2025 CPT code 43214
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)
Modifiers may be applicable. Refer to current CPT guidelines for specific modifier usage.
Medical necessity for this procedure must be established. This usually involves demonstrating the presence of an esophageal stricture causing symptoms such as dysphagia or other related issues.
In simple words: The doctor inserts a thin, flexible tube with a camera and light through your mouth to examine your esophagus. If there's a narrowing, they'll inflate a small balloon inside the esophagus to widen it.An x-ray screen might be used to help guide the procedure.
This code describes a procedure where a physician inserts a flexible endoscope through the patient's mouth to examine the esophagus and then dilates the esophagus using a balloon with a diameter of 30 mm or larger. Fluoroscopic guidance may be used during the procedure.
Example 1: A patient presents with dysphagia due to a benign esophageal stricture. The physician performs a flexible esophagoscopy and dilates the stricture with a 30 mm balloon., A patient with eosinophilic esophagitis has developed a stricture.The physician performs a flexible esophagoscopy and dilates the narrowed area with a 32 mm balloon under fluoroscopic guidance., Following a corrosive esophageal injury, a patient develops a stricture.The physician performs a flexible esophagoscopy and dilates the stricture with a 35mm balloon.
Documentation should include the reason for the procedure, the size of the balloon used, the location of the stricture, whether fluoroscopy was used, and any complications encountered.
- Specialties:Gastroenterology, Thoracic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Office