43330 Esophagomyotomy abdominal
Also known as: abdominal myotomy, Heller myotomy open, esophagomyotomy
Esophagomyotomy with creation of esophageal opening via abdominal approach for treatment of achalasia or esophageal spasm. This divides the circular muscle layer.
In Plain Language
cutting muscle ring at bottom of esophagus; abdominal myotomy
Clinical Context
Open surgical approach to achalasia; provides durable relief of dysphagia and regurgitation; commonly combined with fundoplication.
RVU Breakdown
| Work RVU | 21.64 |
| Total RVU | 21.64 |
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 21.64, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43330?
CPT 43330 (Esophagomyotomy abdominal) is a Surgery code. Esophagomyotomy with creation of esophageal opening via abdominal approach for treatment of achalasia or esophageal spasm. This divides the circular muscle layer.
What is the wRVU value for CPT 43330?
The work RVU for CPT 43330 is 21.64. This code is primarily used by Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 43330 used?
Open surgical approach to achalasia; provides durable relief of dysphagia and regurgitation; commonly combined with fundoplication.
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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.