43239 Egd biopsy single/multiple
Also known as: EGD with biopsy, esophageal biopsy, upper endoscopy with biopsy, upper endoscopy biopsy, stomach scope biopsy
Esophagogastroduodenoscopy (EGD) with biopsy of esophageal or gastric lesion(s) using tissue forceps.
In Plain Language
camera examination with tissue sample from esophagus or stomach
Clinical Context
Standard diagnostic procedure for evaluation of esophageal and gastric lesions with tissue diagnosis. Most common biopsy approach.
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 43239?
CPT 43239 (Egd biopsy single/multiple) is a Surgery code. Esophagogastroduodenoscopy (EGD) with biopsy of esophageal or gastric lesion(s) using tissue forceps.
What is the wRVU value for CPT 43239?
The work RVU for CPT 43239 is 2.33. This code is primarily used by Gastroenterology.
When is CPT 43239 used?
Standard diagnostic procedure for evaluation of esophageal and gastric lesions with tissue diagnosis. Most common biopsy approach.
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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.