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CPT 43761: Nasogastric/Orogastric Tube Placement to Duodenum
CPT code 43761 denotes placement of a nasogastric or orogastric tube with the tip advanced into the duodenum for enteric nutrition, often under radiologic guidance. This procedure is clinically important for patients unable to receive oral intake due to critical illness, neurologic impairment, trauma, or other conditions that require post-pyloric enteral feeding. Nationally, the code captures a care pathway that can affect hospital length of stay, risk of aspiration, and nutritional management.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of the clinical context for CPT code 43761, typical sites of service, and the service type. The publication summarizes common billing considerations and presents national benchmarking where available, highlights recent policy or coding updates relevant to enteric tube placement, and outlines operational considerations for documentation and claims submission. The goal is to provide clinicians, coding professionals, and revenue leaders with practical context on how CPT code 43761 is used in acute care settings and what topics to monitor for reimbursement and compliance.
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Billing Code Overview
CPT code 43761 describes the insertion of a nasogastric or orogastric feeding tube with the tip positioned to end in the duodenum for enteric nutrition. The procedure may use radiological guidance to confirm placement when needed. This service is provided when patients cannot take nutrition orally due to illness, injury, or other clinical conditions.
Service type: Enteric tube placement for post-pyloric feeding
Typical site of service: Hospital inpatient, hospital outpatient, or other acute care settings