43231 Esophagoscop ultrasound examination
Also known as: endoscopic ultrasound, EUS
Esophagogastroduodenoscopy (EGD) with endoscopic ultrasound examination of esophagus, stomach, and adjacent structures.
In Plain Language
camera examination with ultrasound to see deeper into esophagus and stomach
Clinical Context
Diagnostic procedure for evaluation of esophageal and gastric lesions, lymph nodes, and adjacent structures. Allows assessment of lesion depth and lymph node involvement.
RVU Breakdown
| Work RVU | 2.73 |
| Total RVU | 2.73 |
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 2.73, this code ranks in the 19th percentile among Surgery codes — 2.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43231?
CPT 43231 (Esophagoscop ultrasound examination) is a Surgery code. Esophagogastroduodenoscopy (EGD) with endoscopic ultrasound examination of esophagus, stomach, and adjacent structures.
What is the wRVU value for CPT 43231?
The work RVU for CPT 43231 is 2.73. This code is primarily used by Gastroenterology.
When is CPT 43231 used?
Diagnostic procedure for evaluation of esophageal and gastric lesions, lymph nodes, and adjacent structures. Allows assessment of lesion depth and lymph node involvement.
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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.