
Wednesday May 28, 2025
Episode 35: The one where I talk about the new CPT codes for ESD
Description:
In this episode of The Interventional Endoscopist, I dive divs into one of the most impactful developments in advanced GI care: the approval of dedicated Category I CPT codes for Endoscopic Submucosal Dissection (ESD). These long-awaited codes, one for upper GI and one for lower GI, go into effect on January 1, 2027 — and could finally unlock broader access, adoption, and reimbursement for ESD in the U.S.
I discuss:
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The clinical value of ESD and why adoption has been slow
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How reimbursement barriers have held the technique back
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What Category I CPT code approval by the AMA actually means
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A detailed timeline of what happens between now and 2027
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The role of the RUC, CMS, and commercial payers
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How GI practices, hospitals, ASCs, and coders should prepare
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Why this could signal a tipping point for training, education, and device innovation
If you’re performing ESD, planning to learn, or managing coding and billing for a GI practice, this episode is your roadmap.
📬 Be sure to subscribe, follow on LinkedIn, and share this episode with colleagues in advanced GI
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