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Malnutrition and Patient Care-Tuesday Tube Facts

Did you know…?

According to a novel care model, hospital malnutrition has the potential to improve patient care quality, clinical outcomes and reduce costs.[1]

Approximately, one-third of patients arrive at the hospital malnourished. [1]

References:

  1. Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Ganjiang, G., Ziegler, T. Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. Journal of Parenteral and Enteral Nutrition. 2013. 37(4): 482-497.

GJ Replacements-Tuesday Tube Facts

Did you know…?

In a 6 month period, more than 240 GJ feeding tubes were replaced by interventional radiology under image guidance.[1]

References:

  1. Sharafinski, Mark E. Jr.; Sehnert, Elizabeth; Moe, David; Zhang, Liyun; Simpson, Pippa; Vo, Nghia J. Pediatric Gastrojejunostomy Tube Replacement: Effects of Communication on the Need for After-Hours Procedures, Journal of Pediatric Gastroenterology and Nutrition: September 2016 – Volume 63 – Issue 3 – p e27-e30 doi: 10.1097/MPG.0000000000001267

Cpt code -Tuesday Tube Facts

Did you know…?

CPT Code 49460 is for the mechanical removal of obstructions from feeding tubes under fluoroscopic guidance.[1]

Specifically, the code states:

Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report.

1.References:https://www.bostonscientific.com/content/dam/bostonscientific/Reimbursement/Gastroenterology/pdf/Enteral_Feeding_Coding_and_Payment_Quick_Reference.pdf

Fluoroscopy EAD Replacement Costs – Tuesday Tube Facts

Did you know…?

Using fluoroscopy to replace a clogged feeding tube can cost as much as $1,000.[1]

In addition, replacement often exposes the patient to additional radiation.[2]

References:

  1. Fisher C, Blalock B. Clogged feeding tubes: a clinician’s thorn. Pract Gastroenterol. 2014;38:16-22.
  2. Garrison, C. M. Enteral Feeding Tube Clogging: What Are the Causes and What Are the Answers? A Bench Top Analysis. Nutrition in Clinical Practice. 2018. 33(1):147-150.