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PEG REPLACEMENT IN ED FOLLOWED BY CONTRAST INJECTION IN RADIOLOGY

Date: Oct 1, 2021

Question:

Patient had PEG tube replaced in the ER (43762). Patient was then sent to Radiology to have PEG tube checked for position or extravasation of air or contrast in the peritoneum. Radiology department is charging code 74190 for this tube confirmation. Should code 49400 be charged as well? We are not sure if the coder should charge code 49400 in addition to code 43762 on the claim. Please advise.

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