49460 Fix g/colon tube with device
Also known as: tube fixation, gastrostomy fixation, tube stabilization
Fixation or stabilization of gastrostomy or colostomy tube using percutaneous or external device.
In Plain Language
securing feeding tube with device or sutures; prevention of tube migration
Clinical Context
Percutaneous placement of retention device or fixation mechanism to prevent gastrostomy or colostomy tube migration or dislodgement.
RVU Breakdown
| Work RVU | 0.94 |
| Total RVU | 0.94 |
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 0.94, this code ranks in the 4th percentile among Surgery codes — 8.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49460?
CPT 49460 (Fix g/colon tube with device) is a Surgery code. Fixation or stabilization of gastrostomy or colostomy tube using percutaneous or external device.
What is the wRVU value for CPT 49460?
The work RVU for CPT 49460 is 0.94. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 49460 used?
Percutaneous placement of retention device or fixation mechanism to prevent gastrostomy or colostomy tube migration or dislodgement.
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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.