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2025 CPT code 49450

Percutaneous replacement of a gastrostomy, cecostomy, or other colonic tube under fluoroscopic guidance, including contrast injection, image documentation, and report.

Follow all applicable CPT coding guidelines, including those related to surgical procedures and fluoroscopic guidance. Pay special attention to the guidelines on selecting the appropriate code for initial placement versus replacement.

Modifiers may apply depending on circumstances such as the use of anesthesia (modifier 47), multiple procedures (modifier 51), reduced services (modifier 52), or assistant surgeon involvement (modifier 80 or 81). Refer to the CPT manual for details on modifier use.

Medical necessity is established by the patient's need for nutritional support or medication administration via enteral access when the existing tube is dislodged, malfunctioning, or no longer suitable. Documentation should support the need for replacement.

The physician's responsibility includes preparing the patient, administering anesthesia (if needed), using fluoroscopy to guide the tube replacement, removing the old tube, inserting and securing the new tube, injecting contrast to ensure proper placement, applying dressings, and documenting the procedure and images.

IMPORTANT:For percutaneous replacement without imaging or endoscopy, consider codes 43762 and 43763.If a new tube is placed via a separate percutaneous access site, use initial placement codes 49440-49442.

In simple words: The doctor replaces a feeding tube (gastrostomy, cecostomy, or similar) in the stomach or colon through the skin using X-ray guidance.A special dye is used to make sure the new tube is in the right place. Pictures are taken and a report is made.

This CPT code encompasses the percutaneous replacement of an existing gastrostomy, cecostomy, or other colonic tube under fluoroscopic guidance. The procedure involves removing the old tube, inserting a new tube through the existing percutaneous site, and securing it. Contrast material is injected to verify placement, and images are documented.The code includes the image documentation and report generation.

Example 1: A patient's gastrostomy tube becomes dislodged. The physician uses fluoroscopy to replace it through the existing tract., A patient's existing gastrostomy tube malfunctions. The physician replaces it with a new tube under fluoroscopic guidance., A patient requires a new cecostomy tube.The physician performs a percutaneous insertion under fluoroscopic guidance.

* Preoperative assessment and documentation of patient's condition.* Consent form for the procedure.* Anesthesia records (if applicable).* Fluoroscopic images showing tube placement.* Documentation of contrast injection and its flow.* Postoperative assessment of the patient's condition.* Report detailing the procedure and findings.

** Accurate coding requires careful documentation to distinguish between replacement and initial placement, and to note the use of fluoroscopy and contrast.Always verify payer-specific policies and guidelines for proper reimbursement.

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