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Jejunostomy to Gastrojejunostomy

Date: Feb 27, 2018

Question:

Patient with a failing jejunal feeding tube with significant bruising around the J-tube came in for a jejunostomy tube exchange (45451), but after discussion with the gastroenterologist it was decided to place a double lumen gastrojejunostomy (49452) tube. The gastrostomy lumen will be used for aspiration, and jejunostomy port will be used for feeding. What should be charged for jejunostomy to gastrojejunostomy conversion?

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