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11 Esophagoscopy Code Updates to Know

Significant changes were made to upper gastroenterology coding since Jan. 1. Here 11 code changes for rigid and flexible esophagoscopy, according to a NextServices report.

Rigid esophagoscopy

•    43191: Rigid transoral esophagoscopy, diagnostic, brushing and washing.
•    CPT codes 43192 through 43196 have been created for submucosal injections, biopsy, foreign body removal, balloon dilation, guide wire insertion and dilation over guide wire.

Flexible esophagoscopy

•    43197: Flexible transnasal esophagoscopy, diagnostic, brushing and washing
•    43198: Flexible transnasal esophagoscopy with biopsy
•    43200: Now defined as flexible, rather than rigid or flexible
•    43200 through 43232: Now termed as flexible

Flexible transoral esophagoscopy

•    43211: Flexible transoral esophagoscopy, mucosal resection. Previously reported with 43449 (unlisted procedure, esophagus)
•    43212: Flexible transoral esophagoscopy, stent placement, dilation and guide wire passage
•    43213: New code, flexible transoral esophagoscopy with retrograde dilation
•    43214: Flexible transoral esophagoscopy, balloon dilation, including image. Prior to 2014, imaging was coded separately
•    43229: Flexible transoral esophagoscopy, with ablation, dilation and guide wire passage. This code now includes balloon dilation (43220), insertion of guide wire (43226) and ablation (43228)
•    
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