Learn ICD-10cm and CPT Codes for Gastrostomy Tube Placement interventional radiology Procedure.

Some patients are not able to take food by mouth or cannot swallow properly. They may have some congenital abnormalities of mouth, esophagus, stomach, or intestines. The physician inserts G-tube in those patients so that they can take adequate nutrition by mouth.

However, some patients (mostly children) are unable to tolerate feeding of food directly into the stomach. The G-tube is required to be converted into GJ tube in these cases. This article covers all the ICD Codes and CPT Codes required for the medical billing of this conversion procedure under fluoroscopic guidance.

There are some adult patients, who cannot take enough food through the mouth or have swallowing food problems, such patients has to go through Gastrostomy Tube Placement.

ICD-10 Codes for Gastrostomy Tube Placement

Find below the list of the common ICD 9 diagnosis codes with their ICD 10cm conversion codes; used for Percutaneous Gastrostomy Tube Placement:
  1. ICD-10 Code K21.0 Gastro-esophageal reflux disease with esophagitis
    530.11 Reflux Esophagitis (ICD 9)

  2. ICD-10 Code K20.9 Esophagitis, unspecified
    530.12 Acute Esophagitis (ICD 9)

  3. ICD-10 Code K20.8 Other Esophagitis
    530.19 Other Esophagitis (ICD 9)

  4. ICD-10 Code K22.10 Ulcer of Esophagus without bleeding
    530.20 Ulcer of Esophagus without bleeding (ICD 9)

  5. ICD-10 Code K22.11 Ulcer of Esophagus with bleeding
    530.21 Ulcer of Esophagus with bleeding (ICD 9)

  6. ICD-10 Code K22.2 Esophageal Obstruction
  7. 530.3 Stricture and stenosis of esophagus (ICD 9)

  8. ICD-10 Code K22.3 Perforation of Esophagus
    530.4 Perforation of Esophagus (ICD 9)

  9. ICD-10 Code K22.4 Dyskinesia of Esophagus
    530.5 Dyskinesia of Esophagus (ICD 9)

  10. ICD-10 Code K22.5 Diverticulum of Esophagus, acquired
    530.6 Diverticulum of Esophagus, acquired (ICD 9)

  11. ICD-10 Code K22.6 Gastro Esophageal Laceration Hemorrhage Syndrome
    530.7 Gastro Esophageal Laceration Hemorrhage Syndrome (ICD 9)

  12. ICD-10 Code K21.9 Gastro-Esophageal Reflux Disease without Esophagitis
    530.81 Esophageal Reflux (ICD 9)

  13. ICD-10 Code K22.8 Other Specified Diseases of Esophagus
    530.82 Esophageal Hemorrhage (ICD 9)

  14. ICD-10 Code K22.8 Other Specified Diseases of Esophagus
    530.83 Esophageal Leukoplakia (ICD 9)

  15. ICD-10 Code J86.0 Pyothorax with Fistula
    530.84 Tracheoesophageal Fistula (ICD 9)

  16. ICD-10 Code K22.70 Barrett's Esophagus without Dysplasia
    530.85 Barrett's Esophagus (ICD 9)

  17. ICD-10 Code K22.8 Other specified diseases of esophagus
    530.89 Other specified disorder of the esophagus (ICD 9)

  18. ICD-10 Code K30 Functional dyspepsia
    536.8 Dyspepsia and other specified disorders of function of stomach (ICD 9)

  19. ICD-10 Code R13.10 Dysphagia, unspecified
    787.20 Dysphagia, unspecified (ICD 9)

  20. ICD-10 Code R13.11 Dysphagia, oral phase
    787.21 Dysphagia, oral phase (ICD 9)

  21. ICD-10 Code R13.12 Dysphagia, oropharyngeal phase
    787.22 Dysphagia, oropharyngeal phase (ICD 9)

  22. ICD-10 Code R13.13 Dysphagia, pharyngeal phase
    787.23 Dysphagia, pharyngeal phase (ICD 9)

  23. ICD-10 Code R13.14 Dysphagia, pharyngoesophageal phase
    787.24 Dysphagia, pharyngoesophageal phase (ICD 9)

  24. ICD-10 Code R13.19 Other dysphagia
    787.29 Other dysphagia (ICD 9)


Gastrostomy Tube Placement Procedures

The patient is placed supine on the procedure table and prepped and draped sterilely. The physician places a tube through the skin and into the stomach and uses x-rays to make sure it is in the right place.

Contrast dye is injected into the tube and fluoroscopic imaging technique is performed to confirm proper placement and to make sure that contrast travels freely through the tube freely, without any obstruction.

Gastrostomy Tube Placement CPT Procedure, ICD 9/10 Codes

Gastrostomy Tube (G-Tube) Procedure

This is a tube inserted into the stomach through a small incision in the abdomen. The tube goes through the skin (percutaneous) to the stomach wall and then into the stomach. This tube feeding into the stomach is called gastrostomy tube (G-Tube).

Gastro Jejunostomy Tube (GJ-Tube) Procedure

This is a feeding tube which is inserted through the gastrostomy stoma in the abdominal wall, passes through the stomach and advanced into the jejunum. This tube feeding directly into the intestines is called Gastrojejunostomy tube (GJ-Tube).

Documentation of the image produced by the fluoroscopic guided imaging technique and report are included in this CPT.

Gastrostomy Tube Placement CPT Codes

The most common Percutaneous Gastrostomy Tube Placement CPT codes used for the insertion of tube in stomach region are given below:
  • 49440 Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.
  • 49441 Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.
  • 49442 Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report.
Hope, this article help you in the medical billing and coding of Gastrostomy Tube Placement by learning the CPT procedure codes and ICD 9, ICD 10 diagnosis codes.

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