Awesome tips for Gastrostomy Tube Placement coding

Why there is need of Gastrostomy Tube Placement?

Some kids are not able to take food by mouth or cannot swallow properly. In some cases, kids may have some congenital abnormalities of mouth, esophagus, stomach, or intestines. Physician inserts G-tube in those kids so that they can take adequate nutrition by mouth. But some childs cannot tolerate feeding into the stomach. G-tube is required to be converted into GJ tube in these cases. This CPT represents this conversion procedure under fluoroscopic guidance. Some Patient cannot take enough food through mouth or has swallowing food problems, such patients has to go through Gastrostomy Tube Placement. You can learn more about gastric procedure for obesity like bariatric Surgery in my previous post.

CPC Practice Exam - Medical Coding Study Guide Please Click Here!

Read also:
When to use Renal Scan with Lasix CPT code
Coding tips for coding 73221 CPT code
 



How Gastrostomy Tube Placement takes place?

The patient is placed supine on the procedure table and prepped and draped sterilely. A physician places a  tube through the skin and into the stomach and uses x-rays to make sure it is in the right place. A tube feeding into the stomach is called gastrostomy tube, or G-tube; a tube feeding directly into the intestines is a gastrojejunostomy tube, or GJ-tube.
Contrast dye is injected into the tube and fluoroscopic imaging technique is performed to confirm proper placement and to make sure that contrast travels freely through the tube freely, without any obstruction. Documentation of the image produced by the fluoroscopic guided imaging technique and report are included in this CPT.

How to code Percutaneous Gastrostomy Tube Placement.

Terminology
Gastrostomy tube (G-tube) - This is a tube inserted into the stomach through a small incision in the abdomen. The tube goes through the skin (percutaneous) to the stomach wall and then into the stomach.

Gastro-jejunostomy tube (GJ tube) - This is a feeding tube which is inserted through the gastrostomy stoma in the abdominal wall, passes through the stomach and advances into the jejunum.

How to code Gastrostomy Tube Placement?

The most common CPT codes used to Tube insertion in Stomach region is given below:
49440- Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
49441- Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
49442- Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.

List of the common ICD 9 and ICD-10 diagnosis which needs to go through the Gastrostomy Tube Placement.

530.11 Reflux esophagitis
K21.0 Gastro-esophageal reflux disease with esophagitis

530.12 Acute esophagitis
K20.9 Esophagitis, unspecified

530.19 Other esophagitis
K20.8 Other esophagitis

530.20 Ulcer of esophagus without bleeding
K22.10 Ulcer of esophagus without bleeding

530.21 Ulcer of esophagus with bleeding
K22.11 Ulcer of esophagus with bleeding

530.3 Stricture and stenosis of esophagus
K22.2 Esophageal obstruction

530.4 Perforation of esophagus
K22.3 Perforation of esophagus

530.5 Dyskinesia of esophagus
K22.4 Dyskinesia of esophagus

530.6 Diverticulum of esophagus, acquired
K22.5 Diverticulum of esophagus, acquired

530.7 Gastroesophageal laceration-hemorrhage syndrome
K22.6 Gastro-esophageal laceration-hemorrhage syndrome

530.81 Esophageal reflux
K21.9 Gastro-esophageal reflux disease without esophagitis

530.82 Esophageal hemorrhage
K22.8 Other specified diseases of esophagus

530.83 Esophageal leukoplakia
K22.8 Other specified diseases of esophagus

530.84 Tracheoesophageal fistula
J86.0 Pyothorax with fistula

530.85 Barrett's esophagus
K22.70 Barrett's esophagus without dysplasia

530.89 Other specified disorder of the esophagus
K22.8 Other specified diseases of esophagus

536.8 Dyspepsia and other specified disorders of function of stomach
K30 Functional dyspepsia

787.20 Dysphagia, unspecified
R13.0    Aphagi

R13.10  Dysphagia, unspecified


787.21 Dysphagia, oral phase
R13.11 Dysphagia, oral phase

787.22 Dysphagia, oropharyngeal phase
R13.12 Dysphagia, oropharyngeal phase

787.23 Dysphagia, pharyngeal phase
R13.13 Dysphagia, pharyngeal phase

787.24 Dysphagia, pharyngoesophageal phase
R13.14 Dysphagia, pharyngoesophageal phase

787.29 Other dysphagia
R13.19 Other dysphagia
Hope, this article help you how to code Gastrostomy tube placement procedure and help in learning some new icd 10 codes used for this procedure. Please feel free to comment for any questions or suggestions.

Share this

Related Posts

Previous
Next Post »