43246 Egd place gastrostomy tube
Also known as: EGD G-tube placement, endoscopic gastrostomy, percutaneous endoscopic gastrostomy, EGD with PEG placement, PEG tube
Esophagogastroduodenoscopy with endoscopic placement of a gastrostomy tube for nutritional support or gastric decompression. This percutaneous endoscopic gastrostomy alternative provides tube placement under direct visualization.
In Plain Language
feeding tube placement via camera; endoscopic feeding tube insertion
Clinical Context
Used for long-term nutritional support in patients unable to eat orally due to dysphagia, neurological impairment, or malnutrition; alternative to fluoroscopic-guided placement.
RVU Breakdown
| Work RVU | 3.47 |
| Total RVU | 3.47 |
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 3.47, this code ranks in the 24th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43246?
CPT 43246 (Egd place gastrostomy tube) is a Surgery code. Esophagogastroduodenoscopy with endoscopic placement of a gastrostomy tube for nutritional support or gastric decompression. This percutaneous endoscopic gastrostomy alternative provides tube placement under direct visualization.
What is the wRVU value for CPT 43246?
The work RVU for CPT 43246 is 3.47. This code is primarily used by Gastroenterology, Surgery, Critical Care.
When is CPT 43246 used?
Used for long-term nutritional support in patients unable to eat orally due to dysphagia, neurological impairment, or malnutrition; alternative to fluoroscopic-guided placement.
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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.