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)
CPT Copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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