CPT® Code 43247

An esophagogastroduodenoscopy (EGD) is a specialized upper gastrointestinal (UGI) endoscopic procedure that allows for direct visualization and examination of the esophagus, stomach, duodenum, and/or jejunum. This procedure is particularly indicated for the removal of foreign body(s) that may have become lodged in these areas. During the EGD, the patient is typically administered a local anesthetic spray to numb the mouth and throat, facilitating the insertion of the endoscope. A hollow mouthpiece is utilized to keep the mouth open, allowing for the smooth passage of the flexible fiberoptic endoscope. As the patient swallows, the endoscope is carefully advanced through the esophagus and into the stomach and duodenum. The procedure is performed under direct visualization, ensuring that the endoscope is accurately guided to the site of the foreign body. Various techniques may be employed for the removal of foreign bodies, depending on their characteristics and location. For instance, smooth-edged foreign bodies may be extracted using a balloon catheter, while impacted items, such as pieces of meat, are typically removed with forceps. Sharp foreign bodies require careful maneuvering into the lumen of the endoscope before removal. After the foreign body is successfully extracted, the endoscope is reintroduced to thoroughly examine the esophagus, stomach, duodenum, and/or jejunum for any signs of perforation or other injuries that may have occurred during the incident or the procedure itself.