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See a sample rate comparisonCPT 43232 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Esophagus Exam With Scope, An Exam Of The Esophagus Using A Scope (Endoscope) And Ultrasound (Sound Waves) To Take Pictures. The Procedure Takes A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 43232 |
| Medicaid Fee Schedule | View Medicaid rates for 43232 |
National average reimbursement for CPT 43232 by major payers:
$331.05
$351.04
$347.59
$356.99
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CPT 43232
5 of 25 sample ratesHigher to lower in this preview
Careos Surgicenter, LLC, Careos
$2,782.00Published rateSouth Jersey Eye Physicians, LLC, The Surgical Center At South Jersey Eye Physicians, PA
South Jersey Eye Physicians, PA
$1,200.00Published rateSpecialty Surgical Center, LLC, Specialty Surgical Center
Specialty Surgical Center, LLC
$800.00Published rateEye Surgery Centers Of Arizona, LLC, Eye Surgery At The Biltmore, LLC
Eye Surgery Centers Of Arizona 401(K) Profit Sharing Plan & Trust
$600.00Published rateGrant Roesler
Deaconess Hospital Inc
$336.69Published rate
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See a sample payer proposalCPT 43232 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43232 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43232 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43226-CPT | Moderate | Esophagoscopy Rigid Or Flexib, Esophagoscopy Rigid Or Flexible With Insertion Of Guidewire Followed By Dilation Over Guide Wire Esophagoscopy Rigid Or Flexible With Insertion Of Guide |
| 43227-CPT | Moderate | Control Bleeding In Esophagus, Exam Of The Esophagus Using A Scope (Endoscope). The Procedure Includes Control Of Bleeding In The Esophagus. |
| 43231-CPT | Moderate | Esophagoscopy Rigid Or Flexib, Esophagoscopy Rigid Or Flexible Diagnostic With Or Without Collection Of Specimens By Brushing Or Washing (Separate Procedure) With Endoscopic Ultrasound Examination. |
| 43232-CPT | Moderate | Esophagus Exam With Scope, An Exam Of The Esophagus Using A Scope (Endoscope) And Ultrasound (Sound Waves) To Take Pictures. The Procedure Takes A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43232. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43232 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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