2025 CPT code 43212
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed).
Modifiers may be applicable to this code.For example, modifier 22 might be used for increased procedural services.
Medical necessity must be established for this procedure.This typically involves documentation of the patient's symptoms (e.g., dysphagia, difficulty swallowing), imaging studies showing the esophageal narrowing, and prior attempts at less invasive treatments, if applicable.
The physician administers anesthesia, inserts the endoscope, dilates the esophagus, places the stent, and removes the scope.
In simple words: The doctor uses a thin, flexible tube with a camera and light to place a small, expandable metal tube called a stent in your esophagus (the tube that connects your mouth to your stomach). This stent helps keep the esophagus open if it's narrowed or blocked. The procedure may also involve widening the esophagus using other tools.
This code describes a procedure where a flexible endoscope is inserted through the mouth into the esophagus to place a stent.It includes dilation of the esophagus before and after stent placement, as well as the use of a guidewire, when necessary.
Example 1: A patient with esophageal cancer has a narrowed esophagus. Code 43212 is used when a stent is placed to maintain the esophageal lumen., A patient with a benign esophageal stricture undergoes endoscopic stent placement to relieve dysphagia. Code 43212 is reported., Following dilation of an esophageal stricture, a stent is placed to prevent re-narrowing. 43212 is the appropriate code.
Documentation should include the reason for the procedure (e.g., stricture, cancer), the location and type of stent placed, any pre- and post-dilation performed, and the use of a guidewire, if applicable.Anesthesia records and procedural notes should also be maintained.
- Revenue Code: P8B
- Specialties:Gastroenterology, Thoracic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Office