43235
GICMS status: AEsophagogastroduodenoscopy (EGD), flexible, transoral; diagnostic, with or without specimen collection by brushing or washing.
Work RVU
2.06
Practice RVU
3.04
Malpractice RVU
0.20
Total RVU
5.30
2026 Medicare payment
$177.02
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 43235 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Diagnostic EGD without biopsy or intervention.
Documentation checklist
- ✓Indication.
- ✓Scope insertion to second part of duodenum.
- ✓Findings and photo documentation.
- ✓Retroflexion in stomach.
Common pitfalls
- !If biopsy taken, use 43239.
Common ICD-10 pairings
K21.9K25.9
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.