Troubleshoot PEG tube malfunction with expert guidance on diagnosis, documentation, and medical coding. Find information on PEG tube complications, obstruction, leakage, dislodgement, and infection. Learn proper clinical documentation practices for PEG tube issues and accurate ICD-10 and CPT coding for reimbursement. This resource addresses common PEG tube problems encountered by healthcare professionals, including nurses, physicians, and coders. Explore solutions for managing PEG tube malfunctions and ensuring optimal patient care.
Also known as
Mech compl of gastrostomy device
Mechanical complication of percutaneous endoscopic gastrostomy device, initial encounter.
Mech compl of gastrostomy device
Mechanical complication of percutaneous endoscopic gastrostomy device, subsequent encounter.
Mech compl of gastrostomy device
Mechanical complication of percutaneous endoscopic gastrostomy device, sequela.
Other postprocedural disorders of digestive system
Covers other specified postprocedural complications of the digestive system, not elsewhere classified.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the malfunction due to mechanical complications?
Yes
Is it a displaced/dislodged tube?
No
Is it a non-mechanical issue?
When to use each related code
| Description |
|---|
| PEG tube malfunction |
| PEG site infection |
| Gastrointestinal bleeding |
Using unspecified codes like T85.898A Other complications of enteral and parenteral nutrition, not elsewhere classified when a more specific code exists for PEG tube malfunction leads to inaccurate data and claim denials.
Lack of proper documentation specifying the type of malfunction (obstruction, leakage, displacement) hinders accurate code assignment and reimbursement.
Failing to code related complications like infection (e.g., K44.9 Diaphragmatic hernia without obstruction or gangrene) or site inflammation impacts severity and reimbursement.
Patient presents with complaints suggestive of percutaneous endoscopic gastrostomy (PEG) tube malfunction. Symptoms include difficulty with PEG tube feeding administration, such as increased resistance, aspiration, reflux, leakage around the PEG tube site, nausea, vomiting, abdominal distension, and or discomfort. Assessment of the PEG tube reveals (describe findings e.g., clogged PEG tube, dislodged PEG tube, granulation tissue at PEG site, signs of infection such as erythema, tenderness, purulent drainage). The patient's current PEG tube placement was confirmed by (describe method of confirmation e.g., abdominal x-ray, auscultation). Differential diagnoses considered include tube obstruction, tube displacement, infection at the PEG site, and mechanical complications related to the PEG tube. Plan includes (describe interventions e.g., flushing the PEG tube with warm water or prescribed enzymatic solution, PEG tube replacement if necessary, culture of any drainage, initiation of antibiotics if infection suspected, consultation with gastroenterology or interventional radiology for PEG tube revision or replacement if indicated). Patient education provided regarding PEG tube care, maintenance, and troubleshooting common issues. Follow up scheduled to reassess PEG tube function and monitor for resolution of symptoms. ICD-10 code T85.6XXA (Mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter) may be applicable; however, clinical circumstances should determine final code selection. CPT codes for procedures performed, such as PEG tube replacement or revision, should also be documented appropriately.