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Coding for removal of obstructive material from a gastrostomy tube

Q.

What CPT® code would we assign for mechanical removal of obstructive material from a gastrostomy tube when fluoroscopic guidance is not used?

A.

Report either an Evaluation and Management (E/M) code or unlisted procedure code (i.e., UPC) 49999, Unlisted procedure, abdomen, peritoneum, and omentum.