43243 Egd injection varices
Also known as: EGD injection varices, variceal injection, sclerotherapy
Endoscopic retrograde cholangiopancreatography with injection of esophageal or gastric varices for hemostasis. This therapeutic endoscopic procedure is used to control bleeding from variceal sources.
In Plain Language
bleeding vein treatment through camera; injection into swollen veins
Clinical Context
Used to control active bleeding from esophageal or gastric varices in patients with portal hypertension, typically from cirrhosis or other chronic liver disease.
RVU Breakdown
| Work RVU | 4.16 |
| Total RVU | 4.16 |
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 4.16, this code ranks in the 29th percentile among Surgery codes — 1.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43243?
CPT 43243 (Egd injection varices) is a Surgery code. Endoscopic retrograde cholangiopancreatography with injection of esophageal or gastric varices for hemostasis. This therapeutic endoscopic procedure is used to control bleeding from variceal sources.
What is the wRVU value for CPT 43243?
The work RVU for CPT 43243 is 4.16. This code is primarily used by Gastroenterology, Surgery, Hepatology.
When is CPT 43243 used?
Used to control active bleeding from esophageal or gastric varices in patients with portal hypertension, typically from cirrhosis or other chronic liver disease.
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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.