43195 Esophagoscopy rigid balloon
Also known as: rigid esophagoscopy with dilation, esophageal balloon dilation
Rigid esophagoscopy (examination of esophagus with rigid scope) via transoral approach with balloon dilation of esophageal stricture.
In Plain Language
camera examination with balloon stretching of esophagus narrowing
Clinical Context
Therapeutic procedure for esophageal stricture. Balloon dilation allows gradual enlargement of esophageal lumen.
RVU Breakdown
| Work RVU | 2.99 |
| Total RVU | 2.99 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.99, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43195?
CPT 43195 (Esophagoscopy rigid balloon) is a Surgery code. Rigid esophagoscopy (examination of esophagus with rigid scope) via transoral approach with balloon dilation of esophageal stricture.
What is the wRVU value for CPT 43195?
The work RVU for CPT 43195 is 2.99. This code is primarily used by Thoracic Surgery, Gastroenterology.
When is CPT 43195 used?
Therapeutic procedure for esophageal stricture. Balloon dilation allows gradual enlargement of esophageal lumen.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.