43252 Egd optical endomicroscopy
Also known as: EGD endomicroscopy, confocal laser endomicroscopy, optical biopsy
Esophagogastroduodenoscopy with optical endomicroscopy examination of esophageal or gastric lesions for real-time histologic imaging. This diagnostic technique provides in-vivo tissue characterization.
In Plain Language
microscope view through camera; real-time tissue imaging
Clinical Context
Emerging technology for Barrett's esophagus surveillance and early cancer detection; improves diagnostic accuracy and guides therapeutic decisions.
RVU Breakdown
| Work RVU | 2.89 |
| Total RVU | 2.89 |
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 2.89, this code ranks in the 20th percentile among Surgery codes — 2.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43252?
CPT 43252 (Egd optical endomicroscopy) is a Surgery code. Esophagogastroduodenoscopy with optical endomicroscopy examination of esophageal or gastric lesions for real-time histologic imaging. This diagnostic technique provides in-vivo tissue characterization.
What is the wRVU value for CPT 43252?
The work RVU for CPT 43252 is 2.89. This code is primarily used by Gastroenterology, Oncology, Pathology.
When is CPT 43252 used?
Emerging technology for Barrett's esophagus surveillance and early cancer detection; improves diagnostic accuracy and guides therapeutic decisions.
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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.