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A percutaneous change of a gastrostomy tube is a medical procedure that involves the replacement of an existing gastrostomy tube without the use of imaging or endoscopic guidance. This procedure is typically indicated for patients who require long-term nutritional support through a gastrostomy tube, which is inserted directly into the stomach through the abdominal wall. The existing gastrostomy tube site is carefully examined to ensure that it is suitable for the procedure. Depending on the type of gastrostomy tube in place, the method of removal may vary. For balloon catheter types, the balloon is deflated prior to removal, while for retention dome types, the tube may be cut to facilitate its passage through the digestive tract or removed using external traction. Once the old tube is removed, a new gastrostomy tube is inserted into the same site. If the new tube is also a balloon catheter type, the balloon is inflated to secure the tube in place. The final steps of the procedure include pulling the tube back to ensure proper positioning and securing it, followed by verification of patency to confirm that the tube is functioning correctly.
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The procedure for changing a gastrostomy tube is indicated for patients who require ongoing nutritional support through a gastrostomy tube. Specific indications for this procedure may include:
The procedure for changing a gastrostomy tube involves several key steps, which are outlined as follows:
After the procedure, patients may require monitoring for any immediate complications, such as bleeding or infection at the gastrostomy site. It is important to provide care instructions regarding the maintenance of the new gastrostomy tube, including how to clean the site and recognize signs of potential complications. Patients should also be advised on dietary modifications and any follow-up appointments necessary to ensure the ongoing functionality of the gastrostomy tube.
| Short Descr | CHANGE GASTROSTOMY TUBE | Medium Descr | CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE | Long Descr | Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | Not applicable/unspecified. | CCS Clinical Classification | 71 - Gastrostomy, temporary and permanent |
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