43210 Egd esophagogastrc fndoplsty
Also known as: EGD with fundoplication, endoscopic antireflux procedure
Esophagogastroduodenoscopy (EGD) with endoscopic retrograde examination and/or endoplication (plication of tissue to treat reflux).
In Plain Language
camera examination with procedure to treat heartburn or reflux
Clinical Context
Therapeutic procedure for gastroesophageal reflux disease when medical management fails. Endoplication creates valve-like mechanism.
RVU Breakdown
| Work RVU | 7.56 |
| Total RVU | 7.56 |
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 7.56, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43210?
CPT 43210 (Egd esophagogastrc fndoplsty) is a Surgery code. Esophagogastroduodenoscopy (EGD) with endoscopic retrograde examination and/or endoplication (plication of tissue to treat reflux).
What is the wRVU value for CPT 43210?
The work RVU for CPT 43210 is 7.56. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 43210 used?
Therapeutic procedure for gastroesophageal reflux disease when medical management fails. Endoplication creates valve-like mechanism.
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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.