43400 Ligate esophagus veins
Also known as: esophageal variceal ligation, open esophageal ligation, variceal ligation
Ligation and division of esophageal varices via open approach for control of variceal bleeding. This procedure interrupts blood flow to bleeding varices.
In Plain Language
tying off bleeding varices surgically; ligation of esophageal varices
Clinical Context
Surgical treatment for bleeding esophageal varices when endoscopic therapy fails or is contraindicated; high mortality procedure.
RVU Breakdown
| Work RVU | 24.96 |
| Total RVU | 24.96 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 24.96, this code ranks in the 89th percentile among Surgery codes — 3.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43400?
CPT 43400 (Ligate esophagus veins) is a Surgery code. Ligation and division of esophageal varices via open approach for control of variceal bleeding. This procedure interrupts blood flow to bleeding varices.
What is the wRVU value for CPT 43400?
The work RVU for CPT 43400 is 24.96. This code is primarily used by Surgery, Hepatic Surgery. It has a 90-day global period.
When is CPT 43400 used?
Surgical treatment for bleeding esophageal varices when endoscopic therapy fails or is contraindicated; high mortality procedure.
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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.