43112 Esphg tot with thrcm
Also known as: esophagectomy with thoracotomy, complex esophageal resection
Esophagectomy (total removal of the esophagus) with thoracotomy (thoracic approach) and reconstruction via multiple procedures.
In Plain Language
extensive esophageal removal surgery with chest opening
Clinical Context
Performed for complex esophageal pathology requiring thoracotomy and extensive reconstruction. Higher morbidity but necessary for certain tumors or strictures.
RVU Breakdown
| Work RVU | 60.45 |
| Total RVU | 60.45 |
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 60.45, this code ranks in the 99th percentile among Surgery codes — 7.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43112?
CPT 43112 (Esphg tot with thrcm) is a Surgery code. Esophagectomy (total removal of the esophagus) with thoracotomy (thoracic approach) and reconstruction via multiple procedures.
What is the wRVU value for CPT 43112?
The work RVU for CPT 43112 is 60.45. This code is primarily used by Thoracic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 43112 used?
Performed for complex esophageal pathology requiring thoracotomy and extensive reconstruction. Higher morbidity but necessary for certain tumors or strictures.
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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.