2025 CPT code 43124
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Esophagus Digestive System Feed
Partial or total esophagectomy without reconstruction, with cervical esophagostomy.
Modifiers may apply depending on the circumstances of the procedure.Consult the CPT manual for a detailed explanation of the modifiers and their applicability.
The procedure is medically necessary for patients with esophageal cancer, severe esophageal injury, or spontaneous esophageal rupture when other less invasive treatments are not appropriate or have failed.
The surgeon is responsible for all aspects of the procedure, including pre-operative assessment, surgical technique, and post-operative care.
In simple words: The doctor removes all or part of the food tube (esophagus) connecting your mouth to your stomach without rebuilding it.They make an opening in your neck and connect the remaining esophagus to it to drain fluids from your mouth and nose.
This procedure involves the surgical removal of all or part of the esophagus without reconstruction.A cervical esophagostomy is created, connecting the remaining upper portion of the esophagus to an opening in the neck. The procedure may be performed to remove cancerous or severely damaged portions of the esophagus, or to repair spontaneous ruptures.The surgeon makes incisions in the neck, chest, or abdomen, removes the specified portion of the esophagus, closes the cut ends of the esophagus and stomach, and creates the esophagostomy, connecting it to an appliance for drainage. The incisions are then closed in layers.
Example 1: A 65-year-old male presents with esophageal cancer.A total esophagectomy without reconstruction and cervical esophagostomy is performed., A 40-year-old female suffers a severe caustic injury to her esophagus. Partial esophagectomy without reconstruction and cervical esophagostomy is performed to remove the damaged tissue., A 70-year-old patient experiences a spontaneous esophageal rupture.Partial esophagectomy without reconstruction and cervical esophagostomy are performed to repair the rupture and manage the resulting complications.
** This code is for esophagectomy without reconstruction.If reconstruction is performed, different codes apply.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires access to a specific payer's fee schedule and may vary based on location and other factors.RVUs are not directly provided in the source data.
- Global Days: The global surgical period for this procedure is not specified in the provided data and varies depending on payer and other factors.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier is not directly addressed in the provided data and is dependent on the specific circumstances and payer policies.
- Fee Schedule: Historical fee schedule data is not available in this dataset.Refer to publicly available fee schedules for historical pricing information.
- Specialties:Thoracic Surgery, General Surgery, Gastroenterology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center