CPT code 49441 is used for the placement of a duodenal or jejunal tube through the skin, typically for feeding or medication administration.
CPT code 49441 is used to describe the procedure of placing a duodenal or jejunal tube through the skin and into the duodenum or jejunum. This is typically performed percutaneously, meaning it is done through the skin without the need for a large incision. This procedure is often indicated for patients who require nutritional support or drainage of gastrointestinal contents.
When using CPT code 49441, which pertains to the placement of a duodenal or jejunal tube percutaneously, the following modifiers may be applicable:
1. Modifier 26 - Professional Component: Used when only the professional component of the service is being billed, such as the interpretation of the procedure.
2. Modifier TC - Technical Component: Used when only the technical component of the service is being billed, such as the use of equipment and supplies.
3. Modifier 52 - Reduced Services: Applied when the service provided is less extensive than described in the CPT code.
4. Modifier 53 - Discontinued Procedure: Used when the procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
5. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician: Used when the same procedure is repeated by the same physician.
7. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is repeated by a different physician.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Indicates an unplanned return to the operating room for a related procedure during the postoperative period.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure is performed by the same physician during the postoperative period.
10. Modifier 99 - Multiple Modifiers: Used when two or more modifiers are necessary to describe the service provided.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 49441, which involves the placement of a duodenal or jejunal tube percutaneously, is reimbursed by Medicare. To determine the specific reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for various CPT codes, including 49441. Additionally, it is important to consult with your local Medicare Administrative Contractor (MAC) as they are responsible for processing Medicare claims and can provide region-specific information regarding coverage and reimbursement for this CPT code.
Discover the power of MD Clarity's RevFind software to ensure you're getting paid what you deserve. With RevFind, you can read your contracts and detect underpayments down to the CPT code level, including specific codes like 49441. Don't leave money on the table—schedule a demo today to see how RevFind can help you identify and recover underpayments from individual payers.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
