Question

What are the correct codes for diagnostic EGD and percutaneous endoscopic gastrostomy (PEG) tube placement when two physicians perform the procedure (GI and general surgeon)?

A) 43235, 43246-51 GI, 49440-62 General Surgeon
B 43246-62 GI, 43246-62 General Surgeon
C) 43235 GI, 49440 General Surgeon
D) 43235 GI, 43246 General Surgeon

Answer 1

The correct coding for an EGD and PEG tube placement by two different physicians is 43235 for the EGD by the gastroenterologist and 49440 for the PEG tube placement by the general surgeon.

Step-by-step explanation:

The correct codes for a diagnostic Esophagogastroduodenoscopy (EGD) and percutaneous endoscopic gastrostomy (PEG) tube placement when two physicians perform the procedure, one being a gastroenterologist (GI) and the other a general surgeon, are represented by option C) 43235 GI, 49440 General Surgeon. The code 43235 refers to an EGD without biopsy, which would be appropriate for the gastroenterologist performing the diagnostic part of the procedure, while the code 49440 refers to the insertion of a PEG tube under fluoroscopic guidance, which would apply to the general surgeon performing the interventional part of the procedure.