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2022 Coding & Payment Quick Reference - Boston Scientific

Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, Coding or site of service Coding options listed within this guide are commonly used codes and are not intended to be an all-inclusive list. We recommend consulting your relevant manuals for appropriate Coding options. The following codes are thought to be relevant to Enteral Feeding procedures and are referenced throughout this guide. All rates shown are 2022 Medicare national averages; actual rates will vary geographically and/or by individual Physician, Hospital Outpatient, and ASC Payments1 Select Enteral Feeding Procedures2022 Coding & Payment Quick ReferenceCPT Code1 Code DescriptionWorkTotal OfficeTotal FacilityIn-OfficeIn-FacilityHospital OutpatientASCG astrostomy Tube Initial Placement43246 Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy $203$1,659 $70649440 Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and $891$204$1,659 $706 Gastrostomy Tube Replacement/Reposition437

2022 Coding & Payment Quick Reference. CPT ... payment of the primary service with minor exceptions. ‡ The 2022 National Average Medicare physician payment rates have been calculated using a 2022 conversion factor of $34.6062. Rates subject to change. NA

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