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Percutaneous endoscopic gastrostomy (PEG) tube placement cpt code and modifiers
Placement procedures: • Code 43246 — Upper gastrointestinal endoscopy including esophagus, stomach, [ and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube. • Code 49440 — Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s). • Code 49441 — Insertion of duodenostomy or jejunostomy tube,
percutaneous, under fluoroscopic guidance including contrast injection(s). Replacement procedures: • Code 49450 — Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s). • Code 43760 — Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance. • Code 43269 — Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde removal of foreign body and/or change of tube or stent. • Code 49451 — Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s). • Code 49452 — Replacement of gastrojejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s). Mechanical removal of tube obstructions: • Code 49460 — Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed. Tube removal: • Code 43870 — Closure of gastrostomy, surgical. ]
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