CPT® Code 49441

Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report

The CPT® Code 49441 refers to the procedure of inserting a duodenostomy or jejunostomy tube through a percutaneous approach, utilizing fluoroscopic guidance. This procedure involves the careful placement of a tube into the digestive tract, specifically into the duodenum or jejunum, to facilitate nutritional support for patients who are unable to consume food orally. The insertion is performed under imaging guidance, which allows for real-time visualization of the anatomy and ensures accurate placement of the tube. The use of contrast injection enhances the visibility of the structures involved, aiding in the confirmation of correct positioning. The procedure is comprehensive, including not only the insertion of the tube but also the necessary documentation and reporting of the imaging findings. This code is essential for medical coders and billers to accurately represent the services provided during this complex intervention, ensuring proper reimbursement and compliance with healthcare regulations.