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Ask a Rev Cycle Expert: CPT Code for Endoscopic Submucosal Dissection?

Question:

What is the CPT code for an endoscopic submucosal dissection?

Answer:

There is no Current Procedural Terminology (CPT®) code for endoscopic submucosal dissection (ESD), so unlisted codes for the anatomical site should be used. This could include CPT® codes such as:

43499 Unlisted procedure, esophagus
43999 Unlisted procedure, stomach
44799 Unlisted procedure, small intestine
45399 Unlisted procedure, colon
45999 Unlisted procedure, rectum

There has been no new guidance published for 2021.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).