October 19, 2023

Question:
How is the POEM procedure reported?

Answer:
The POEM procedure, Peroral Endoscopic Myotomy, had a new code in 2022: 43497, Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM]). Before January 1, 2022, it was reported using an unlisted code. Although 43497 is an endoscopic procedure, it has a 90-day global period according to CMS.  

*This response is based on the best information available as of 10/19/23.