43279 Laparoscopic myotomy heller
Also known as: lap Heller myotomy, laparoscopic myotomy, POEM alternative
Laparoscopic Heller myotomy with partial anterior fundoplication for treatment of esophageal achalasia. This minimally invasive surgical procedure divides the circular muscle of the lower esophageal sphincter.
In Plain Language
cutting muscle at bottom of esophagus; minimally invasive myotomy
Clinical Context
Gold standard surgical treatment for achalasia providing durable symptom relief; laparoscopic approach reduces morbidity compared to open surgery.
RVU Breakdown
| Work RVU | 21.55 |
| Total RVU | 21.55 |
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 21.55, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43279?
CPT 43279 (Laparoscopic myotomy heller) is a Surgery code. Laparoscopic Heller myotomy with partial anterior fundoplication for treatment of esophageal achalasia. This minimally invasive surgical procedure divides the circular muscle of the lower esophageal sphincter.
What is the wRVU value for CPT 43279?
The work RVU for CPT 43279 is 21.55. This code is primarily used by Surgery, Thoracic Surgery, Gastroenterology. It has a 90-day global period.
When is CPT 43279 used?
Gold standard surgical treatment for achalasia providing durable symptom relief; laparoscopic approach reduces morbidity compared to open surgery.
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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.