43331 Esophagomyotomy thoracic
Also known as: thoracic myotomy, Heller myotomy thoracic, transthoracic esophagomyotomy
Esophagomyotomy via thoracic approach for treatment of achalasia or esophageal dysfunction. This divides the circular muscle through the chest.
In Plain Language
cutting muscle ring via chest approach; thoracic myotomy
Clinical Context
Alternative thoracic approach for achalasia; selected for patient preference or anatomic considerations; combined with fundoplication.
RVU Breakdown
| Work RVU | 22.48 |
| Total RVU | 22.48 |
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 22.48, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43331?
CPT 43331 (Esophagomyotomy thoracic) is a Surgery code. Esophagomyotomy via thoracic approach for treatment of achalasia or esophageal dysfunction. This divides the circular muscle through the chest.
What is the wRVU value for CPT 43331?
The work RVU for CPT 43331 is 22.48. This code is primarily used by Thoracic Surgery, Surgery. It has a 90-day global period.
When is CPT 43331 used?
Alternative thoracic approach for achalasia; selected for patient preference or anatomic considerations; 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.