How would a G-tube placement with an extension into the jejunum at the same session be coded?
If an immediate extension is placed into the jejunum at the same session as the initial placement of a G-tube, this would be coded with 49440 for the placement of the G-tube and 49446 for the conversion to a G-J tube. If the G-tube was previously placed and the patient now presents for conversion to a G-J tube only 49446 would be reported.
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