How To Use CPT Code 43763

CPT 43763 describes the replacement of a gastrostomy tube without imaging or endoscopic guidance. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 43763?

CPT 43763 can be used to describe the replacement of a gastrostomy tube without the use of imaging or endoscopic guidance. This code is used when a healthcare provider removes a previously placed gastrostomy tube and replaces it after revising or repairing the gastrostomy tract. The replacement may be routine or necessary due to a dislodged or infected/clogged tube.

2. Official Description

The official description of CPT code 43763 is: ‘Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure.
2. The provider frees up the existing gastrostomy tube from the skin and removes it.
3. The provider examines the gastrostomy incision and tract down into the stomach and determines if revision is necessary.
4. If revision is needed, the provider performs the necessary steps to repair the gastrostomy tract.
5. The provider inserts a new tube through the revised tract and secures it to the skin with sutures.
6. The procedure does not require endoscopic or other imaging guidance.

4. Qualifying circumstances

Patients eligible for CPT 43763 are those who require the replacement of a gastrostomy tube without the use of imaging or endoscopic guidance. The procedure is performed when the healthcare provider determines that the gastrostomy tract needs revision. The replacement may be routine or necessary due to a dislodged or infected/clogged tube.

5. When to use CPT code 43763

CPT code 43763 should be used when a healthcare provider performs the replacement of a gastrostomy tube without the use of imaging or endoscopic guidance. It should not be used when the procedure does not require revision of the gastrostomy tract.

6. Documentation requirements

To support a claim for CPT 43763, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for gastrostomy tube replacement
• Details of the procedure, including the revision of the gastrostomy tract
• Date and time of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 43763, ensure that the procedure does not involve the use of imaging or endoscopic guidance. It should be reported separately and not bundled with other procedures.

8. Historical information

CPT 43763 was added to the Current Procedural Terminology system on January 1, 2019. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider replaces a gastrostomy tube without imaging or endoscopic guidance after revising the gastrostomy tract for a patient with a dislodged tube.
2. A patient requires the replacement of a gastrostomy tube without the use of imaging or endoscopic guidance due to an infected/clogged tube.
3. A healthcare provider performs the replacement of a gastrostomy tube without imaging or endoscopic guidance after revising the gastrostomy tract for a patient with a routine tube replacement.
4. A patient’s gastrostomy tube needs to be replaced without the use of imaging or endoscopic guidance after revising the gastrostomy tract due to a dislodged tube.
5. A healthcare provider performs the replacement of a gastrostomy tube without imaging or endoscopic guidance for a patient with a routine tube replacement.
6. A patient requires the replacement of a gastrostomy tube without the use of imaging or endoscopic guidance due to a clogged tube.
7. A healthcare provider replaces a gastrostomy tube without imaging or endoscopic guidance after revising the gastrostomy tract for a patient with an infected tube.
8. A patient’s gastrostomy tube needs to be replaced without the use of imaging or endoscopic guidance after revising the gastrostomy tract for routine tube replacement.
9. A healthcare provider performs the replacement of a gastrostomy tube without imaging or endoscopic guidance for a patient with a dislodged tube.
10. A patient requires the replacement of a gastrostomy tube without the use of imaging or endoscopic guidance due to routine tube replacement.