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CPT for EUS - Upper Gastrointestinal Endoscopy Including Endoscopic Ultrasound


If the physician performing the original diagnostic endoscopy has access to the EUS and the clinical situation requires an EUS, the EUS may
be done at the same time. The procedure, diagnostic and EUS, is reported under the same code, CPT 43259. This code conforms to CPT guidelines for the indented codes. The service represented by the indented code, in this case code 43259 for EUS, includes the service represented by the unintended code preceding the list of indented codes. Therefore, when a diagnostic examination of the upper gastrointestinal tract “including esophagus, stomach, and either the duodenum or jejunum as appropriate,” includes the use of endoscopic ultrasonography, the service is reported by a single code, namely 43259.

Interpretation, whether by a radiologist or endoscopist, is reported
under CPT code 76975-26. These codes may both be reported on the same day.

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