2025 CPT code 43239
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple.
Modifiers may be applicable.For example, modifier 52 would be used if the procedure was reduced in scope (e.g., duodenum not reached), and modifier 59 may be used to indicate a distinct procedural service.
In simple words: A flexible tube with a camera is inserted through your mouth to examine your esophagus, stomach, and the beginning of your small intestine.The doctor may also take small tissue samples for testing during this procedure.
This code describes a procedure where a flexible endoscope is inserted through the mouth to examine the esophagus, stomach, and duodenum. It also includes the collection of one or more tissue biopsies during the same procedure.
Example 1: A patient presents with chronic heartburn and difficulty swallowing. An EGD with biopsy is performed to evaluate for GERD and Barrett's esophagus., A patient with a history of peptic ulcers experiences recurrent abdominal pain. An EGD with biopsy is performed to assess for active ulcers and H. pylori infection., During a routine EGD, a suspicious polyp is discovered in the duodenum. A biopsy is taken to determine if the polyp is benign or malignant.
Documentation should include the indication for the procedure, the findings during the examination (including location and description of any abnormalities), the number and location of biopsies taken, and any complications encountered.
- Specialties:Gastroenterology, General Surgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital