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CPT 49441: Percutaneous Fluoroscopic Jejunostomy or Duodenostomy Tube Placement
CPT code 49441 represents the percutaneous, fluoroscopic-guided insertion of a jejunostomy or duodenostomy feeding tube. This enteral access procedure is used to deliver nutrition directly into the small intestine for patients at high risk of aspiration or those who have had a gastrectomy. Nationally, the code is important for hospitals and interventional radiology services that manage complex nutritional needs and aim to reduce aspiration-related morbidity.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes coverage and reimbursement considerations across major payers, typical sites of service, and clinical indications that drive utilization.
Readers will learn the clinical context for using CPT code 49441, how the procedure is commonly performed and where it is delivered, and what benchmarks and policy updates to monitor for payer coverage. The content provides a concise operational overview useful for billing teams, clinical managers, and radiology departments to align coding practice with clinical workflows and payer expectations. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 49441 describes the percutaneous, fluoroscopic-guided insertion of a jejunostomy or duodenostomy tube through the skin. This procedure places a feeding tube into the small intestine (jejunum or duodenum) to provide enteral nutrition for patients at increased risk of aspiration or who have had a gastrectomy.
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Service type: Image-guided percutaneous enteral tube placement
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Typical site of service: Hospital outpatient department or interventional radiology suite; may also occur in inpatient settings depending on clinical context