43121 Partial removal of esophagus
Also known as: esophageal replacement with colon, colon interposition
Total esophageal replacement with colon interposition graft via abdominal and thoracic approaches.
In Plain Language
replacement of esophagus with colon segment
Clinical Context
Performed for extensive esophageal pathology unsuitable for gastric conduit. Used when stomach is unavailable or unsuitable for reconstruction.
RVU Breakdown
| Work RVU | 50.14 |
| Total RVU | 50.14 |
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 50.14, this code ranks in the 99th percentile among Surgery codes — 6.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43121?
CPT 43121 (Partial removal of esophagus) is a Surgery code. Total esophageal replacement with colon interposition graft via abdominal and thoracic approaches.
What is the wRVU value for CPT 43121?
The work RVU for CPT 43121 is 50.14. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 43121 used?
Performed for extensive esophageal pathology unsuitable for gastric conduit. Used when stomach is unavailable or unsuitable for reconstruction.
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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.