43250 Egd cautery tumor polyp
Also known as: EGD cautery lesion, thermal ablation, endoscopic cautery
Esophagogastroduodenoscopy with cautery ablation of esophageal or gastric tumor or polyp using thermal energy. This therapeutic procedure removes or ablates mucosal lesions.
In Plain Language
burning off tumor with heat; thermal treatment of polyp
Clinical Context
Used for early gastric cancer, Barrett's esophagus with dysplasia, or polyp ablation; achieves tissue destruction through heat-induced protein denaturation.
RVU Breakdown
| Work RVU | 2.90 |
| Total RVU | 2.90 |
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 2.90, this code ranks in the 20th 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 43250?
CPT 43250 (Egd cautery tumor polyp) is a Surgery code. Esophagogastroduodenoscopy with cautery ablation of esophageal or gastric tumor or polyp using thermal energy. This therapeutic procedure removes or ablates mucosal lesions.
What is the wRVU value for CPT 43250?
The work RVU for CPT 43250 is 2.90. This code is primarily used by Gastroenterology, Oncology, Surgery.
When is CPT 43250 used?
Used for early gastric cancer, Barrett's esophagus with dysplasia, or polyp ablation; achieves tissue destruction through heat-induced protein denaturation.
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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.