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Esophagoscopy, as described by CPT® Code 43228, involves the use of either a rigid or flexible endoscope to visualize the esophagus. This procedure is specifically performed for the ablation of tumors, polyps, or other lesions that cannot be removed using standard techniques such as hot biopsy forceps, bipolar cautery, or snare technique. The endoscope is introduced through the patient's mouth or nose and carefully advanced into the esophagus, allowing for a thorough examination of the velopharyngeal closure, the base of the tongue, and the hypopharynx. During this process, the motion of the vocal cords is observed, and the pharyngeal musculature is evaluated to ensure proper function. As the endoscope reaches the cricopharyngeus, the patient may be instructed to burp or swallow, which aids in the smooth passage of the scope through the esophagus to the gastroesophageal junction. Any abnormalities encountered during this examination are meticulously noted. Following the identification of the tumor, polyp, or lesion, ablation is performed using a technique such as laser ablation. The laser device is introduced through the endoscope and positioned at the distal margin of the lesion. Ablation begins at this distal margin and continues as the endoscope is retracted, ensuring that the entire lesion is effectively destroyed.
© Copyright 2025 Coding Ahead. All rights reserved.
Esophagoscopy with ablation is indicated for the following conditions:
The procedure involves several critical steps to ensure effective ablation of the identified lesions:
Post-procedure care involves monitoring the patient for any immediate complications following the esophagoscopy and ablation. Patients may experience some discomfort or throat irritation, which is typically managed with supportive care. It is essential to provide instructions regarding dietary modifications and activity restrictions as the esophagus heals. Follow-up appointments may be necessary to assess the effectiveness of the ablation and to monitor for any recurrence of lesions.
Short Descr | ESOPH ENDOSCOPY ABLATION | Medium Descr | ESPHGSC RGD/FLX ABLTJ TUM XCP HOT BX/CAUT/SNARE | Long Descr | Esophagoscopy, rigid or flexible; with ablation of tumor(s), polyp(s), or other lesion(s), not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special rules for multiple endoscopic procedures apply... | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 43200 Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 70 - Upper gastrointestinal endoscopy, biopsy |
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2014-01-01 | Deleted | Code deleted, see 43229 |
2011-01-01 | Changed | Short description changed. |
Pre-1990 | Added | Code added. |