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CPT Code 43235 Billing Guide: EGD, Modifiers, and Denial Prevention in 2026

CPT code 43235 EGD billing 2026 hero banner: diagnostic upper GI endoscopy with brushings included, the biopsy flip to 43239, the 43889 sleeve gastroplasty bundle new in 2026, the NCCI CCMI 0 rule that blocks modifier 59, and Modifier XS for same-day colonoscopy, from ClaimMax RCM.

CPT code 43235 is the billing code for a diagnostic esophagogastroduodenoscopy (EGD), a flexible upper GI endoscopy that examines the esophagus, stomach, and duodenum without tissue removal or therapeutic intervention. Procedure: CPT 43235 covers visual inspection of the upper GI tract, including specimen collection by brushing or washing when performed, but no biopsy and no therapy. […]