2025 CPT code 43197
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Transnasal esophagoscopy using a flexible scope for diagnostic purposes, including specimen collection by brushing or washing (separate procedure).
Modifiers may be applicable. Refer to specific payer guidelines.
Medical necessity for this procedure must be supported by documentation of the patient's symptoms, prior treatments, and the clinical rationale for performing the esophagoscopy with specimen collection.
In simple words: The doctor examines your esophagus (the tube connecting your throat to your stomach) by inserting a thin, flexible tube with a camera through your nose. During the examination, they might collect small tissue samples for analysis.This is a separate procedure and isn't billed alongside other procedures done at the same time.
This code describes a procedure where a flexible esophagoscope is inserted through the nose to examine the esophagus. It includes collecting tissue samples using brushing or washing techniques for diagnostic analysis. This is considered a separate procedure and should not be reported when performed as part of a more extensive procedure during the same session.
Example 1: A patient presents with difficulty swallowing. A flexible esophagoscopy is performed transnasally to evaluate the esophagus and collect tissue samples for biopsy to rule out eosinophilic esophagitis., A patient with chronic cough undergoes transnasal esophagoscopy to assess for laryngopharyngeal reflux. During the procedure, specimens are collected by brushing and washing for further evaluation., A patient experiences food impaction and a flexible esophagoscopy is performed transnasally. The procedure includes taking brushings of a suspicious area for cytology.
The medical record should document the indication for the esophagoscopy, the approach (transnasal), the use of a flexible endoscope, the areas examined, the methods used for specimen collection (brushing or washing), and any findings.
- Revenue Code: P8B
- Specialties:Gastroenterology, Otolaryngology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office