43238 Egd ultrasound fine needle biopsy/aspiration
Also known as: EUS-guided FNA, EUS fine needle biopsy
Esophagogastroduodenoscopy (EGD) with endoscopic ultrasound and fine needle aspiration/biopsy of deep esophageal or perigastric tissue.
In Plain Language
camera examination with ultrasound and deep tissue needle sampling
Clinical Context
Diagnostic procedure for tissue sampling under ultrasound guidance. Allows precise sampling of deep lesions and lymph nodes.
RVU Breakdown
| Work RVU | 4.06 |
| Total RVU | 4.06 |
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 4.06, this code ranks in the 28th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43238?
CPT 43238 (Egd ultrasound fine needle biopsy/aspiration) is a Surgery code. Esophagogastroduodenoscopy (EGD) with endoscopic ultrasound and fine needle aspiration/biopsy of deep esophageal or perigastric tissue.
What is the wRVU value for CPT 43238?
The work RVU for CPT 43238 is 4.06. This code is primarily used by Gastroenterology, Surgical Oncology.
When is CPT 43238 used?
Diagnostic procedure for tissue sampling under ultrasound guidance. Allows precise sampling of deep lesions and lymph nodes.
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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.