43135 Removal of esophagus pouch
Also known as: complex diverticulectomy, diverticulectomy with myotomy
Esophageal diverticulotomy with complex reconstruction or diverticulopexy with myotomy to address associated pharyngeal dysfunction.
In Plain Language
removal of esophageal pouch with additional muscle surgery
Clinical Context
Performed for complicated esophageal diverticula requiring associated cricopharyngeal myotomy or esophageal myotomy. Addresses both diverticulum and associated dysfunction.
RVU Breakdown
| Work RVU | 25.52 |
| Total RVU | 25.52 |
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 25.52, this code ranks in the 89th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43135?
CPT 43135 (Removal of esophagus pouch) is a Surgery code. Esophageal diverticulotomy with complex reconstruction or diverticulopexy with myotomy to address associated pharyngeal dysfunction.
What is the wRVU value for CPT 43135?
The work RVU for CPT 43135 is 25.52. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 43135 used?
Performed for complicated esophageal diverticula requiring associated cricopharyngeal myotomy or esophageal myotomy. Addresses both diverticulum and associated dysfunction.
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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.