43290 Egd flx trnsorl dplmnt balo
Also known as: EGD intragastric balloon placement, gastric balloon insertion, Orbera balloon
Esophagogastroduodenoscopy with flexible transoral endoscopic placement of an intragastric balloon for weight loss. This bariatric procedure deploys the balloon device.
In Plain Language
placing balloon in stomach for weight loss; intragastric balloon placement
Clinical Context
Temporary bariatric treatment for obesity; balloon remains in place for 6 months providing early satiety and facilitating weight loss with lifestyle changes.
RVU Breakdown
| Work RVU | 3.03 |
| Total RVU | 3.03 |
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 3.03, this code ranks in the 21st percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43290?
CPT 43290 (Egd flx trnsorl dplmnt balo) is a Surgery code. Esophagogastroduodenoscopy with flexible transoral endoscopic placement of an intragastric balloon for weight loss. This bariatric procedure deploys the balloon device.
What is the wRVU value for CPT 43290?
The work RVU for CPT 43290 is 3.03. This code is primarily used by Gastroenterology, Bariatric Surgery.
When is CPT 43290 used?
Temporary bariatric treatment for obesity; balloon remains in place for 6 months providing early satiety and facilitating weight loss with lifestyle changes.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.