-- It's not 43246, because PEG was not placed, only removed. -- It's not 43247, because the PEG was in tact. This code would be used if the PEG had been broken or damage was the reason for removal. -- It's not 43760, because it was done endoscopic ally, not percutaneous. -- It's not 43870, because gastronomy was not closed.
Instead, you should report only the appropriate E/M code for the visit that involved the tube removal, such as 99212-99215 (Office or other outpatient visit for the evaluation and management of an established patient …).
CPT® doesn’t provide a separate code for G-tube removal. Instead, you should report only the appropriate E/M code for the visit that involved the tube removal, such as 99212-99215 (Office or other outpatient visit for the evaluation and management of an established patient …).
Removal of the peg tube during an EGD (when the peg is removed endoscopically and pulled up through the esophagus) can be billed as an EGD with foreign body removal. If the PEG is removed in the typical manner then the NCCI edit quoted above is correctly applied - the PEG removal isn't coded.
Replacing a PEG tube CPT code 43760, "Change of gastrostomy tube," should be submitted when this procedure is done by a physician.
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 .
Z93.1ICD-10 code Z93. 1 for Gastrostomy status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z93. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
2022 ICD-10-PCS Procedure Code 0DP6XUZ: Removal of Feeding Device from Stomach, External Approach.
Encounter for fitting and adjustment of other gastrointestinal appliance and device. Z46. 59 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 Z46.
Answer: You cannot report a separate code for simple percutaneous endoscopic gastrostomy (PEG) tube removal because CPT contains no such code. If the surgeon removes the tube only, you can report only an appropriate-level outpatient E/M code (99201-99215).
For percutaneous G-tube replacement performed under fluoroscopic guidance, turn to 49450, Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.
43246 is probably the most appropriate code if you are looking for a true percutaneous endoscopic gastrostomy(PEG) tube.
What is a PEG? PEG stands for percutaneous endoscopic gastrostomy, a procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach.
Listen to pronunciation. (gas-TROS-toh-mee toob) A tube inserted through the wall of the abdomen directly into the stomach. It allows air and fluid to leave the stomach and can be used to give drugs and liquids, including liquid food, to the patient. Giving food through a gastrostomy tube is a type of enteral nutrition ...
Enteric tubes refer to support devices placed for feeding patients who cannot swallow or for decompressing the GI tract. The tip of these tubes needs to be in the correct location to function, and a misplaced tube that is used can injure the patient.
The 2022 edition of ICD-10-CM Z46.59 became effective on October 1, 2021.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: