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Malfunctioning GJ tube; I-10 code and CPT code

Date: Oct 14, 2020

Question:

We have a patient with a history of malfunctioning GJ tube. The note of our provider states, "Fluoroscopic images were acquired and submitted for the interpretation by Dr. X during a GJ tube revision. Findings: Images demonstrate an endoscope passing through the gastrotomy into the jejunum. On the final image a gastrojejunostomy tube is seen with tip terminating at the duodenojejunal junction, confirmed by water-soluble contrast was administered in total. Impression: Gastric jejunostomy terminates at the duodenojejunal junction." My coder is wanting to use CPT code 74018 and I-10 code Z04.9. Any suggestions?

Question ID : 14566
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