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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