43030 Cricopharyngeal myotomy
Also known as: cricopharyngeal myotomy, CP myotomy
Cricopharyngeal myotomy (division of the cricopharyngeal muscle) to relieve pharyngeal obstruction or improve swallowing.
In Plain Language
surgery to divide throat muscle for better swallowing; throat muscle release surgery
Clinical Context
Performed for cricopharyngeal achalasia, dysphagia lusoria, or Zenker's diverticulum. Improves pharyngeal-esophageal transition and swallowing.
RVU Breakdown
| Work RVU | 7.79 |
| Total RVU | 7.79 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.79, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43030?
CPT 43030 (Cricopharyngeal myotomy) is a Surgery code. Cricopharyngeal myotomy (division of the cricopharyngeal muscle) to relieve pharyngeal obstruction or improve swallowing.
What is the wRVU value for CPT 43030?
The work RVU for CPT 43030 is 7.79. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 43030 used?
Performed for cricopharyngeal achalasia, dysphagia lusoria, or Zenker's diverticulum. Improves pharyngeal-esophageal transition and swallowing.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.