GI · CMS status A
43235
Diagnostic EGD
Esophagogastroduodenoscopy (EGD), flexible, transoral; diagnostic, with or without specimen collection by brushing or washing.
Work RVU
2.06
2026 Medicare pays
$177.02
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 2.06 + Practice 3.04 + Malpractice 0.20 = 5.30 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 43235 is locked
- When to use it: the exact clinical situations that support billing 43235
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 43235 downcoded or denied
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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.