43257 Egd with thrml txmnt gerd
Also known as: EGD GERD treatment, radiofrequency ablation, RFA GERD
Esophagogastroduodenoscopy with thermal treatment of esophageal or gastric mucosa for gastroesophageal reflux disease. This therapeutic procedure applies radiofrequency energy.
In Plain Language
heat treatment for severe reflux; radiofrequency therapy for acid reflux
Clinical Context
Minimally invasive treatment option for medically refractory GERD; provides symptom improvement in selected patients though durable benefit remains debated.
RVU Breakdown
| Work RVU | 4.05 |
| Total RVU | 4.05 |
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 4.05, this code ranks in the 28th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43257?
CPT 43257 (Egd with thrml txmnt gerd) is a Surgery code. Esophagogastroduodenoscopy with thermal treatment of esophageal or gastric mucosa for gastroesophageal reflux disease. This therapeutic procedure applies radiofrequency energy.
What is the wRVU value for CPT 43257?
The work RVU for CPT 43257 is 4.05. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43257 used?
Minimally invasive treatment option for medically refractory GERD; provides symptom improvement in selected patients though durable benefit remains debated.
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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.