43122 Partial removal of esophagus
Also known as: esophageal replacement with jejunum, jejunal interposition
Total esophageal replacement with small bowel (jejunal) interposition graft via combined thoracic and abdominal approaches.
In Plain Language
replacement of esophagus with small bowel segment
Clinical Context
Performed for complex esophageal pathology when stomach or colon unsuitable. Requires microvascular anastomosis if using free flap.
RVU Breakdown
| Work RVU | 43.08 |
| Total RVU | 43.08 |
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 43.08, this code ranks in the 98th percentile among Surgery codes — 5.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43122?
CPT 43122 (Partial removal of esophagus) is a Surgery code. Total esophageal replacement with small bowel (jejunal) interposition graft via combined thoracic and abdominal approaches.
What is the wRVU value for CPT 43122?
The work RVU for CPT 43122 is 43.08. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 43122 used?
Performed for complex esophageal pathology when stomach or colon unsuitable. Requires microvascular anastomosis if using free flap.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.