49451 Replace duod/jej tube percutaneous
Also known as: duodenojejunal tube replacement, PEJ tube replacement, small bowel tube exchange
Replacement or repositioning of duodenal or jejunal feeding tube via percutaneous approach.
In Plain Language
removal and replacement of small bowel feeding tube; duodenal or jejunal tube swap
Clinical Context
Percutaneous exchange or replacement of duodenal or jejunal feeding tube due to dislodgement, clogging, or planned replacement.
RVU Breakdown
| Work RVU | 1.79 |
| Total RVU | 1.79 |
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 1.79, this code ranks in the 12th percentile among Surgery codes — 4.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49451?
CPT 49451 (Replace duod/jej tube percutaneous) is a Surgery code. Replacement or repositioning of duodenal or jejunal feeding tube via percutaneous approach.
What is the wRVU value for CPT 49451?
The work RVU for CPT 49451 is 1.79. This code is primarily used by Gastroenterology, General Surgery, Interventional Radiology.
When is CPT 49451 used?
Percutaneous exchange or replacement of duodenal or jejunal feeding tube due to dislodgement, clogging, or planned replacement.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.