43196 Esophagoscp guide wire dilation
Also known as: rigid esophagoscopy with guide wire dilation, esophageal guide wire dilation
Rigid esophagoscopy (examination of esophagus with rigid scope) via transoral approach with guide wire insertion and dilation of esophagus.
In Plain Language
camera examination with guide wire stretching of esophagus
Clinical Context
Therapeutic procedure for esophageal stricture using guide wire technique. Allows controlled dilation of strictures under direct visualization.
RVU Breakdown
| Work RVU | 3.23 |
| Total RVU | 3.23 |
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 3.23, this code ranks in the 22nd percentile among Surgery codes — 2.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43196?
CPT 43196 (Esophagoscp guide wire dilation) is a Surgery code. Rigid esophagoscopy (examination of esophagus with rigid scope) via transoral approach with guide wire insertion and dilation of esophagus.
What is the wRVU value for CPT 43196?
The work RVU for CPT 43196 is 3.23. This code is primarily used by Thoracic Surgery, Gastroenterology.
When is CPT 43196 used?
Therapeutic procedure for esophageal stricture using guide wire technique. Allows controlled dilation of strictures under direct visualization.
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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.