43261 Endoscopic cholangiopancreatograph
Also known as: ERCP diagnostic, cholangiography, pancreaticography, ERCP with biopsy
Endoscopic retrograde cholangiopancreatography with endoscopic visualization and diagnostic imaging of the pancreatic and biliary ductal system. This foundational diagnostic ERCP procedure.
In Plain Language
X-ray imaging of bile ducts; pancreas duct visualization
Clinical Context
Primary diagnostic tool for evaluation of biliary and pancreatic disorders including obstruction, strictures, and suspected malignancy; essential for therapy guidance.
RVU Breakdown
| Work RVU | 6.00 |
| Total RVU | 6.00 |
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 6.00, this code ranks in the 40th percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43261?
CPT 43261 (Endoscopic cholangiopancreatograph) is a Surgery code. Endoscopic retrograde cholangiopancreatography with endoscopic visualization and diagnostic imaging of the pancreatic and biliary ductal system. This foundational diagnostic ERCP procedure.
What is the wRVU value for CPT 43261?
The work RVU for CPT 43261 is 6.00. This code is primarily used by Gastroenterology, Surgery, Radiology.
When is CPT 43261 used?
Primary diagnostic tool for evaluation of biliary and pancreatic disorders including obstruction, strictures, and suspected malignancy; essential for therapy guidance.
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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.