43236 Uppr gi scope with submuc injection
Also known as: EGD with submucosal injection, endoscopic mucosal lifting, EGD with injection, EGD botox
Upper gastrointestinal endoscopy with submucosal injection of saline, epinephrine, or other agent for lifting or hemostasis.
In Plain Language
camera examination with injection to lift lesion or stop bleeding
Clinical Context
Therapeutic procedure allowing better visualization and resection of esophageal or gastric lesions. Used in conjunction with mucosal resection.
RVU Breakdown
| Work RVU | 2.33 |
| Total RVU | 2.33 |
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 2.33, this code ranks in the 16th percentile among Surgery codes — 3.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43236?
CPT 43236 (Uppr gi scope with submuc injection) is a Surgery code. Upper gastrointestinal endoscopy with submucosal injection of saline, epinephrine, or other agent for lifting or hemostasis.
What is the wRVU value for CPT 43236?
The work RVU for CPT 43236 is 2.33. This code is primarily used by Gastroenterology.
When is CPT 43236 used?
Therapeutic procedure allowing better visualization and resection of esophageal or gastric lesions. Used in conjunction with mucosal resection.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.