49446 Change g-tube to g-j percutaneous
Also known as: G-tube to G-J conversion, gastrojejunal conversion, tube repositioning
Percutaneous conversion of gastrostomy tube to gastrojejunal tube by changing the position or configuration.
In Plain Language
changing stomach tube to combined stomach-bowel tube; conversion of feeding tube placement
Clinical Context
Percutaneous conversion of existing gastrostomy tube to gastrojejunal configuration. Used when gastric feeding becomes intolerant or aspiration risk is high.
RVU Breakdown
| Work RVU | 2.98 |
| Total RVU | 2.98 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.98, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49446?
CPT 49446 (Change g-tube to g-j percutaneous) is a Surgery code. Percutaneous conversion of gastrostomy tube to gastrojejunal tube by changing the position or configuration.
What is the wRVU value for CPT 49446?
The work RVU for CPT 49446 is 2.98. This code is primarily used by Gastroenterology, General Surgery, Interventional Radiology.
When is CPT 49446 used?
Percutaneous conversion of existing gastrostomy tube to gastrojejunal configuration. Used when gastric feeding becomes intolerant or aspiration risk is high.
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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.