43259 Egd ultrasound examination duodenum/jejunum
Also known as: EGD EUS, endoscopic ultrasound, EUS duodenum, EGD with ultrasound, endoscopic ultrasound upper GI
Esophagogastroduodenoscopy with endoscopic ultrasound examination of the duodenum and proximal jejunum. This diagnostic technique provides high-resolution sonographic imaging.
In Plain Language
ultrasound camera view of small bowel; sound wave imaging through camera
Clinical Context
Diagnostic modality for staging pancreatic and biliary cancers, evaluating submucosal lesions, and assessing chronic pancreatitis; superior to conventional ultrasound.
RVU Breakdown
| Work RVU | 3.94 |
| Total RVU | 3.94 |
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 3.94, this code ranks in the 27th 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 43259?
CPT 43259 (Egd ultrasound examination duodenum/jejunum) is a Surgery code. Esophagogastroduodenoscopy with endoscopic ultrasound examination of the duodenum and proximal jejunum. This diagnostic technique provides high-resolution sonographic imaging.
What is the wRVU value for CPT 43259?
The work RVU for CPT 43259 is 3.94. This code is primarily used by Gastroenterology, Oncology, Surgery.
When is CPT 43259 used?
Diagnostic modality for staging pancreatic and biliary cancers, evaluating submucosal lesions, and assessing chronic pancreatitis; superior to conventional ultrasound.
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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.