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:
The clinical value of ESD and why adoption has been slow
How reimbursement barriers have held the technique back
What Category I CPT code approval by the AMA actually means
A detailed timeline of what happens between now and 2027
The role of the RUC, CMS, and commercial payers
How GI practices, hospitals, ASCs, and coders should prepare
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.
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