Question:

Our radiology department is removing a G-tube, but there is no CPT® code for this procedure. Is it appropriate for us to charge 99211 (office/outpatient visit established) when performed by a radiologist or technologist?

Answer:

If the documentation is sufficient to support an evaluation and management (E & M) code then it can be reported if the radiologist removes the G-tube. In a non-hospital situation, 99211 could be billed if this is not a new patient to the radiologist, and he or she is present in the office or facility and directs the technologist to remove the tube (and documents appropriately).


CPT® is a registered trademark of the American Medical Association.

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CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.