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CPT 43194: Rigid Esophagoscopy for Esophageal Foreign Body Removal
CPT code 43194 denotes rigid esophagoscopy performed to locate and remove foreign bodies obstructing the esophagus. This procedure is clinically important because retained esophageal foreign bodies can cause pain, airway compromise, perforation, and infection; prompt endoscopic removal is a common emergency intervention. Nationally, the code captures encounters across hospital and ambulatory surgical settings where rigid instruments are required to extract large food boluses or non-food objects that cannot pass into the stomach.
Key payers relevant to this coverage and billing context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical and procedural intent of the code, typical sites of service, and the payer landscape addressed in this publication. The analysis also outlines common billing modifiers and related administrative considerations where available.
This resource is intended to inform billing professionals, clinicians, and policy analysts about the clinical scope and administrative context of CPT code 43194, including benchmarking and policy implications where data are available. Data not available in the input will be flagged as such in the detailed sections.
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Billing Code Overview
CPT code 43194 describes a diagnostic and therapeutic procedure in which a provider uses a rigid esophagoscope — a tubular instrument with a light source and camera — inserted through the mouth to examine the esophagus for obstructing material and to identify and remove foreign bodies such as large pieces of food.
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Service type: Rigid esophagoscopy with removal of esophageal foreign body
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Typical site of service: Operating room, procedure suite, or endoscopy suite in a hospital or ambulatory surgical center