43240 Egd with transmural drainage cyst
Also known as: EGD transmural drainage, endoscopic cyst drainage
Esophagogastroduodenoscopy (EGD) with transmural endoscopic drainage of pancreatic, peripancreatic, or esophageal cyst.
In Plain Language
camera examination with drainage of fluid collection
Clinical Context
Therapeutic procedure for pancreatic or esophageal cysts causing symptoms or infection. Creates communicating opening between cyst and gastrointestinal tract.
RVU Breakdown
| Work RVU | 6.97 |
| Total RVU | 6.97 |
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 6.97, this code ranks in the 45th 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 43240?
CPT 43240 (Egd with transmural drainage cyst) is a Surgery code. Esophagogastroduodenoscopy (EGD) with transmural endoscopic drainage of pancreatic, peripancreatic, or esophageal cyst.
What is the wRVU value for CPT 43240?
The work RVU for CPT 43240 is 6.97. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 43240 used?
Therapeutic procedure for pancreatic or esophageal cysts causing symptoms or infection. Creates communicating opening between cyst and gastrointestinal tract.
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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.