CPT 43254
EGD endo mucosal resection
CPT 43254 at a glance
- Code
- 43254
- Code type
- CPT/HCPCS
- Short descriptor
- Egd endo mucosal resection
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $894.33 national · 2026Q2
What is CPT code 43254?
CPT 43254 is a CPT/HCPCS procedure code. Its official short descriptor is "Egd endo mucosal resection". In the ASC context it is grouped under ASC Surgical.
Is CPT 43254 eligible in an ambulatory surgery center (ASC)?
CPT 43254 can be performed in a certified ambulatory surgery center.
Where is CPT 43254 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 43254?
The national Medicare ASC payment rate for CPT 43254 is $894.33 (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 43254?
CPT 43254 is most associated with Gastroenterology, 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.