CPT^® 43237, Under Esophagogastroduodenoscopy Procedures

The Current Procedural Terminology (CPT^®) code 43237 as maintained by American Medical Association, is a medical procedural code under the range - Esophagogastroduodenoscopy Procedures.

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Summary

The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same structures and adjacent tissues.

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CPT 43237 vs 43231

If provider goes in through mouth and states in report that he advanced to the Duodenum, but in his findings, only reflect findings of the esophagus, should 43237 be reported or 43231? CPT 2022 pg 354... [ Read More ]

EGD

according to the CPT book paragraph above the 43235 code it instructs use to use a 52 when duodenum is deliberately not examined etc. The 43237 would be when EGD is with ultrasound (EUS)... [ Read More ]

EGD

Look at 43237.... [ Read More ]

Use of Modif 59 in GI procedures

Hello All, I have a question about what code should apply modif 59 to in during a procedure where 43239 and 43237 need to be reported. I was taught to code the most expensive procedure first, in this ... [ Read More ]

Eus 43259 vs 43237

This question was addressed in the CPT Assistant, January 2016 - they have stated that 43237 applies if only one or two of the regions are examined by US, but not all three (esophagus, stomach, OR duo... [ Read More ]

Eus 43259 vs 43237

I have always coded EUS a 43259 if it passes the second part of the duodenum, but 43237 looks like it could fit too. How do you guys code it?... [ Read More ]

43237 & 43259

[b]43237 vs 43259[/b] Basically, 43237 is when the EUS view 1 or 2 structures (either the esophagus, stomach, or duodenum) and 43259 is if all 3 structures are examined with the EUS. This is from C... [ Read More ]

43237 & 43259

Can anyone please tell me the real difference between these codes and what should be in the dictation to indicate which of these codes to use? Thank-you... [ Read More ]

43235, 43237, 43239 questions. Need Help!

I have some questions on some codes and I was hoping you could give me some education. For CPT 43235 does a specimen have to be collected to use this code or is this with/without? For 43248 can a spe... [ Read More ]

Cpt 43237 & 43259

[b]The difference between 43239 and 43259[/b] This information is from [I]Optum Encoder Pro[/I]: 43259-Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, includi... [ Read More ]

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