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
Insertion of nasogastric tube
Insertion of a tube through the nose into the stomach.
Insertion of feeding tube
Insertion of a tube for administering nutrition.
Diseases of esophagus
Covers conditions where NG tube placement may be necessary.
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?
When to use each related code
Description |
---|
Nasogastric tube placement |
Orogastric tube placement |
Gastrostomy tube placement |
Coding lacks specificity (e.g., blind vs. image-guided), impacting reimbursement and quality metrics. CDI crucial for clarification.
Separate coding for inherent components of NG tube placement (e.g., fluoroscopy) leads to overbilling and compliance issues.
Using a non-specific confirmation code instead of imaging confirmation can lead to denials and inaccurate data reporting.
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).