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43286 Esphg tot with laps moblj

Surgery Global 90d

Also known as: lap total esophagectomy, laparoscopic esophagectomy, total esophageal resection

Total laparoscopic esophagectomy with abdominal mobilization of the esophagus and esophagogastric anastomosis. This major surgical procedure removes the entire esophagus.

In Plain Language

removing entire esophagus surgically; total esophagus removal

Clinical Context

Treatment for esophageal cancer, end-stage achalasia, or severe caustic injury; high morbidity procedure with significant postoperative recovery.

RVU Breakdown

Work RVU53.63
Total RVU53.63

Est. Medicare Payment

$1,791.24

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 53.63, this code ranks in the 99th percentile among Surgery codes — 6.7x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Thoracic SurgerySurgical Oncology

Frequently Asked Questions

What is CPT code 43286?

CPT 43286 (Esphg tot with laps moblj) is a Surgery code. Total laparoscopic esophagectomy with abdominal mobilization of the esophagus and esophagogastric anastomosis. This major surgical procedure removes the entire esophagus.

What is the wRVU value for CPT 43286?

The work RVU for CPT 43286 is 53.63. This code is primarily used by Thoracic Surgery, Surgical Oncology. It has a 90-day global period.

When is CPT 43286 used?

Treatment for esophageal cancer, end-stage achalasia, or severe caustic injury; high morbidity procedure with significant postoperative recovery.

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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.