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Z43.1
ICD-10-CM
Nasogastric Tube Placement

Find comprehensive information on Nasogastric Tube Placement diagnosis, including clinical documentation tips, medical coding guidelines (CPT, ICD-10-CM), and healthcare best practices. Learn about NG tube insertion, confirmation techniques, complications, and proper documentation for accurate reimbursement. This resource covers key aspects of nasogastric intubation for medical professionals, coders, and healthcare providers seeking accurate and efficient documentation and coding information.

Also known as

NG Tube Placement
Nasogastric Intubation

Diagnosis Snapshot

Key Facts
  • Definition : Tube inserted through nose into stomach for feeding or drainage.
  • Clinical Signs : Abdominal distension, nausea, vomiting, inability to eat.
  • Common Settings : Hospitals, nursing homes, home healthcare.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z43.1 Coding
0DH17ZZ

Insertion of nasogastric tube

Insertion of a tube through the nose into the stomach.

0DH27ZZ

Insertion of feeding tube

Insertion of a tube for administering nutrition.

K91

Diseases of esophagus

Covers conditions where NG tube placement may be necessary.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is NG tube placement for decompression?

  • Yes

    Code K91.89 Other specified disorders of digestive system

  • No

    Is NG tube for feeding?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Nasogastric tube placement
Orogastric tube placement
Gastrostomy tube placement

Documentation Best Practices

Documentation Checklist
  • Nasogastric tube placement confirmation method (e.g., X-ray)
  • Tube insertion site and length documented
  • Patient tolerance of procedure noted
  • Reason for NG tube placement specified
  • Complications or difficulties during insertion

Coding and Audit Risks

Common Risks
  • Unspecified Placement

    Coding lacks specificity (e.g., blind vs. image-guided), impacting reimbursement and quality metrics. CDI crucial for clarification.

  • Unbundled Procedures

    Separate coding for inherent components of NG tube placement (e.g., fluoroscopy) leads to overbilling and compliance issues.

  • Incorrect Confirmation Code

    Using a non-specific confirmation code instead of imaging confirmation can lead to denials and inaccurate data reporting.

Mitigation Tips

Best Practices
  • Verify NG tube placement via x-ray before use. ICD-10: Z43.0
  • Document NG tube placement confirmation. CPT: 74240. CDI best practice.
  • Aspirate gastric contents, check pH for NG tube verification. Improve HCC coding.
  • Auscultation alone is insufficient for NG tube placement verification. Ensure compliance.
  • Monitor patient for respiratory distress. Document findings for accurate billing and coding.

Clinical Decision Support

Checklist
  • Initial x-ray confirmation post-placement
  • pH testing of aspirate <5.5 documented
  • Auscultation air insufflation with stethoscope
  • Visual assessment of aspirate appearance

Reimbursement and Quality Metrics

Impact Summary
  • Nasogastric Tube Placement reimbursement hinges on accurate CPT coding (43752, 43753) and diagnosis reporting.
  • Coding errors impact hospital revenue cycle, denials, and reimbursement for NG tube procedures.
  • Quality metrics like patient safety, comfort, and time to placement affect value-based reimbursement.
  • Accurate documentation of NG tube placement complications impacts hospital quality reporting and reimbursement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code confirmed placement (Xray)
  • Document tip location
  • NG tube purpose (dx,feeding)
  • Check CCI edits for bundling
  • Separate aspiration code if needed

Documentation Templates

Nasogastric tube placement was performed for (indication, e.g., enteral feeding, gastric decompression, medication administration).  Patient presented with (symptoms necessitating NG tube placement, e.g., dysphagia, nausea, vomiting, bowel obstruction).  Prior to insertion, patient identity was confirmed and the procedure explained, including risks and benefits.  Patient's nostrils were examined for patency and the appropriate NG tube size selected.  The distance to insert the tube was measured from the tip of the nose to the earlobe and then to the xiphoid process.  Lubricant was applied to the distal end of the NG tube.  The tube was advanced gently through the nare and into the nasopharynx.  Patient was instructed to swallow small sips of water or ice chips as the tube was advanced into the esophagus and stomach.  Upon reaching the estimated insertion depth, tube placement was confirmed by (method of verification, e.g., aspiration of gastric contents with pH testing, auscultation of air insufflation into the stomach, radiographic imaging).  Gastric aspirate pH was (pH value if obtained) and (description of aspirate, e.g., color, consistency).  (Amount, if applicable) mL of gastric content aspirated.  Breath sounds were auscultated to rule out tracheal placement.  The NG tube was secured at (location) with (type of securement device).  Patient tolerated the procedure well and was monitored for any immediate complications such as epistaxis, nausea, or respiratory distress.  Post-placement instructions for NG tube care and maintenance were provided.  Follow-up (plan, e.g., x-ray confirmation, feeding schedule).