49441 Place duod/jej tube percutaneous
Also known as: percutaneous feeding tube, PEJ tube, duodenojejunal feeding tube
Placement of duodenal or jejunal feeding tube via percutaneous approach under imaging guidance.
In Plain Language
placement of feeding tube beyond stomach; small bowel feeding tube insertion
Clinical Context
Percutaneous placement of duodenal or jejunal feeding tube for enteral nutrition distal to stomach. Used when gastrostomy is contraindicated or gastric access fails.
RVU Breakdown
| Work RVU | 4.41 |
| Total RVU | 4.41 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.41, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49441?
CPT 49441 (Place duod/jej tube percutaneous) is a Surgery code. Placement of duodenal or jejunal feeding tube via percutaneous approach under imaging guidance.
What is the wRVU value for CPT 49441?
The work RVU for CPT 49441 is 4.41. This code is primarily used by Gastroenterology, General Surgery, Interventional Radiology. It has a 10-day global period.
When is CPT 49441 used?
Percutaneous placement of duodenal or jejunal feeding tube for enteral nutrition distal to stomach. Used when gastrostomy is contraindicated or gastric access fails.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.