56 statistics on ERCP RVUs & reimbursement

Here are 56 statistics on RVUs and reimbursement for endoscopic retrograde cholangiopancreatography, according to Boston Scientific's 2014 Procedural Reimbursement Guide for Endoscopy.

ERCP, diagnostic including collection of specimens (CPT code 43260)

RVUs:
•    Work: 5.95
•    Total Office: 9.84
•    Total Facility: 9.84

Reimbursement:
•    Physician office: $352
•    Physician facility: $352
•    HOPD: $1,934
•    ASC: $1,068

ERCP with biopsy, single or multiple (CPT code 43261)
RVUs:
•    Work: 6.25
•    Total Office: 10.32
•    Total Facility: 10.32

Reimbursement:
•    Physician office: $370
•    Physician facility: $370
•    HOPD: $1,934
•    ASC: $1,068

ERCP with sphincterotomy/papillotomy (CPT code 43262)

RVUs:
•    Work: 6.60
•    Total Office: 10.89
•    Total Facility: 10.89

Reimbursement:
•    Physician office: $390
•    Physician facility: $390
•    HOPD: $1,934
•    ASC: $1.068
ERCP with pressure measurement of sphincter of Oddi (CPT code 43263)

RVUs:
•    Work: 6.60
•    Total Office: 10.90
•    Total Facility: 10.90

Reimbursement:
•    Physician office: $390
•    Physician facility: $390
•    HOPD: $1,934
•    ASC: $1,068

ERCP with removal of debris from biliary/pancreatic ducts (CPT code 43264)

RVUs:
•    Work: 6.73
•    Total Office: 11.10
•    Total Facility: 11.10

Reimbursement:
•    Physician office: $398
•    Physician facility: $398
•    HOPD: $1,934
•    ASC: $1,068

ERCP with destruction of calculi (CPT code 43265)

RVUs:
•    Work: 8.03
•    Total Office: 13.18
•    Total Facility: 13.18

Reimbursement:
•    Physician office: $472
•    Physician facility: $472
•    HOPD: $1,934
•    ASC: $1,068

ERCP with transendoscopic balloon dilation of biliary/pancreatic ducts (CPT code 43277)

RVUs:
•    Work: 7.0
•    Total Office: 11.54
•    Total Facility: 11.54

Reimbursement:
•    Physician office: $413
•    Physician facility: $413
•    HOPD: $1,934
•    ASC: $1,068

ERCP with ablation of tumors, polyps or lesions

RVUs:
•    Work: 7.99
•    Total Office: 13.12
•    Total Facility: 13.12

Reimbursement:
•    Physician office: $470
•    Physician facility: $470
•    HOPD: $1,934
•    ASC: $1,068

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