AMA CPT® Assistant - 2022 Issue 11 (November)
Endoscopic Bariatric Device Procedures (November 2022)
November 2022 pages 12-15 Endoscopic Bariatric Device Procedures In the Current Procedural Terminology (CPT®) 2023 code set, two new codes (43290, 43291) have been added to the Esophagogastroduodenoscopy subsection in the Digestive System section to report esophagogastroduodenoscopy (EGD) with deployment and removal of a gastric bariatric device (eg, balloon) under endoscopic guidance. This article provides an overview of the appropriate use of these new codes. Endoscopy Esophagogastroduodenoscopy 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) (Do not report 43235 in conjunction with 43197, 43198, 43210, 43236-43259, 43266, 43270, 43290...
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Article Overview
This article explains the 2023 CPT update for endoscopic bariatric device procedures and summarizes how the new gastrointestinal endoscopy codes fit within the existing esophagogastroduodenoscopy section. It is intended for coding professionals who need to understand the scope of the update, the related endoscopy code relationships, and the general procedural context discussed in CPT® Assistant.
Why This Topic Matters
The article matters because it highlights a new coding option in the CPT 2023 code set and identifies related parenthetical note changes that affect code reporting within upper endoscopy services. It also provides procedural context that helps coders and auditors recognize when these services are being discussed in clinical documentation.
Article Sections
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November 2022 pages 12-15
Introductory publication information and the article’s overall coding focus. Summarizes the type of update covered in the remainder of the piece.
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Endoscopy
Broad endoscopy context for the article’s topic. Introduces the upper gastrointestinal procedure area addressed by the update.
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Esophagogastroduodenoscopy
Overview of the esophagogastroduodenoscopy section and the new CPT coding material discussed in the article. Includes related code context and note revisions.
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Clinical Example (43290) / Description of Procedure (43290)
A procedural scenario and corresponding narrative for the deployment service. Provides a typical clinical context and workflow example.
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Clinical Example (43291) / Description of Procedure (43291)
A procedural scenario and corresponding narrative for the removal service. Provides a typical clinical context and workflow example.
What You Will Learn
- What the article covers in the 2023 CPT update for endoscopic bariatric device procedures
- How the article frames the new upper gastrointestinal endoscopy services within the esophagogastroduodenoscopy section
- What related parenthetical note changes are discussed for upper endoscopy reporting
- What general clinical scenarios are associated with bariatric balloon deployment and removal
- What procedural context CPT® Assistant provides for reviewing this coding update
Who Should Read This
- CPT coders
- Coding auditors
- Revenue cycle professionals
- Physician practice coding staff
- Gastroenterology billing staff
- Compliance teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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