2025 CPT code 43762
(Active) Effective Date: N/A Revision Date: N/A Surgery - Introduction Procedures on the Stomach Surgical Procedures on the Digestive System Feed
Replacement of a percutaneous gastrostomy tube, including removal if performed, without imaging or endoscopic guidance and without requiring tract revision.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., assistant surgeon, multiple procedures).Refer to the AMA CPT manual for specific modifier guidelines.
Medical necessity is established when the patient's existing gastrostomy tube is malfunctioning (e.g., clogged, dislodged, or infected) and requires replacement.The replacement should be necessary for continued nutritional support or medication administration.
The physician is responsible for the entire procedure, including patient preparation, removal of the existing tube (if necessary), insertion of the new tube, and securing it in place.No endoscopic or imaging guidance is used.
- Surgical Procedures on the Digestive System
- Surgical Procedures on the Digestive System > Surgical Procedures on the Stomach > Introduction Procedures on the Stomach
In simple words: The doctor replaces a feeding tube in the stomach.The old tube is taken out (if needed), and a new one is put in the same place without using special imaging or fixing the tube's path.
This CPT code encompasses the replacement of a percutaneous gastrostomy tube.The procedure includes the removal of the existing tube, if present, and the insertion of a new tube through the same established tract.It specifically excludes the use of imaging guidance (such as fluoroscopy or ultrasound) and does not involve any revision of the gastrostomy tract. The replacement may be routine or necessary due to tube dislodgement, infection, or blockage.
Example 1: A patient's gastrostomy tube becomes clogged, necessitating replacement. The physician performs a straightforward replacement using code 43762., A patient's gastrostomy tube becomes dislodged.The physician removes the old tube and replaces it percutaneously without the need for any tract revision or imaging guidance. Code 43762 is used., A patient experiences an infection around their gastrostomy tube site, requiring tube replacement. The physician removes the infected tube and inserts a new one through the same tract without any surgical revision. Code 43762 accurately reflects the procedure.
* Detailed history and physical examination documenting the indication for tube replacement.* Operative report detailing the procedure performed and confirming that no tract revision or imaging guidance was used.* Documentation specifying the type of tube used.
** This code does not include the cost of the gastrostomy tube itself; separate codes for supplies may be necessary depending on payer policy.Always refer to the most current CPT codebook and payer guidelines for accurate coding.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery
- Place of Service:Office, Hospital Outpatient, Ambulatory Surgical Center