43255 Egd control bleeding any
Also known as: EGD hemostasis, bleeding control, hemorrhage control, EGD with hemostasis
Esophagogastroduodenoscopy with control of bleeding from any source in the esophagus, stomach, or duodenum using hemostatic techniques. This therapeutic procedure stops hemorrhage.
In Plain Language
stopping bleeding in stomach; controlling upper GI bleed
Clinical Context
Emergency procedure for acute upper gastrointestinal bleeding from ulcers, varices, or angiodysplasia; requires rapid intervention to prevent shock and transfusion.
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 43255?
CPT 43255 (Egd control bleeding any) is a Surgery code. Esophagogastroduodenoscopy with control of bleeding from any source in the esophagus, stomach, or duodenum using hemostatic techniques. This therapeutic procedure stops hemorrhage.
What is the wRVU value for CPT 43255?
The work RVU for CPT 43255 is 3.47. This code is primarily used by Gastroenterology, Emergency Medicine, Surgery.
When is CPT 43255 used?
Emergency procedure for acute upper gastrointestinal bleeding from ulcers, varices, or angiodysplasia; requires rapid intervention to prevent shock and transfusion.
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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.