calls the surgeon. The surgeon returns, inserts the tube and starts the IV.
Z93.1ICD-10-CM Code for Gastrostomy status Z93. 1.
Z93.1Z93. 1 - Gastrostomy status | ICD-10-CM.
2022 ICD-10-CM Diagnosis Code Z46. 82: Encounter for fitting and adjustment of non-vascular catheter.
Gastrostomy complication, unspecified K94. 20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K94. 20 became effective on October 1, 2021.
NOTE: It is not necessary to report 43752 for placement of a nasogastric (NG) or orogastric (OG) tube to insufflate the stomach prior to the procedure as it is considered integral to 49440. 1 CPT® Knowledge Base. American Medical Association.
E63. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-PCS Code 0BH17EZ - Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening - Codify by AAPC.
Presence of gastrostomy (artificial opening to stomach) Present On Admission.
Code 32551 is for “OPEN” chest tube placement, usually by a surgeon, with a large, usually about 30Fr or so chest tube.
ICD-10 code R63. 3 for Feeding difficulties is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
K94.23ICD-10 code K94. 23 for Gastrostomy malfunction is a medical classification as listed by WHO under the range - Diseases of the digestive system .
Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified. It is a disorder characterized by difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, Parkinson's disease, and multiple sclerosis.
Need Help or clarification I have billed new CPT Code 43762 (peg exchange ) I added Modifer 52 due to Dr removed and exchange the peg after trying to replace the new peg (that we provided ) the size was incorrect therefor dr place the old peg .Note patient was a Medicare /HMO that we do not accept and was send from a nursing facility .