CPT® Code 43228

Deleted

Esophagoscopy, rigid or flexible; with ablation of tumor(s), polyp(s), or other lesion(s), not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

Esophagoscopy, as described by CPT® Code 43228, involves the use of either a rigid or flexible endoscope to visualize the esophagus. This procedure is specifically performed for the ablation of tumors, polyps, or other lesions that cannot be removed using standard techniques such as hot biopsy forceps, bipolar cautery, or snare technique. The endoscope is introduced through the patient's mouth or nose and carefully advanced into the esophagus, allowing for a thorough examination of the velopharyngeal closure, the base of the tongue, and the hypopharynx. During this process, the motion of the vocal cords is observed, and the pharyngeal musculature is evaluated to ensure proper function. As the endoscope reaches the cricopharyngeus, the patient may be instructed to burp or swallow, which aids in the smooth passage of the scope through the esophagus to the gastroesophageal junction. Any abnormalities encountered during this examination are meticulously noted. Following the identification of the tumor, polyp, or lesion, ablation is performed using a technique such as laser ablation. The laser device is introduced through the endoscope and positioned at the distal margin of the lesion. Ablation begins at this distal margin and continues as the endoscope is retracted, ensuring that the entire lesion is effectively destroyed.