CPT® Code 43291

The procedure described by CPT® Code 43291 involves the removal of an intragastric bariatric balloon using a flexible transoral esophagogastroduodenoscopy (EGD). This minimally invasive technique is performed under sedation, allowing for the safe and effective extraction of the balloon that was previously placed in the stomach to assist with weight loss. The process begins with the insertion of a flexible endoscope through the mouth, which is advanced through the esophagus into the stomach. During this procedure, the physician inspects the stomach and duodenum, ensuring that the internal structures are evaluated for any abnormalities. The balloon is deflated by puncturing it with a specialized needle, allowing for its safe retrieval. The procedure is comprehensive, as it includes suctioning of any remaining fluid, re-inspection of the stomach and duodenum, and assessment of the gastroesophageal junction for any potential issues such as hiatal hernias. This detailed approach ensures that the patient is thoroughly evaluated and that the removal of the balloon is conducted with precision and care.