CPT 43198
Esophagosc flex trnsn biopsy
CPT 43198 at a glance
- Code
- 43198
- Code type
- CPT/HCPCS
- Short descriptor
- Esophagosc flex trnsn biopsy
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24); also commonly performed in an office or clinic (POS 11).
- Medicare ASC rate
- $151.39 national · 2026Q2
What is CPT code 43198?
CPT 43198 is a CPT/HCPCS procedure code. Its official short descriptor is "Esophagosc flex trnsn biopsy". In the ASC context it is grouped under ASC Surgical.
Is CPT 43198 eligible in an ambulatory surgery center (ASC)?
CPT 43198 can be performed in a certified ambulatory surgery center.
Where is CPT 43198 typically performed?
Ambulatory surgery center (POS 24); also commonly performed in an office or clinic (POS 11).
What is the Medicare ASC payment rate for CPT 43198?
The national Medicare ASC payment rate for CPT 43198 is $151.39 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 43198?
CPT 43198 is most associated with General Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.