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43275 Ercp remove forgn body duct

Surgery Global 0d

Also known as: ERCP foreign body removal, ductal foreign body retrieval, retained stent removal

Endoscopic retrograde cholangiopancreatography with removal of a foreign body from the pancreatic or biliary duct. This therapeutic procedure retrieves retained objects.

In Plain Language

removing stuck object from bile duct; retrieving lost stent

Clinical Context

Treatment for retained stents, tissue fragments, or accidentally lodged objects in biliary or pancreatic ducts; prevents infection and obstruction.

RVU Breakdown

Work RVU6.69
Total RVU6.69

Est. Medicare Payment

$223.45

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 6.69, this code ranks in the 44th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

GastroenterologySurgery

Frequently Asked Questions

What is CPT code 43275?

CPT 43275 (Ercp remove forgn body duct) is a Surgery code. Endoscopic retrograde cholangiopancreatography with removal of a foreign body from the pancreatic or biliary duct. This therapeutic procedure retrieves retained objects.

What is the wRVU value for CPT 43275?

The work RVU for CPT 43275 is 6.69. This code is primarily used by Gastroenterology, Surgery.

When is CPT 43275 used?

Treatment for retained stents, tissue fragments, or accidentally lodged objects in biliary or pancreatic ducts; prevents infection and obstruction.

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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.