43313 Esophagoplasty congenital
Also known as: esophageal atresia repair, esophageal stenosis repair, esophagoplasty
Esophagoplasty for repair of congenital esophageal atresia or stenosis with creation of esophageal continuity. This pediatric surgical procedure restores esophageal patency.
In Plain Language
repairing birth defect of esophagus; creating esophageal opening
Clinical Context
Surgical treatment of congenital esophageal atresia and tracheoesophageal fistula; typically performed in immediate neonatal period.
RVU Breakdown
| Work RVU | 47.24 |
| Total RVU | 47.24 |
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 47.24, this code ranks in the 98th percentile among Surgery codes — 5.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43313?
CPT 43313 (Esophagoplasty congenital) is a Surgery code. Esophagoplasty for repair of congenital esophageal atresia or stenosis with creation of esophageal continuity. This pediatric surgical procedure restores esophageal patency.
What is the wRVU value for CPT 43313?
The work RVU for CPT 43313 is 47.24. This code is primarily used by Pediatric Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 43313 used?
Surgical treatment of congenital esophageal atresia and tracheoesophageal fistula; typically performed in immediate neonatal period.
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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.