1. Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) (CPT 43200) — $342.42
2. Esophagoscopy, rigid or flexible; with biopsy, single or multiple (CPT 43202) — $342.42
3. Upper gastrointestinal endoscopy including esophagus, stomach and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) (CPT 43235) — $342.42
4. Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple (CPT 43239) — $369.45
5. Upper gastrointestinal endoscopy including esophagus, stomach and either the duodenum and/or jejunum as appropriate; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease (CPT 43257) — $851.18
Source: Federal Register, Vol. 74, No. 223 (pdf).
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