43253 Egd ultrasound transmural injxn/mark
Also known as: EGD EUS injection, endoscopic ultrasound-guided injection, transmural marking
Esophagogastroduodenoscopy with endoscopic ultrasound-guided transmural injection or marking of esophageal or gastric lesions. This combined technique guides therapeutic or diagnostic intervention.
In Plain Language
ultrasound-guided treatment injection; marking tumor for surgery
Clinical Context
Used for submucosal tumor assessment, fiducial marker placement for radiation therapy, or therapeutic agent delivery; improves precision of interventions.
RVU Breakdown
| Work RVU | 4.61 |
| Total RVU | 4.61 |
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 4.61, this code ranks in the 32nd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43253?
CPT 43253 (Egd ultrasound transmural injxn/mark) is a Surgery code. Esophagogastroduodenoscopy with endoscopic ultrasound-guided transmural injection or marking of esophageal or gastric lesions. This combined technique guides therapeutic or diagnostic intervention.
What is the wRVU value for CPT 43253?
The work RVU for CPT 43253 is 4.61. This code is primarily used by Gastroenterology, Oncology, Interventional Endoscopy.
When is CPT 43253 used?
Used for submucosal tumor assessment, fiducial marker placement for radiation therapy, or therapeutic agent delivery; improves precision of interventions.
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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.