43233 Egd balloon dil esoph30 millimeters/>
Also known as: EGD with large balloon dilation, esophageal dilation >30mm
Esophagogastroduodenoscopy (EGD) with balloon dilation of esophageal stricture greater than or equal to 30 millimeters diameter.
In Plain Language
camera examination with large balloon stretching of severe esophageal narrowing
Clinical Context
Therapeutic procedure for severe esophageal strictures. Larger balloon required for significantly narrowed esophagus.
RVU Breakdown
| Work RVU | 3.97 |
| Total RVU | 3.97 |
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 3.97, this code ranks in the 27th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43233?
CPT 43233 (Egd balloon dil esoph30 millimeters/>) is a Surgery code. Esophagogastroduodenoscopy (EGD) with balloon dilation of esophageal stricture greater than or equal to 30 millimeters diameter.
What is the wRVU value for CPT 43233?
The work RVU for CPT 43233 is 3.97. This code is primarily used by Gastroenterology.
When is CPT 43233 used?
Therapeutic procedure for severe esophageal strictures. Larger balloon required for significantly narrowed esophagus.
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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.