Find information on percutaneous endoscopic gastrostomy tube placement, PEG tube diagnosis codes, clinical documentation requirements, and healthcare coding guidelines. Learn about PEG tube aftercare, complications, and appropriate medical coding for percutaneous endoscopic gastrostomy. This resource provides guidance for accurate and compliant documentation and coding of PEG tube presence. Explore best practices for recording PEG tube status in medical records and relevant ICD-10 and SNOMED CT codes.
Also known as
Presence of artificial opening
Codes for presence of artificial openings on the body.
Diseases of digestive system complicating pregnancy
Though less common, may be relevant if PEG placement is pregnancy-related.
Feeding difficulties
Captures the underlying reason a PEG tube might be necessary.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the PEG for feeding?
Yes
Is PEG functioning normally?
No
Is PEG for decompression?
When to use each related code
| Description |
|---|
| PEG Tube Present |
| PEG Tube Complication |
| PEG Tube Removal |
Incorrect code assignment for initial placement vs. replacement/maintenance of PEG tube, leading to inaccurate billing.
Lack of documentation specifying the anatomical site of the PEG tube insertion, impacting coding accuracy.
Missing or incomplete documentation of complications related to the PEG tube, leading to undercoding and lost revenue.
Patient presents with a percutaneous endoscopic gastrostomy (PEG) tube in situ. The PEG tube placement was confirmed and assessed for site integrity, including surrounding skin condition and evidence of granulation tissue, erythema, leakage, or infection. The PEG tube is functioning as expected, facilitating enteral nutrition delivery. The patient tolerates tube feedings without reported complications such as nausea, vomiting, abdominal distention, or diarrhea. Gastrostomy tube care was provided, including routine flushing and site cleansing per established protocol. Patient education regarding PEG tube maintenance, potential complications, and troubleshooting was reinforced. Plan includes continued monitoring of PEG tube site and function, ongoing assessment of nutritional status, and adjustment of enteral feeding regimen as clinically indicated. Relevant keywords: PEG tube, gastrostomy tube, percutaneous endoscopic gastrostomy, enteral nutrition, tube feeding, G-tube, feeding tube, PEG care, PEG site, complication management, nutritional support, medical nutrition therapy.