43248 Egd guide wire insertion
Also known as: EGD guidewire insertion, guide wire placement, Savary guidewire
Esophagogastroduodenoscopy with guidewire insertion for difficult or malignant stricture dilation. This procedural step facilitates subsequent dilation of challenging strictures.
In Plain Language
inserting guide through stricture; guidewire placement for dilation
Clinical Context
Used in complex or malignant esophageal strictures where direct dilation is hazardous; enables safe passage for dilation equipment over a flexible guidewire.
RVU Breakdown
| Work RVU | 2.84 |
| Total RVU | 2.84 |
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 2.84, this code ranks in the 19th percentile among Surgery codes — 2.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43248?
CPT 43248 (Egd guide wire insertion) is a Surgery code. Esophagogastroduodenoscopy with guidewire insertion for difficult or malignant stricture dilation. This procedural step facilitates subsequent dilation of challenging strictures.
What is the wRVU value for CPT 43248?
The work RVU for CPT 43248 is 2.84. This code is primarily used by Gastroenterology, Interventional Radiology, Surgery.
When is CPT 43248 used?
Used in complex or malignant esophageal strictures where direct dilation is hazardous; enables safe passage for dilation equipment over a flexible guidewire.
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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.