43214 Esophagosc dilate balloon 30
Also known as: EGD with large balloon dilation, esophageal balloon dilation >30mm
Esophagogastroduodenoscopy (EGD) with balloon dilation of esophageal stricture greater than 30 millimeters in diameter.
In Plain Language
camera examination with large balloon stretching of severe narrowing
Clinical Context
Therapeutic procedure for severe esophageal strictures. Larger balloon needed for significantly narrowed esophagus.
RVU Breakdown
| Work RVU | 3.32 |
| Total RVU | 3.32 |
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 3.32, this code ranks in the 23rd percentile among Surgery codes — 2.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43214?
CPT 43214 (Esophagosc dilate balloon 30) is a Surgery code. Esophagogastroduodenoscopy (EGD) with balloon dilation of esophageal stricture greater than 30 millimeters in diameter.
What is the wRVU value for CPT 43214?
The work RVU for CPT 43214 is 3.32. This code is primarily used by Gastroenterology.
When is CPT 43214 used?
Therapeutic procedure for severe esophageal strictures. Larger balloon needed for significantly narrowed esophagus.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.