43202 Esophagoscopy flex biopsy
Also known as: flexible esophagoscopy biopsy, EGD with biopsy
Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with tissue biopsy using forceps.
In Plain Language
camera examination of esophagus with tissue sample collection
Clinical Context
Diagnostic procedure for esophageal pathology with tissue diagnosis. Standard approach for Barrett's esophagus, suspected malignancy, or chronic esophagitis.
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 43202?
CPT 43202 (Esophagoscopy flex biopsy) is a Surgery code. Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with tissue biopsy using forceps.
What is the wRVU value for CPT 43202?
The work RVU for CPT 43202 is 1.68. This code is primarily used by Gastroenterology.
When is CPT 43202 used?
Diagnostic procedure for esophageal pathology with tissue diagnosis. Standard approach for Barrett's esophagus, suspected malignancy, or chronic esophagitis.
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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.