Ask Dr. Z

What code would you recommend for the G-tube repair described below?

"Procedure: The existing jejunostomy tube was injected and images obtained. The tube was then removed and a new custom length 14 F EnFit jejunostomy tube was placed with its tip in the distal ileum. Attempted retraction and shortening, however, patient could not tolerate additional manipulation. Post placement injection was performed. The balloon was inflated with 4 mL of saline. Attention was turned to the leaking Kangeroo-type gastrostomy tube. The gastric port was noted to be gastric contents. A new MIC-type dual port a doctor was applied and the like he was controlled. The gastrostomy tube was injected with contrast material. 

Findings: Initial injection shows existing jejunostomy tube terminating in the cecum. After exchange, jejunostomy tube terminates in the distal ileum. Patient could not tolerate additional manipulation and thus the case was terminated. Gastrostomy tube in good position. 

IMPRESSION:

1. Jejunostomy tube exchange.

2. Gastrostomy tube repair."