43274 Ercp duct stent placement
Also known as: ERCP pancreatic stent, pancreatic duct stent placement, pancreatic ductal stenting, ERCP with stent placement
Endoscopic retrograde cholangiopancreatography with placement of a stent in the pancreatic duct. This therapeutic procedure maintains duct patency.
In Plain Language
inserting tube in pancreas duct; stent placement to open pancreas
Clinical Context
Used for pancreatic duct strictures from chronic pancreatitis, traumatic injury, or post-sphincterotomy; improves ductal flow and reduces pain.
RVU Breakdown
| Work RVU | 8.27 |
| Total RVU | 8.27 |
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 8.27, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43274?
CPT 43274 (Ercp duct stent placement) is a Surgery code. Endoscopic retrograde cholangiopancreatography with placement of a stent in the pancreatic duct. This therapeutic procedure maintains duct patency.
What is the wRVU value for CPT 43274?
The work RVU for CPT 43274 is 8.27. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43274 used?
Used for pancreatic duct strictures from chronic pancreatitis, traumatic injury, or post-sphincterotomy; improves ductal flow and reduces pain.
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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.