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43235 Egd diagnostic brush wash

Surgery Global 0d

Also known as: EGD with brush and wash, brush cytology, upper GI endoscopy diagnostic, EGD diagnostic, upper endoscopy, stomach scope, esophagus scope

Esophagogastroduodenoscopy (EGD) with diagnostic brush cytology and wash collection for cytologic specimen.

In Plain Language

camera examination with gentle brush and fluid sampling

Clinical Context

Diagnostic procedure for cytologic evaluation of esophageal and gastric lesions. Less invasive than full tissue biopsy.

RVU Breakdown

Work RVU2.04
Total RVU2.04

Est. Medicare Payment

$68.14

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 2.04, this code ranks in the 14th percentile among Surgery codes — 3.9x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Gastroenterology

Frequently Asked Questions

What is CPT code 43235?

CPT 43235 (Egd diagnostic brush wash) is a Surgery code. Esophagogastroduodenoscopy (EGD) with diagnostic brush cytology and wash collection for cytologic specimen.

What is the wRVU value for CPT 43235?

The work RVU for CPT 43235 is 2.04. This code is primarily used by Gastroenterology.

When is CPT 43235 used?

Diagnostic procedure for cytologic evaluation of esophageal and gastric lesions. Less invasive than full tissue biopsy.

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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.