GI · CMS status A
43239
EGD w/ biopsy
EGD with biopsy, single or multiple.
Work RVU
2.39
2026 Medicare pays
$198.40
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 2.39 + Practice 3.32 + Malpractice 0.23 = 5.94 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 43239 is locked
- When to use it: the exact clinical situations that support billing 43239
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 43239 downcoded or denied
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Common modifiers
59
Common ICD-10 pairings
K21.9B96.81K22.7
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.