43333 Transab esophageal hiat hern repair
Also known as: transabdominal hernia repair with esophageal lengthening, complex hiatal hernia repair, Collis gastroplasty
Transabdominal hiatal hernia repair with esophageal lengthening or other esophageal reconstruction when required. This complex repair addresses large hernias.
In Plain Language
repairing large hernia and lengthening esophagus; complex hiatal repair
Clinical Context
Performed for large type III hernias where standard repair would cause excessive tension; esophageal lengthening allows safe closure.
RVU Breakdown
| Work RVU | 20.92 |
| Total RVU | 20.92 |
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 20.92, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43333?
CPT 43333 (Transab esophageal hiat hern repair) is a Surgery code. Transabdominal hiatal hernia repair with esophageal lengthening or other esophageal reconstruction when required. This complex repair addresses large hernias.
What is the wRVU value for CPT 43333?
The work RVU for CPT 43333 is 20.92. This code is primarily used by Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 43333 used?
Performed for large type III hernias where standard repair would cause excessive tension; esophageal lengthening allows safe closure.
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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.