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2025 CPT code 43217

Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.

Follow established coding guidelines for proper reporting.If bleeding occurs during the procedure and is controlled, it is not reported separately. The examination of the proximal stomach via retroflexion is included in the esophagoscopy.

Modifiers may be applicable. Refer to current CPT guidelines for modifier usage.

Medical necessity must be established for this procedure. The documentation should support the reason for the removal of the lesion(s), such as symptomatic relief, prevention of complications (e.g., bleeding, obstruction), or surveillance for malignant transformation.

The physician administers anesthesia, inserts the endoscope, inspects the esophagus, and removes the lesion(s) using the snare technique.

IMPORTANT:Do not report 43217 in conjunction with 43211 for the same lesion. Do not report 43217 in conjunction with 43197, 43198, 43200. For esophagogastroduodenoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique, use 43251. For endoscopic mucosal resection, use 43211.

In simple words: The doctor uses a thin, flexible tube with a camera and light to look inside your esophagus (the tube that connects your mouth to your stomach) and remove any abnormal growths, like polyps or tumors, using a special heated wire loop.

This code describes a procedure where a flexible endoscope is inserted through the mouth to visualize and remove lesions (tumors, polyps, etc.) in the esophagus using a snare technique.A snare is a heated wire or loop that is used to shave off the lesion.

Example 1: A patient presents with a small polyp in their esophagus discovered during a previous endoscopy. The physician performs an esophagoscopy and removes the polyp using a snare., A patient with Barrett's esophagus undergoes surveillance endoscopy. A small, early-stage tumor is found and removed using a snare technique., A patient experiences difficulty swallowing.An endoscopy reveals a benign tumor obstructing the esophagus. The physician removes the tumor via snare polypectomy during the same procedure.

Documentation should include the size and location of the lesion(s), the method of removal (snare technique), and any complications encountered.Pre-operative diagnosis, operative findings, and post-operative condition should be clearly stated. Photographs or videos of the procedure may also be beneficial.

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