Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
JH · Effective Oct 1, 2015
6 active Medicare policies list 43206, and 2 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JL · Effective Oct 1, 2025
National · Effective Oct 1, 2025
2 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43206 |
|---|---|---|
| Barrett's Esophagus | Aug 2, 2023 | Covered |
| In Vivo Analysis of Gastro-Intestinal and Urothelial Lesions | Oct 17, 2023 | Covered |