2025 CPT code 43248
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Esophagogastroduodenoscopy (EGD) with insertion of guidewire followed by dilation of esophagus over guidewire.
Modifiers may be applicable. For example, modifier 52 may be used if the duodenum is not examined during the EGD. Modifier 53 may be used if the procedure is discontinued.
Medical necessity should be established by documenting the patient's symptoms, prior treatments, and the impact of the condition on their ability to swallow.
The physician administers anesthesia, inserts the endoscope, inspects the upper GI tract, inserts the guidewire, removes the endoscope, and then inserts the dilators over the guidewire.
In simple words: The doctor inserts a thin, flexible tube with a camera into your mouth and down into your esophagus, stomach, and small intestine.They then insert a wire through the tube and use tools to stretch the opening of your esophagus if it is too narrow.
This code describes a procedure where a flexible endoscope is inserted through the mouth into the esophagus, stomach, and duodenum. A guidewire is then passed through the endoscope, followed by dilation of the esophagus using dilators over the guidewire. This procedure is used to widen the esophagus in cases of narrowing or stricture.
Example 1: A patient with difficulty swallowing due to a benign esophageal stricture undergoes EGD with guidewire insertion and dilation., A patient with an esophageal narrowing caused by scar tissue from reflux undergoes EGD with guidewire and dilation., A patient with eosinophilic esophagitis causing strictures undergoes EGD with guidewire insertion and dilation to improve swallowing.
Documentation should include the reason for the procedure (e.g., diagnosis of stricture, dysphagia), details of the procedure (e.g., size and number of dilators used), and any complications encountered.
- Revenue Code: P8B
- Specialties:Gastroenterology
- Place of Service:Ambulatory Surgical Center, Hospital- outpatient, Office