43201 Esophageal scope with submucous injection
Also known as: flexible esophagoscopy with injection, esophageal variceal injection
Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with submucosal injection of medication or agent.
In Plain Language
camera examination with injection of medication to stop bleeding
Clinical Context
Therapeutic procedure for esophageal varices, bleeding lesions, or sclerotherapy. Critical for hemostasis in esophageal variceal bleeding.
RVU Breakdown
| Work RVU | 1.68 |
| Total RVU | 1.68 |
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 1.68, this code ranks in the 11th percentile among Surgery codes — 4.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43201?
CPT 43201 (Esophageal scope with submucous injection) is a Surgery code. Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with submucosal injection of medication or agent.
What is the wRVU value for CPT 43201?
The work RVU for CPT 43201 is 1.68. This code is primarily used by Gastroenterology.
When is CPT 43201 used?
Therapeutic procedure for esophageal varices, bleeding lesions, or sclerotherapy. Critical for hemostasis in esophageal variceal bleeding.
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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.