Health data standards and systems

Can VICC please advise the correct procedure code for the insertion of a nasojejunal tube via gastroscopy?

Please note the endoscope was inserted to the fourth part of the duodenum.

Please note the following index classification below:

Insertion
- tube
- - Intestine
- - - small
- - - - jejunum – see Insertion, tube, jejunostomy

Insertion,
- tube
- - jejunostomy (feeding) (open) 31462-00 [892]

Gastroscopy 300473-00 [1005]

OR

Duodenoscopy
- with
- - insertion of jejunal tube 30478-05 [892]

For the case cited, as the scope was inserted into the fourth part of the duodenum, VICC agrees with the use of the lead term Duodenoscopy and the suggested Index entry Duodenoscopy/with/insertion of jejunal tube to assign ACHI code 30478-05 [892] Percutaneous endoscopic jejunostomy [PEJ].

Although the ACHI code title is not reflective of the intervention performed, the documentation has been accounted for using the Index entry above.

You may wish to submit a public submission for improvements to the ACHI Interventions Tabular List.