(2023) List With EGD CPT Codes | Short & Long Descriptions
Esophagogastroduodenoscopy (EGD) procedures are also referred to as upper endoscopy and are used to examine the patient’s duodenum, esophagus, and stomach. The provider uses an endoscope and guides it through the throat to look for abnormalities or use it to insert instruments. Below you can find all the EGD CPT codes with a lay term, the official long descriptions and a short description of each code.
CPT Code 0652T
Lay-term: Use CPT 0652T for a flexible esophagogastroduodenoscopy performed transnasally, this may include a brushing or washing procedure for specimen collection.
Long description: Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen[s] by brushing or washing, when performed [separate procedure].
Short description: Transnasal EGD with specimen collection.
CPT Code 0653T
Lay-term: Go for CPT 0653T when performing a flexible esophagogastroduodenoscopy through the nose with a single or multiple biopsies.
Long description: Esophagogastroduodenoscopy, flexible, transnasal with biopsy, single or multiple.
Short description: Transnasal EGD with biopsy.
CPT Code 0654T
Lay-term: You’ll need CPT 0654T when performing flexible esophagogastroduodenoscopy through the nose while inserting an intraluminal tube or catheter.
Long description: Esophagogastroduodenoscopy, flexible, transnasal with insertion of intraluminal tube or catheter.
Short description: Transnasal EGD with tube insertion.
CPT Code 43210
Lay-term: CPT 43210 is the one to use for a transoral flexible esophagogastroduodenoscopy with partial or complete esophagogastric fundoplasty including duodenoscopy.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed.
Short description: Transoral EGD with esophagogastric fundoplasty.
CPT Code 43233
Lay-term: Go for CPT 43233 when doing a flexible esophagogastroduodenoscopy via the mouth that includes a dilation of the esophagus with a large balloon.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon [30 mm diameter or larger] [includes fluoroscopic guidance, when performed].
Short description: Transoral EGD with esophageal dilation.
CPT Code 43235
Lay-term: CPT 43235 can be used when a transoral diagnostic EGD is performed, which may include specimen collection through brushing or washing.
Long description: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen[s] by brushing or washing, when performed [separate procedure].
Short description: Transoral diagnostic EGD with specimen collection.
CPT Code 43236
Lay-term: The person can use CPT 43236 for an esophagogastroduodenoscopy performed transorally with targeted submucosal injections.
Long description: Esophagogastroduodenoscopy, flexible, transoral with directed submucosal injection[s], any substance.
Short description: Transoral EGD with submucosal injection.
CPT Code 43237
Lay-term: CPT 43237 is used for a transoral esophagogastroduodenoscopy with a limited endoscopic ultrasound examination.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures.
Short description: Transoral EGD with limited endoscopic ultrasound.
CPT Code 43238
Lay-term: A coder can use CPT 43238 for a transoral esophagogastroduodenoscopy with fine needle aspiration or biopsy guided by transendoscopic ultrasound.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy[s], [includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures]
Short description: Transoral EGD with ultrasound-guided fine needle aspiration/biopsy.
CPT Code 43239
Lay-term: Use CPT 43239 for an esophagogastroduodenoscopy performed transorally that involves one or more biopsies.
Long description: Esophagogastroduodenoscopy, flexible, transoral with biopsy, single or multiple
Short description: Transoral EGD with biopsy.
CPT Code 43240
Lay-term: CPT 43240 is used for a transoral esophagogastroduodenoscopy with the drainage of a pseudocyst.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst [includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed].
Short description: Transoral EGD with pseudocyst drainage.
CPT Code 43241
Lay-term: Use CPT 43241 for a esophagogastroduodenoscopy via a transoral route with tube/catheter insertion.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter.
Short description: EGD with tube/catheter.
CPT Code 43242
Lay-term: CPT 43242 denotes an EGD procedure with ultrasound-guided needle biopsy.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) [includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis].
Short description: EGD with ultrasound-guided biopsy.
CPT Code 43243
Lay-term: This cpt codes means esophagogastroduodenoscopy where injection sclerosis of esophageal/gastric varices is performed..
Long description : Esophagogastroduodenoscopy, flexible, transoral with injection sclerosis of esophageal/gastric varices.
Short description: EGD with varices sclerosis.
CPT Code 43244
Lay-term: CPT 43244 indicates a EGD procedure with band ligation of esophageal/gastric varices.
Long description: Esophagogastroduodenoscopy, flexible, transoral with band ligation of esophageal/gastric varices.
Short description: EGD with varices band ligation.
CPT Code 43245
Lay-term: Use it for an EGD conducted with dilation of gastric/duodenal stricture[s].
Long description: Esophagogastroduodenoscopy, flexible, transoral with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie).
Short description: EGD with stricture dilation.
CPT Code 43246
Lay-term: EGD conducted with directed placement of percutaneous gastrostomy tube.
Long description: Esophagogastroduodenoscopy, flexible, transoral with directed placement of percutaneous gastrostomy tube.
Short description: EGD with gastrostomy tube placement.
CPT Code 43247
Lay-term: This is suggested for a EGD carried out with the removal of foreign body[s].
Long description: Esophagogastroduodenoscopy, flexible, transoral with removal of foreign body(s).
Short description: EGD with foreign body removal.
CPT 43248:
Lay-term: When an EGD is conducted with the insertion of guide wire and dilation, this should be used.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire.
Short description: EGD with guide wire and dilation.
CPT 43249:
Lay-term: When an EGD is conducted with transendoscopic dilation of esophagus, use 43249.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter).
Short description: EGD with esophagus dilation.
CPT 43250:
Lay-term: For EGD with hot biopsy, use code 43250.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps.
Short description: EGD with hot biopsy.
CPT Code 43251
Lay-term: For EGD with the removal of tumor[s], polyp[s], or other lesion[s] by snare technique.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.
Short description: EGD with snare technique.
CPT Code 43252
Lay-term: Recommended for an EGD involving optical endomicroscopy.
Long description: Esophagogastroduodenoscopy, flexible, transoral with optical endomicroscopy.
Short description: EGD with optical endomicroscopy.
CPT Code 43253
Lay-term: Use code 43253 for EGD with ultrasound-guided transmural injection of substances.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis).
Short description: EGD with transmural injection.
CPT Code 43254
Lay-term: Use 43254 for EGD with endoscopic mucosal resection.
Long description: Esophagogastroduodenoscopy, flexible, transoral with endoscopic mucosal resection.
Short description: EGD with mucosal resection.
CPT Code 43255
Lay-term: An EGD with control of bleeding should be filed under code 43255.
Long description: Esophagogastroduodenoscopy, flexible, transoral with control of bleeding, any method.
Short description: EGD with bleeding control.
CPT Code 43257
Lay-term: For EGD with delivery of thermal energy for the treatment of gastroesophageal reflux disease.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease.
Short description: EGD with thermal energy for GERD.
CPT Code 43259
Lay-term: Use code 43259 for EGD with endoscopic ultrasound examination.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis.
Short description: EGD with ultrasound.
CPT Code 43260
Lay-term: Use this code for a diagnostic ERCP including collection of specimen[s].
Long description: Endoscopic retrograde cholangiopancreatography [ERCP]; diagnostic, including collection of specimen[s] by brushing or washing, when performed [separate procedure].
Short description: Diagnostic ERCP with specimen collection.
CPT Code 43265
Lay-term: For an ERCP with destruction of calculi, use code 43265.
Long description: Endoscopic retrograde cholangiopancreatography [ERCP]; with destruction of calculi, any method [eg, mechanical, electrohydraulic, lithotripsy].
Short description: ERCP with calculi destruction.
CPT Code 43266
Lay-term: Use code 43266 for an EGD with placement of an endoscopic stent.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent [includes pre- and post-dilation and guide wire passage, when performed].
Short description: EGD with stent placement.
CPT Code 43270
Lay-term: For an EGD with ablation of lesions, use 43270.
Long description: Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) [includes pre- and post-dilation and guide wire passage, when performed].
Short description: EGD with lesion ablation.
CPT Code 43275
Lay-term: Code 43275 corresponds to an ERCP with removal of foreign body[s] or stent[s].
Long description: Endoscopic retrograde cholangiopancreatography [ERCP]; with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s).
Short description: ERCP with foreign body or stent removal.
CPT Code 43290
Lay-term: For an EGD with deployment of an intragastric bariatric balloon, use code 43290.
Long description: Esophagogastroduodenoscopy, flexible, transoral with deployment of intragastric bariatric balloon.
Short description: EGD with bariatric balloon deployment.
CPT Code 43291
Lay-term: Use code 43291 for EGD with removal of intragastric bariatric balloon[s].
Long description: Esophagogastroduodenoscopy, flexible, transoral with removal of intragastric bariatric balloon(s)
Shrot description: EGD with bariatric balloon removal.
Sources
https://stanfordhealthcare.org/medical-tests/e/egd.html
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57414&ver=21&=
