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.