Find comprehensive information on gastrostomy, including percutaneous endoscopic gastrostomy (PEG) placement, gastrostomy tube (G-tube) care, and associated complications. Learn about relevant ICD-10 codes, CPT codes for gastrostomy procedures, and SNOMED CT terminology for precise clinical documentation. Explore resources for healthcare professionals on gastrostomy management, including nursing care, nutrition support, and patient education materials. Understand the indications for gastrostomy, such as dysphagia, and best practices for ensuring optimal patient outcomes.
Also known as
Presence of stoma
Codes indicating the presence of a surgically created opening.
Other disorders of skin
Includes complications like gastrostomy site infections or other skin issues around the stoma.
Diseases of other parts of digestive
May be used for post-gastrostomy complications related to digestion.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the gastrostomy status current?
Yes
Is it a new gastrostomy?
No
Was it removed?
When to use each related code
| Description |
|---|
| Gastrostomy creation |
| Gastrostomy revision |
| Gastrostomy removal |
Coding errors using open, laparoscopic, or percutaneous approach codes for gastrostomy creation, impacting reimbursement and data accuracy.
Lack of documentation specifying temporary or permanent gastrostomy type (e.g., PEG, Stamm) leading to coding and billing inaccuracies.
Failure to code separate procedures for gastrostomy revisions, replacements, or removals, resulting in lost revenue.
Patient presents for gastrostomy tube (G-tube) management. Reason for gastrostomy tube placement includes dysphagia, malnutrition, stroke, head and neck cancer, cerebral palsy, or other condition causing impaired swallowing function. Assessment reveals a well-healed gastrostomy site with no signs of infection, erythema, leakage, or granulation tissue. Gastrostomy tube type is documented as percutaneous endoscopic gastrostomy (PEG) tube, radiologically inserted gastrostomy (RIG) tube, or surgically placed gastrostomy tube. Tube size and length are recorded. Gastrostomy tube patency is confirmed. Tolerance of enteral feeding is assessed, including type of formula, rate, volume, and frequency. Any reported symptoms, such as nausea, vomiting, abdominal pain, or diarrhea, are documented. Plan includes ongoing gastrostomy care education for the patient and caregiver, addressing topics like tube feeding administration, site care, and potential complications. Follow-up appointments are scheduled for gastrostomy tube replacement or further evaluation as needed. ICD-10 code Z93.0 (Presence of gastrostomy status) is applicable. CPT codes for gastrostomy tube replacement, site care, or other related procedures are documented as appropriate. Patient education materials provided on gastrostomy care, including cleaning, securing the tube, and recognizing signs of infection. Emphasis placed on the importance of regular follow-up and communication with the healthcare team regarding any concerns related to the gastrostomy tube.