43281 Laparoscopic paraesophag hern repair
Also known as: lap paraesophageal hernia repair, PEGH repair, laparoscopic hernia repair, lap fundoplication
Laparoscopic repair of paraesophageal hernia with reduction of herniated contents and primary tissue repair. This minimally invasive procedure treats hernias at the gastroesophageal junction.
In Plain Language
fixing hernia near esophagus; laparoscopic hernia repair
Clinical Context
Surgical repair of type II-IV hiatal hernias; prevents volvulus and incarceration which can cause severe morbidity.
RVU Breakdown
| Work RVU | 25.94 |
| Total RVU | 25.94 |
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 25.94, this code ranks in the 90th 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 43281?
CPT 43281 (Laparoscopic paraesophag hern repair) is a Surgery code. Laparoscopic repair of paraesophageal hernia with reduction of herniated contents and primary tissue repair. This minimally invasive procedure treats hernias at the gastroesophageal junction.
What is the wRVU value for CPT 43281?
The work RVU for CPT 43281 is 25.94. This code is primarily used by Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 43281 used?
Surgical repair of type II-IV hiatal hernias; prevents volvulus and incarceration which can cause severe morbidity.
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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.