NY 243 loosely parallels the northern edge of the lake, serving several local roads that lead south to lakeside houses comprising the hamlet of Balcom Beach. Past the lake, the roadway heads eastward across an undeveloped part of the town of Caneadea, veering to the north and south as it runs along the base of several hills.
NY 243 closely follows the northern edge of the lake, intersecting several local roads that lead south to lakeside houses in Balcom Beach. Beyond the lake, the road continues eastward over an unoccupied area within Caneadea town, then veers north and south as it runs along the base of hills.