43200 Esophagoscopy flexible brush
Also known as: flexible esophagoscopy, esophageal brush biopsy
Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with diagnostic brush cytology for cell collection.
In Plain Language
camera examination of esophagus with gentle tissue brush
Clinical Context
Diagnostic procedure for esophageal assessment with cell collection. Allows cytologic evaluation of esophageal lesions.
RVU Breakdown
| Work RVU | 1.38 |
| Total RVU | 1.38 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.38, this code ranks in the 8th percentile among Surgery codes — 5.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43200?
CPT 43200 (Esophagoscopy flexible brush) is a Surgery code. Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with diagnostic brush cytology for cell collection.
What is the wRVU value for CPT 43200?
The work RVU for CPT 43200 is 1.38. This code is primarily used by Gastroenterology.
When is CPT 43200 used?
Diagnostic procedure for esophageal assessment with cell collection. Allows cytologic evaluation of esophageal lesions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.