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Crack the code: Advanced endoscopy procedures

Review how to code for procedures such as ESD and ESG.
Medical Coding Bill
Medical Coding Bill

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

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