CPT 43263
Ercp sphincter pressure meas
CPT 43263 at a glance
- Code
- 43263
- Code type
- CPT/HCPCS
- Short descriptor
- Ercp sphincter pressure meas
- Category
- ASC Surgical
- ASC payment status
- Payable in an ASC (surgical)
- CMS addendum
- AA (Surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is CPT code 43263?
CPT 43263 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Ercp sphincter pressure meas". In the ASC context it is grouped under ASC Surgical.
Is CPT 43263 payable in an ambulatory surgery center (ASC)?
CPT 43263 appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.
Where is CPT 43263 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Which specialties use CPT 43263?
CPT 43263 is most associated with Gastroenterology, General Surgery.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.