ICD-10 Guide

Percutaneous Endoscopic Gastrostomy Tube Placement

ICD-10 Coding for Percutaneous Endoscopic Gastrostomy Tube Placement(K94.23)

PRIMARY SPECIALTYGastroenterology

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Percutaneous Endoscopic Gastrostomy Tube Placement?

Essential facts and insights about Percutaneous Endoscopic Gastrostomy Tube Placement

Key Clinical Considerations:

Indications for enteral feeding due to inability to swallow or maintain nutrition orally
Imaging studies showing need for gastrostomy (e.g., ultrasound, CT scan)
Abdominal examination revealing distension or tenderness

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history indicating need for PEG placement
Procedure note detailing technique and findings
Post-procedure care instructions and follow-up plan

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for coding PEG placement versus other feeding tube placements.
Common errors include incorrect diagnosis codes or failing to document medical necessity.

Code Exclusions

Important Exclusions

Patients with active gastrointestinal obstruction or infection.
Alternative codes for other types of feeding tubes (e.g., nasogastric tube).

Specialty Focus

Primary Specialty

Gastroenterology

Specialty Applications

Patients with neurological disorders, head and neck cancers, or chronic illnesses requiring long-term nutrition support.
Clinical settings include hospitals, outpatient surgical centers, and long-term care facilities.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document medical necessity, procedure details, and patient consent.

What are the billing considerations?

Ensure correct coding for the procedure and any related diagnoses.

Percutaneous Endoscopic Gastrostomy Tube Placement

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?

Percutaneous Endoscopic Gastrostomy Tube Placement

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?