CPT® Code 43761

The CPT® Code 43761 refers to the medical procedure involving the repositioning of a nasogastric or orogastric feeding tube from the stomach into the duodenum. This procedure is specifically performed to facilitate enteric nutrition, which is the delivery of nutrients directly into the gastrointestinal tract. In this context, a nasogastric tube is inserted through the nose and down into the stomach, while an orogastric tube is inserted through the mouth. The repositioning process involves lubricating the exposed portion of the tube to ease its advancement. If the patient is alert and capable, they are instructed to swallow as the tube is carefully advanced. This action helps guide the tube through the esophagus and into the duodenum, which is the first section of the small intestine. The procedure is conducted under fluoroscopic guidance, a type of imaging that allows real-time visualization of the tube's movement, ensuring that it is correctly positioned in the duodenum. Additionally, fluoroscopy may be utilized to confirm the accurate placement of the feeding tube, which is crucial for effective enteric nutrition delivery.