43312 Repair esophagus and fistula
Also known as: complex esophageal repair, esophageal repair with anastomosis, fistula repair with reconstruction
Repair of esophageal laceration with esophagogastric or esophagocolonic anastomosis and fistula repair. This major surgical procedure addresses complex esophageal defects.
In Plain Language
major surgery to repair esophageal damage; reconstruction with fistula closure
Clinical Context
Complex reconstruction for severe perforations with fistulization; often requires additional flap procedures and intensive perioperative care.
RVU Breakdown
| Work RVU | 28.52 |
| Total RVU | 28.52 |
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 28.52, this code ranks in the 91st percentile among Surgery codes — 3.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43312?
CPT 43312 (Repair esophagus and fistula) is a Surgery code. Repair of esophageal laceration with esophagogastric or esophagocolonic anastomosis and fistula repair. This major surgical procedure addresses complex esophageal defects.
What is the wRVU value for CPT 43312?
The work RVU for CPT 43312 is 28.52. This code is primarily used by Thoracic Surgery, Surgery. It has a 90-day global period.
When is CPT 43312 used?
Complex reconstruction for severe perforations with fistulization; often requires additional flap procedures and intensive perioperative care.
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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.