43270 Egd lesion ablation
Also known as: EGD lesion ablation, endoscopic ablation, argon plasma coagulation, lap fundoplication, lap Nissen
Esophagogastroduodenoscopy with endoscopic ablation of esophageal or gastric lesion using non-thermal energy. This therapeutic procedure destroys mucosal lesions.
In Plain Language
burning off tumor lesion; energy ablation of abnormal tissue
Clinical Context
Treatment for Barrett's esophagus, angiodysplasia, and early gastric cancer; achieves tissue destruction through coagulation and necrosis.
RVU Breakdown
| Work RVU | 3.91 |
| Total RVU | 3.91 |
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 3.91, 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 43270?
CPT 43270 (Egd lesion ablation) is a Surgery code. Esophagogastroduodenoscopy with endoscopic ablation of esophageal or gastric lesion using non-thermal energy. This therapeutic procedure destroys mucosal lesions.
What is the wRVU value for CPT 43270?
The work RVU for CPT 43270 is 3.91. This code is primarily used by Gastroenterology, Oncology, Surgery.
When is CPT 43270 used?
Treatment for Barrett's esophagus, angiodysplasia, and early gastric cancer; achieves tissue destruction through coagulation and necrosis.
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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.