43265 Ercp lithotripsy calculi
Also known as: ERCP lithotripsy, pancreatic lithotripsy, biliary stone fragmentation
Endoscopic retrograde cholangiopancreatography with extracorporeal shock wave lithotripsy of pancreatic or biliary ductal calculi for fragmentation. This therapeutic procedure fragments large stones.
Clinical Context
Used for large intrahepatic or choledochal stones that cannot be extracted intact; fragments enable subsequent extraction and reduce complications.
RVU Breakdown
| Work RVU | 7.73 |
| Practice Expense RVU | 2.68 |
| Malpractice RVU | 0.87 |
| Total RVU | 11.28 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.