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43227 Esophagoscopy control bleed

Surgery Global 0d

Also known as: esophageal bleeding control, hemostasis endoscopy

Esophagoscopy (flexible) with control of bleeding from esophageal source using hemostatic technique (cautery, sclerosis, or suturing).

In Plain Language

camera examination to stop esophageal bleeding

Clinical Context

Emergency/urgent procedure for upper gastrointestinal bleeding from esophageal source. Critical for hemostasis in acute bleeding.

RVU Breakdown

Work RVU2.82
Total RVU2.82

Est. Medicare Payment

$94.19

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 2.82, this code ranks in the 19th percentile among Surgery codes — 2.8x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

GastroenterologyEmergency Medicine

Frequently Asked Questions

What is CPT code 43227?

CPT 43227 (Esophagoscopy control bleed) is a Surgery code. Esophagoscopy (flexible) with control of bleeding from esophageal source using hemostatic technique (cautery, sclerosis, or suturing).

What is the wRVU value for CPT 43227?

The work RVU for CPT 43227 is 2.82. This code is primarily used by Gastroenterology, Emergency Medicine.

When is CPT 43227 used?

Emergency/urgent procedure for upper gastrointestinal bleeding from esophageal source. Critical for hemostasis in acute bleeding.

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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.