43206 Esophageal optical endomicroscopy
Also known as: confocal laser endomicroscopy, optical endomicroscopy
Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with optical endomicroscopy or high-resolution imaging of esophageal tissue.
In Plain Language
advanced camera examination allowing microscopic-level visualization
Clinical Context
Diagnostic procedure providing real-time tissue microscopy during endoscopy. Allows evaluation of dysplasia in Barrett's esophagus or esophageal lesions.
RVU Breakdown
| Work RVU | 2.23 |
| Total RVU | 2.23 |
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 2.23, this code ranks in the 15th percentile among Surgery codes — 3.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43206?
CPT 43206 (Esophageal optical endomicroscopy) is a Surgery code. Flexible esophagoscopy (examination of esophagus with flexible scope) via transoral approach with optical endomicroscopy or high-resolution imaging of esophageal tissue.
What is the wRVU value for CPT 43206?
The work RVU for CPT 43206 is 2.23. This code is primarily used by Gastroenterology.
When is CPT 43206 used?
Diagnostic procedure providing real-time tissue microscopy during endoscopy. Allows evaluation of dysplasia in Barrett's esophagus or 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.