The AMA has established codes for advanced endoscopic procedures.
Q: How do I code advanced endoscopy procedures, such as endoscopic submucosal dissection (ESD) and endoscopic sleeve gastroplasty (ESG)?
A: Use these unlisted CPT codes for now:
- ESG: 43999
- ESD (esophagus): 43499
- ESD (colon): 45399
The final code numbers, code descriptors, and fee schedules are coming:
- 2026: Gastric restrictive procedures
- 2027: ESD in the upper/lower GI tract