Endoscopic Ultrasound Cost and Coverage


Unlock the fiscal aspects of endoscopic ultrasound Cost and Coverage through this succinct guide. Explore FAQs regarding the costs and coverage associated with this diagnostic procedure. Whether you’re a healthcare professional or a patient seeking financial insights, this resource provides clarity on the economic dimensions of endoscopic ultrasound.

What is the CPT code for endoscopic ultrasound

The CPT code for endoscopic ultrasound is either 43237 or 43259. 43237: when the EUS aims to view one or two structures, either the stomach, duodenum, or esophagus 43259: when the EUS aims to view all three structures. These codes are used to bill for a procedure that combines endoscopy and ultrasound to examine the digestive tract and surrounding organs. During the procedure, a flexible tube with a small ultrasound probe is inserted through the mouth or anus to obtain detailed images. Endoscopic ultrasound is commonly used for diagnosing and staging gastrointestinal cancers, evaluating pancreas and liver diseases, and guiding interventions such as biopsies or drainage procedures.

How is an endoscopic ultrasound performed

An endoscopic ultrasound (EUS) is performed using a specialized endoscope equipped with an ultrasound probe. The endoscope is inserted through the mouth or anus to reach the desired area of examination. The ultrasound probe emits sound waves that create detailed images of organs and tissues within the body. This procedure is commonly used to evaluate conditions in the gastrointestinal tract and nearby organs, such as the pancreas and liver. EUS can also be used to guide the placement of needles for biopsies or to drain fluid collections.

Who does endoscopic ultrasound

An endoscopic ultrasound (EUS) is typically performed by a gastroenterologist, a doctor who specializes in diseases of the digestive system. Some gastroenterologists have additional training in EUS procedures. In certain cases, other specialized physicians, like interventional endoscopists or pulmonologists, may also perform EUS, depending on the reason for the examination.

Are you asleep during endoscopic ultrasound

No, you are not asleep during an endoscopic ultrasound (EUS). EUS is a minimally invasive procedure performed under sedation. The sedation helps you relax and remain comfortable throughout the process but does not put you to sleep.

Can you have an endoscopic ultrasound and be on Plavix

Yes, it is generally safe to undergo an endoscopic ultrasound while taking Plavix (clopidogrel). However, it is crucial to inform your healthcare provider about all the medications you are taking, including Plavix, to ensure optimal safety during the procedure. Your doctor may discuss any potential risks and benefits associated with continuing or temporarily discontinuing Plavix before the endoscopic ultrasound.
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Dr. Aqsa Munir

Physician, Researcher, and Medical Writer

I am Dr. Aqsa Munir, a dedicated physician, an accomplished researcher, and an experienced medical writer. With a wealth of… See More