43328 Esophageal fundoplasty thoracic
Also known as: thoracic fundoplication, transthoracic Belsey, thoracic anti-reflux surgery
Thoracic fundoplication with gastroplasty via thoracic approach for treatment of gastroesophageal reflux disease with esophageal dysmotility. This approach accesses the sphincter through the chest.
In Plain Language
anti-reflux surgery through chest; thoracic approach to GERD
Clinical Context
Alternative approach to GERD surgery via thoracotomy; reserved for specific patient populations such as short esophagus or prior abdominal surgery.
RVU Breakdown
| Work RVU | 19.41 |
| Total RVU | 19.41 |
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 19.41, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43328?
CPT 43328 (Esophageal fundoplasty thoracic) is a Surgery code. Thoracic fundoplication with gastroplasty via thoracic approach for treatment of gastroesophageal reflux disease with esophageal dysmotility. This approach accesses the sphincter through the chest.
What is the wRVU value for CPT 43328?
The work RVU for CPT 43328 is 19.41. This code is primarily used by Thoracic Surgery, Surgery. It has a 90-day global period.
When is CPT 43328 used?
Alternative approach to GERD surgery via thoracotomy; reserved for specific patient populations such as short esophagus or prior abdominal 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.