43276 Ercp stent exchange with dilate
Also known as: ERCP stent exchange, stricture dilation with stent exchange, ductal stent exchange
Endoscopic retrograde cholangiopancreatography with stent exchange and dilation of a strictured pancreatic or biliary duct. This therapeutic procedure replaces stents and improves patency.
In Plain Language
replacing stent in bile duct; opening stricture and changing stent
Clinical Context
Performed for long-standing strictures requiring serial stent exchanges; progressive upseizing or dilation achieves stricture resolution.
RVU Breakdown
| Work RVU | 8.62 |
| Total RVU | 8.62 |
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 8.62, this code ranks in the 53rd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43276?
CPT 43276 (Ercp stent exchange with dilate) is a Surgery code. Endoscopic retrograde cholangiopancreatography with stent exchange and dilation of a strictured pancreatic or biliary duct. This therapeutic procedure replaces stents and improves patency.
What is the wRVU value for CPT 43276?
The work RVU for CPT 43276 is 8.62. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43276 used?
Performed for long-standing strictures requiring serial stent exchanges; progressive upseizing or dilation achieves stricture resolution.
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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.