Home » Categories » CPT Surgery/APC Coding

Gastrostomy Tube Replacement


What is the correct CPT code for replacement of a malfunctioning gastrostomy tube? Egd was performed with no evidence of gastrostomy tube in the stomach. The gastrostomy tube was removed from the subcutaneous tissue and a new PEG placed.


A gastrostomy tube replacement without an EGD would be coded to 43760 however, you have indicated that an EGD was performed, to determine if the tube was actually communicating with the stomach.  This makes the coding of this case a little more difficult.  Was the Endoscope used in the gastrostomy tube replacement?  If so 43246 would be the correct code assignment.  If the EGD was performed, the scope removed, and the tube replaced one would be tempted to code 43235 for the EGD and 43760 for the tube replacement but a CCI edit is received and it questionable whether it would be appropriate to report both codes, with a modifier 59 on 43760.  I believe you will need to make a decision between 43246 and 43235 without 43760.  They will both pay based on the same APC.  

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
CPT code 20610 vs. G0260 vs 27096
Viewed 7102 times since Tue, Apr 26, 2011
Hip Core Decompression
Viewed 4681 times since Sun, Nov 14, 2010
Screening vs. Diagnostic Colonoscopy
Viewed 5238 times since Wed, Jul 27, 2011
Arterial Puncture Charge
Viewed 5234 times since Mon, May 28, 2012
Surveillance Colonoscopy
Viewed 6741 times since Mon, Aug 1, 2011
Dental Block
Viewed 6233 times since Fri, Sep 2, 2011
Modifier -33 and -PT
Viewed 3270 times since Wed, May 4, 2011
Holter Monitor / EKG Modifier 59
Viewed 2078 times since Fri, Oct 28, 2011
CPT for Sympathetic Nerve Block of the Inferior Hypogastric Plexus?
Viewed 12686 times since Thu, May 19, 2011
Port-a-cath Flush And Facility Fee Same Day
Viewed 7846 times since Sat, Jul 2, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506