43262 Endoscopic cholangiopancreatograph
Also known as: ERCP therapeutic, therapeutic cholangiography, pancreatic duct therapy, ERCP with sphincterotomy
Endoscopic retrograde cholangiopancreatography with additional diagnostic imaging or therapeutic intervention on the pancreatic or biliary ductal system. This therapeutic ERCP procedure.
In Plain Language
treating blockage in bile duct; therapeutic pancreas procedure
Clinical Context
Includes therapeutic components such as sphincterotomy, stone extraction, stent placement, or stricture dilation; most ERCP procedures are therapeutic.
RVU Breakdown
| Work RVU | 6.34 |
| Total RVU | 6.34 |
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 6.34, this code ranks in the 42nd 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 43262?
CPT 43262 (Endoscopic cholangiopancreatograph) is a Surgery code. Endoscopic retrograde cholangiopancreatography with additional diagnostic imaging or therapeutic intervention on the pancreatic or biliary ductal system. This therapeutic ERCP procedure.
What is the wRVU value for CPT 43262?
The work RVU for CPT 43262 is 6.34. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43262 used?
Includes therapeutic components such as sphincterotomy, stone extraction, stent placement, or stricture dilation; most ERCP procedures are therapeutic.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.