REMEMBER: Feeding tubes should be coded ONLY if they remain after the SURGICAL procedure is coded. REMEMBER: Procedures performed on a device only and not on a body part are specified in the root operations Change, Irrigation, Removal and Revision, and are coded to the procedure performed.

1. Sometimes during the course of a patient’s medical treatment it becomes
necessary for the patient to have a feeding tube. If the patient is having or
is anticipated to have ongoing and serious trouble swallowing and cannot
get enough food or liquids by mouth, a feeding tube may be the solution.
A feeding tube may also be used in the case whereby the patient is
receiving food by mouth but is not able to get the proper nutrients or fluids
from the intake. Lastly, the feeding tube can be used to administer
medications. Whatever the reason, the procedure is considered to be a
relatively simple one.
Purchase your copy of "The Basic How To...Coding Manual" .
FEEDING TUBES
WHAT TO EXPECT
1 Feeding Tubes
2 Types of Feeding Tubes
3 2015 ICD-10 PCS & CPT
Codes
4 Requests for Coding Topics
November 2015
Volume 2 Issue 11
By Cynthia Brown, MBA, RHIT, CCS
Gain Knowledge of Medical Coding Through E-Learning
CCHIS, P.O. Box 3019, Decatur, GA 30031 404-992-8984
Gain Knowledge of Medical Coding Through E -Learning
Cynthia@cyntcodinghealthinformationservices.com [phone]
CODING YESTERDAY’S NOMENCLATURE TODAY®
CODING FEEDING TUBES IN ICD-10 PCS
CODING NEWSLETTER FOR HEALTHCARE
CODING PROFESSIONALS

2. Page 2 Coding Yesterday’s Nomenclature Today
Nasal Tubes: They are nonsurgical, temporary and are either:
 Naso-gastric (NG) tubes enter the body through the nose and run
down the esophagus into the stomach;
 Naso-duodenal (ND) go through the stomach and end in the first
portion of the duodenum;
 Or naso-jejunal (NJ) which bypasses the stomach extending further
into the small intestine into the jejunum.
Gastric Tubes (G-tubes): They are surgically placed through the abdominal
wall into the stomach. The surgeon or gastroenterologist determines the
first type of G-tube placed. Common types include:
 PEG and Long Tubes are one-piece tubes held in place by either a
retention balloon or by a bumper. Often used as the initial G-tube
for 8-12 weeks following surgery.
 Low Profile Tubes or Buttons (balloon or non-balloon) do not have
a permanent tube outside the stomach; rather they have a tube called
an extension set that is attached for feeding or medication
administration and then disconnected when not in use.
GJ-tubes: They are used to bypass the stomach for feeding. GJ-tubes are
placed in the stomach just like G-tubes, but inside the stomach there is also
a thin, long tube threaded into the jejunum. The GJ-tube is rarely placed as
the initial feeding tube. Most have separate ports for access to both the
stomach and the jejunum. Transjejunal tubes only offer access to the
jejunum. GJ-tubes are available as buttons or long tubes.
Jejunal (J) Tubes: It is sometimes necessary to place a separate J-tube that
has a stoma (tube site) directly to the intestine. This is not usually an initial
feeding tube placement for a child.
REMEMBER: Feeding tubes should be coded ONLY if they remain after
the SURGICAL procedure is coded.
REMEMBER: Procedures performed on a device only and not on a body
part are specified in the root operations Change, Irrigation, Removal and
Revision, and are coded to the procedure performed.
The ICD-10 PCS Medical & Surgical Section Reference Guide is an
excellent resource for understanding devices and their use.
Click on Gain Knowledge of Medical Coding Through E-Learning
“Types of Feeding Tubes”
Nasal Tubes are nonsurgical
and temporary
Type of Feeding Tubes

3. Coding Yesterday’s Nomenclature Today
2015 ICD-10 PCS & CPT CODES
0DH68UZ & 43246 – Esophagogastroduodenoscopy, flexible, transoral;
with directed placement of percutaneous gastrostomy tube.
0DH63UZ; BD12YZZ & 49440 – Insertion of gastrostomy tube,
percutaneous, under fluoroscopic guidance including contrast injection(s);
image documentation and report.
0DH63UZ & 43760 – Change of gastrostomy tube, percutaneous, without
imaging or endoscopic guidance. The root operation change is not used
here because the procedure is done percutaneously. Read the description
for the root operation change.
0DH63UZ; BD12YZZ & 49450 – Replacement of gastrostomy or
cecostomy (or other colonic) tube, percutaneous, under fluoroscopic
guidance including contrast injection(s), image documentation and report.
0DW07UZ & 43761 – Repositioning of a naso- or oro-gastric feeding tube,
through the duodenum for enteric nutrition. Use the root operation
“revision” rather than “reposition.” Read the descriptions for both.
0DH637Z; 0DHA3UZ; BD16YZZ & 49452 – Replacement of gastro-
jejunostomy tube, percutaneous, under fluoroscopic guidance including
contrast injection(s), image documentation and report. The tube is placed in
both the stomach and the jejunum.
0DHA3UZ; BD16YZZ & 49446 – Conversion of gastrostomy tube to
gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance
including contrast injection(s), image documentation and report.
Gastrostomy tube is already in place. Coder should read documentation to
see if existing G-tube is removed or not.
0DJD8ZZ; 0DP63UZ; 0DHA3UZ & 44373 – Small intestine endoscopy,
enteroscopy beyond second portion of duodenum, not including ileum; with
conversion of percutaneous gastrostomy tube to percutaneous jejunostomy
tube.
0DW (appropriate body part) (any approach)UZ; BD1(appropriate body
part)YZZ & 49460 – Mechanical removal of obstructive material from
gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or
cecostomy (or other colonic) tube, any method, under fluoroscopic
guidance including contrast injection(s), if performed, image documentation
and report.
CCHIS also has four e-books you may find useful The Basic How To..Coding Manual,
Coding Sepsis, Septicemia, SIRS, Severe Sepsis, and Septic Shock; ICD-10 PCS Medical
& Surgical Section Reference Guide; and ICD-9 CM & ICD-10 CM Obstetrics Coding .
Thank you in advance for your purchase(s).
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Trainer
ALL THINGS CODING®
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complete coding is a
must in today’s
economically
challenged healthcare
environment.”

4. Page 4 Coding Yesterday’s Nomenclature Today
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