New CPT Codes Finalized for Advanced ESD Procedures

ASGE. American Society for Gastrointestinal Endoscopy. ACG. American College of Gastroenterology.

On behalf of the American College of Gastroenterology (ACG) and American Society for Gastrointestinal Endoscopy (ASGE), we are pleased to announce the approval of to report Endoscopic Submucosal Dissection (ESD) procedures, effective January 1, 2027.

These new codes reflect the surgical complexity and technical intensity of ESD

procedures and provide more accurate reporting and reimbursement for this advanced therapeutic service. Additional guidance regarding valuation and billing instructions will be forthcoming as part of the RUC review and CMS rulemaking process.

We thank the specialty societies, clinical experts, and industry partners whose collaboration made this important coding update possible.


About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with almost 17,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit and for more information and to find a qualified doctor in your area.

 

American Society for Gastrointestinal Endoscopy
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Media Contact

Andrea Lee
Director of Marketing and Communications
630.570.5603
ALee@asge.org