CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
1. Upper GI endoscopy including esophagus, stomach and either duodenum and/or jejunum as appropriate; with removal of tumors, polyps, or other lesions by hot biopsy forceps or bipolar cautery (CPT 43250) — $369.45
2. Upper GI endoscopy including esophagus, stomach and either duodenum and/or jejunum as appropriate; with removal of tumors, polyps or other lesions by snare technique (CPT 43251) — $369.45
3. Upper GI endoscopy including esophagus, stomach and either duodenum and/or jejunum as appropriate; diagnostic, with control of bleeding any method (CPT 43255) — $369.45
4. Upper GI endoscopy including esophagus, stomach and either duodenum and/or jejunum as appropriate; diagnostic, with transendoscopic stent placement (includes predilation) (CPT 43256) — $917.91
5. Upper GI endoscopy including esophagus, stomach and either duodenum and/or jejunum as appropriate; with ablation of tumors, polyps, or other lesions not amenable by hot biopsy forceps, bipolar cautery or snare technique (CPT 43258) — $384.76
6. Upper GI endoscopy including endoscopic ultrasound (CPT 43259) — $384.76
Source: Federal Register, Vol. 74, No. 223 (pdf).
