Find comprehensive information on Gastrostomy Tube Revision with Replacement, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. This resource covers G-tube replacement procedures, CPT codes for gastrostomy tube change, ICD-10 code for gastrostomy tube revision, percutaneous endoscopic gastrostomy PEG tube replacement, and complications of gastrostomy tube revisions. Learn about appropriate documentation for gastrostomy tube replacement and ensure accurate coding for optimal reimbursement.
Also known as
Revision of gastrostomy
Revising a gastrostomy device, including replacement.
Insertion of gastrostomy
Creating a new opening into the stomach.
Complications of gastrostomy
Problems arising from a gastrostomy, sometimes requiring revision.
Presence of gastrostomy
Indicates a patient has a gastrostomy, relevant to revision procedures.
Follow this step-by-step guide to choose the correct ICD-10 code.
Was the gastrostomy tube replaced due to malfunction/dislodgement?
Yes
Any documented complications?
No
Was it replaced due to erosion/infection?
When to use each related code
| Description |
|---|
| Gastrostomy Tube Replacement |
| Gastrostomy Tube Revision |
| Percutaneous G-Tube Placement |
Confusing revision (43760) with initial placement (43246) or replacement (43760) without revision leads to inaccurate claims.
Lack of operative report detailing the need, method, and complexity of the revision impacts accurate coding and reimbursement.
Failing to document the specific type and size of the gastrostomy tube replaced may affect proper code assignment and medical necessity reviews.
Patient presented for gastrostomy tube revision with replacement due to malfunction of the existing gastrostomy tube. The patient's primary complaint was leakage around the G-tube site, with associated skin irritation and discomfort. Medical history significant for dysphagia requiring long-term enteral nutrition via a percutaneous endoscopic gastrostomy PEG tube. Physical examination revealed a mature gastrostomy tract with evidence of granulation tissue and excoriation surrounding the previous G-tube insertion site. The existing gastrostomy tube was noted to be cracked and no longer effectively maintaining a seal. After a discussion of risks and benefits, informed consent was obtained for gastrostomy tube replacement. Under sterile technique, the old gastrostomy tube was removed and a new, appropriately sized gastrostomy tube (specify French size and type, e.g., balloon type or low-profile button) was inserted and secured. Position of the new G-tube was confirmed, and tube feeding was initiated without difficulty. The patient tolerated the procedure well. Post-procedure instructions were provided regarding gastrostomy tube care, site cleaning, and feeding protocols. Follow-up appointment scheduled for G-tube site assessment and ongoing management of enteral nutrition needs. Diagnosis: Gastrostomy tube malfunction, Gastrostomy site leakage, Gastrostomy tube revision. Procedure: Gastrostomy tube replacement, PEG tube change, Percutaneous endoscopic gastrostomy tube replacement.