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43100 Excision of esophagus lesion

Surgery Global 90d

Also known as: esophageal lesion excision, esophageal polyp removal

Excision (removal) of a benign lesion of the esophagus with partial esophageal wall resection.

In Plain Language

removal of growth or lesion from esophagus; esophageal tissue removal

Clinical Context

Performed for benign esophageal lesions including polyps, cysts, lipomas, or duplications. Allows histologic diagnosis and definitive treatment.

RVU Breakdown

Work RVU9.42
Total RVU9.42

Est. Medicare Payment

$314.63

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 9.42, this code ranks in the 56th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Thoracic SurgeryGastroenterology

Frequently Asked Questions

What is CPT code 43100?

CPT 43100 (Excision of esophagus lesion) is a Surgery code. Excision (removal) of a benign lesion of the esophagus with partial esophageal wall resection.

What is the wRVU value for CPT 43100?

The work RVU for CPT 43100 is 9.42. This code is primarily used by Thoracic Surgery, Gastroenterology. It has a 90-day global period.

When is CPT 43100 used?

Performed for benign esophageal lesions including polyps, cysts, lipomas, or duplications. Allows histologic diagnosis and definitive treatment.

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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.