Doctors often order an endoscopy to investigate certain conditions inside your body, especially gastrointestinal disorders, certain respiratory disorders that could not have been diagnosed by other tests, and urinary tract disorders. An Endoscopy is usually done by inserting a long, thin tube directly into the body to observe an internal organ, or a tissue, in detail. It is even used during surgery to check how well the internal process goes on. The CPT code of Upper Endoscopy is 43235/43239.
There are various types of endoscopy of which an upper endoscopy, or an EGD test, is specifically used to determine heartburn and probable causes of it.
What is an upper endoscopy?
An upper endoscopy is used to look inside the digestive system using a thin scope with a light and camera to look at the esophagus, stomach, and the upper part of the small intestine called the duodenum. Sometimes, a small tissue is being taken to conduct a biopsy.
What is an EDG test used for?
An EDG is used to diagnose possible reasons for heartburn and to diagnose the following conditions.
- Any kind of prolonged upper abdominal pain.
- Nausea and vomiting for unusual reasons.
- Stomach bleeding.
- Swallowing disorders.
The upper endoscopy also identifies any time of inflammation, ulcers, and tumors and is even more accurate than X-rays and other imaging techniques for finding out any abnormal growth in the upper digestive tract.
How long does it take to recover from an endoscopy?
Endoscopy, and especially upper endoscopy, sounds scary for most people. However, it is really not as dangerous as it appears to be. You must keep your stomach empty for at least 6 hours before the procedure. It takes nearly an hour to complete the procedure. You can recover from the minor pain after the endoscopy within a day provided you take complete rest, have fluids, and abstain from taking any food or drink that would irritate your digestive tract. Some patients experience a sore throat for a day or two after the endoscopy.
The following conditions can be experienced after the endoscopy takes place which if increases must be reported to the doctor.
- Nausea and bloating
- Mild cramp
- Pain in the digestive tract.
- Complications related to preexisting conditions.
- The dark-colored stool must be reported to the doctor immediately
- Shortness of breath
- Severe abdominal pain
- Vomiting blood
How much does an Upper Endoscopy Cost Without & With Insurance?
An average EGD test cost is $2,450. The upper endoscopy cost will vary with the type of endoscopy you got for, whether you visit a private clinic or a hospital. If you are not insured, the upper endoscopy cost will range between $1500 to $10,000 depending on the type of healthcare provider and the area you live in. In cases where you would be told to go for further tests like a biopsy, the charges will increase with an additional charge of $1,000 to $$1,500. Physicians will bill for an upper endoscopy using CPT code 43235 and /or 43239.
An upper endoscopy cost rate will include the following.
- The physician’s fee
- The hospital/ health care provider fee
- Sedation fee
- The lab fee for biopsy
Always ask your healthcare provider the details of the complete procedure and cross-verify it with the procedures and costs for other providers.
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