2025 CPT code 43112
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (i.e., McKeown esophagectomy or tri-incisional esophagectomy).
Modifiers may be applicable depending on specific circumstances (e.g., increased procedural services, assistant surgeon).
Medical necessity must be established based on the underlying condition requiring esophagectomy. This could include malignancy, severe esophageal damage or stricture, or spontaneous rupture.
The physician performs a total or near-total esophagectomy through a thoracotomy.This includes detaching and removing the esophagus, then connecting the stomach to either the pharynx or the remaining cervical esophagus.The procedure may also involve a pyloroplasty.
In simple words: This procedure removes most or all of the food pipe (esophagus). The surgeon makes cuts in the chest, neck, and belly. The stomach is then connected to the throat or what's left of the food pipe. Sometimes, the surgeon also widens the opening between the stomach and the small intestine to help food move along more easily.
This procedure involves the removal of all or most of the esophagus. The surgeon makes incisions in the chest, neck, and abdomen. The esophagus is detached and removed. The stomach is then brought up into the chest and attached to either the remaining cervical esophagus or the pharynx. A pyloroplasty (widening of the pyloric opening) may be performed to facilitate easier passage of food from the stomach into the small intestine.
Example 1: A patient with esophageal cancer requires complete removal of the esophagus., A patient has severe damage to the esophagus from ingesting a corrosive substance, necessitating esophagectomy., A patient presents with a spontaneous esophageal rupture requiring surgical repair involving esophagectomy.
Documentation should include operative report detailing the extent of the esophagectomy, the type of reconstruction performed (pharyngogastrostomy or cervical esophagogastrostomy), whether a pyloroplasty was performed, and any intraoperative findings or complications. Preoperative diagnostic studies, such as imaging and endoscopic findings, should also be documented.
- Specialties:Thoracic Surgery, General Surgery
- Place of Service:Inpatient Hospital