43130 Removal of esophagus pouch
Also known as: esophageal diverticulectomy, Zenker's diverticulum removal
Esophageal diverticulotomy or removal of esophageal diverticulum (outpouching of esophageal wall) via external approach.
In Plain Language
surgical removal of esophageal pouch
Clinical Context
Performed for Zenker's diverticulum, traction diverticulum, or other esophageal outpouching causing dysphagia or aspiration. External approach with diverticulopexy.
RVU Breakdown
| Work RVU | 12.22 |
| Total RVU | 12.22 |
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 12.22, this code ranks in the 65th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43130?
CPT 43130 (Removal of esophagus pouch) is a Surgery code. Esophageal diverticulotomy or removal of esophageal diverticulum (outpouching of esophageal wall) via external approach.
What is the wRVU value for CPT 43130?
The work RVU for CPT 43130 is 12.22. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 43130 used?
Performed for Zenker's diverticulum, traction diverticulum, or other esophageal outpouching causing dysphagia or aspiration. External approach with diverticulopexy.
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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.