Ask the Experts, Payment/economy

Ask the expert: Medicare Part A coverage for a PEG tube

Q: I have a patient that has 100 days of Medicare Part A and a percutaneous endoscopic gastrostomy (PEG) tube—the primary source of nutrition—in place since 2008 due to laryngeal cancer. All rehab therapy is discontinuing in three days. Can I continue Medicare Part A, related to the PEG tube?

A: As long as 26% of the calories and 500 ml of fluid are going through the tube, it qualifies for as a skilled tube and for Medicare Part A benefits.