43245 Egd dilate stricture
Also known as: EGD dilation, stricture dilation, bougie dilation
Esophagogastroduodenoscopy with dilation of esophageal or pyloric strictures. This therapeutic endoscopic procedure is performed to treat narrowing of the esophagus or pylorus.
In Plain Language
stretching tight area in food pipe; opening narrowed passage in stomach
Clinical Context
Performed for symptomatic strictures from caustic ingestion, radiation, surgery, or gastroesophageal reflux disease; provides symptomatic relief and improves swallowing.
RVU Breakdown
| Work RVU | 3.00 |
| Total RVU | 3.00 |
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 3.00, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43245?
CPT 43245 (Egd dilate stricture) is a Surgery code. Esophagogastroduodenoscopy with dilation of esophageal or pyloric strictures. This therapeutic endoscopic procedure is performed to treat narrowing of the esophagus or pylorus.
What is the wRVU value for CPT 43245?
The work RVU for CPT 43245 is 3.00. This code is primarily used by Gastroenterology, Surgery, Otolaryngology.
When is CPT 43245 used?
Performed for symptomatic strictures from caustic ingestion, radiation, surgery, or gastroesophageal reflux disease; provides symptomatic relief and improves swallowing.
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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.