43249 Esophageal egd dilation <30 millimeters
Also known as: EGD esophageal dilation, TTS dilation <30mm, through-the-scope dilation, EGD with dilation, esophageal dilation
Esophagogastroduodenoscopy with dilation of esophageal stricture less than 30 millimeters in diameter. This therapeutic endoscopic procedure treats narrowing of the esophagus.
In Plain Language
widening narrow esophagus opening; dilation of esophageal stricture
Clinical Context
Performed for benign esophageal strictures from reflux disease, caustic ingestion, or post-radiation; provides temporary symptom relief but may require repeat procedures.
RVU Breakdown
| Work RVU | 2.60 |
| Total RVU | 2.60 |
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 2.60, this code ranks in the 18th percentile among Surgery codes — 3.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43249?
CPT 43249 (Esophageal egd dilation <30 millimeters) is a Surgery code. Esophagogastroduodenoscopy with dilation of esophageal stricture less than 30 millimeters in diameter. This therapeutic endoscopic procedure treats narrowing of the esophagus.
What is the wRVU value for CPT 43249?
The work RVU for CPT 43249 is 2.60. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43249 used?
Performed for benign esophageal strictures from reflux disease, caustic ingestion, or post-radiation; provides temporary symptom relief but may require repeat procedures.
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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.