CPT 43257
EGD with thrml txmnt gerd
CPT 43257 at a glance
- Code
- 43257
- Code type
- CPT/HCPCS
- Short descriptor
- Egd w/thrml txmnt gerd
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $2,836.78 national · 2026Q2
What is CPT code 43257?
CPT 43257 is a CPT/HCPCS procedure code. Its official short descriptor is "Egd w/thrml txmnt gerd". In the ASC context it is grouped under ASC Surgical.
Is CPT 43257 eligible in an ambulatory surgery center (ASC)?
CPT 43257 can be performed in a certified ambulatory surgery center.
Where is CPT 43257 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 43257?
The national Medicare ASC payment rate for CPT 43257 is $2,836.78 (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 43257?
CPT 43257 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.