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BETA v.3.0

2025 CPT code 43193

Esophagoscopy, rigid, transoral; with biopsy, single or multiple.

When bleeding occurs during an endoscopic procedure, control of bleeding is not reported separately. Esophagoscopy includes examination from the cricopharyngeus muscle to the gastroesophageal junction, and may include examination of the proximal stomach via retroflexion.

Modifiers may be applicable. Refer to the provided list of modifiers for potential usage scenarios.

In simple words: A rigid viewing tube is inserted through the mouth to examine the esophagus and take one or more tissue samples.

This code describes a procedure where a rigid endoscope is inserted through the mouth to examine the esophagus and obtain tissue for biopsy.It includes single or multiple biopsies taken during the same procedure.

Example 1: A patient presents with difficulty swallowing. A rigid esophagoscopy is performed to evaluate the esophagus and biopsies are taken from a suspicious area to rule out esophageal cancer., A patient with Barrett's esophagus undergoes surveillance with a rigid esophagoscopy and multiple biopsies are taken from different areas of the esophagus to monitor for dysplasia., A patient experiences food impaction. During a rigid esophagoscopy, a foreign body is removed and a biopsy is taken from any inflamed or injured tissue.

Documentation should include: indication for the procedure, type of endoscope used, findings during the examination, location and number of biopsies taken, any complications encountered, and estimated blood loss.

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