CPT 43259
Egd us exam duodenum/jejunum
CPT 43259 at a glance
- Code
- 43259
- Code type
- CPT/HCPCS
- Short descriptor
- Egd us exam duodenum/jejunum
- Category
- ASC Surgical
- ASC payment status
- Payable in an ASC (surgical)
- CMS addendum
- AA (Surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is CPT code 43259?
CPT 43259 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Egd us exam duodenum/jejunum". In the ASC context it is grouped under ASC Surgical.
Is CPT 43259 payable in an ambulatory surgery center (ASC)?
CPT 43259 appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.
Where is CPT 43259 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Which specialties use CPT 43259?
CPT 43259 is most associated with Gastroenterology, General Surgery.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.