43264 Ercp remove duct calculi
Also known as: ERCP stone extraction, bile duct stone removal, pancreatic duct clearance, ERCP with stone removal
Endoscopic retrograde cholangiopancreatography with removal of ductal calculi from the pancreatic or biliary duct. This therapeutic procedure extracts stones.
In Plain Language
removing gallstones from bile duct; stone extraction from pancreas duct
Clinical Context
Standard treatment for choledocholithiasis; prevents recurrent pancreatitis and cholangitis; majority of common bile duct stones extracted successfully at ERCP.
RVU Breakdown
| Work RVU | 6.46 |
| Total RVU | 6.46 |
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 6.46, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43264?
CPT 43264 (Ercp remove duct calculi) is a Surgery code. Endoscopic retrograde cholangiopancreatography with removal of ductal calculi from the pancreatic or biliary duct. This therapeutic procedure extracts stones.
What is the wRVU value for CPT 43264?
The work RVU for CPT 43264 is 6.46. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43264 used?
Standard treatment for choledocholithiasis; prevents recurrent pancreatitis and cholangitis; majority of common bile duct stones extracted successfully at ERCP.
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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.