The Federal Register has posted coding and payment information for the new CPT code covering the incisionless fundoplication procedures from EndoGastric Solutions.
CPT code 43210 EGD esophagogastric fundoplasty has been given 12.43 relative value units using the CMS CY2016 conversion factor. The CPT code has been placed in APC 5331 Complex GI Procedures. The national unadjusted payment amount is $3,613.57.
The CPT code and APC for TIF procedures will be available for reference Jan. 1.
"The APC classification assignment is also a significant step in the reimbursement process for the TIF procedure. We look forward to the increased economic value of the procedure for healthcare systems to provide chronic GERD patients this treatment option," said Skip Baldino, president and CEO of EndoGastric Solutions.