43277 Ercp each duct/ampulla dilate
Also known as: ERCP ampullary dilation, sphincterotomy with dilation, ampulla dilation
Endoscopic retrograde cholangiopancreatography with dilation of the pancreatic or biliary duct and ampulla of Vater. This therapeutic procedure improves ductal drainage.
In Plain Language
opening the pancreas and bile duct opening; ampullary dilation
Clinical Context
Therapeutic ERCP for ductal obstruction, strictures, or sphincter of Oddi dysfunction; improves flow and reduces pressure gradients.
RVU Breakdown
| Work RVU | 6.73 |
| Total RVU | 6.73 |
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 6.73, 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
Frequently Asked Questions
What is CPT code 43277?
CPT 43277 (Ercp each duct/ampulla dilate) is a Surgery code. Endoscopic retrograde cholangiopancreatography with dilation of the pancreatic or biliary duct and ampulla of Vater. This therapeutic procedure improves ductal drainage.
What is the wRVU value for CPT 43277?
The work RVU for CPT 43277 is 6.73. This code is primarily used by Gastroenterology, Surgery.
When is CPT 43277 used?
Therapeutic ERCP for ductal obstruction, strictures, or sphincter of Oddi dysfunction; improves flow and reduces pressure gradients.
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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.