43497 Transorl lower esophgl myotomy
Also known as: peroral endoscopic myotomy, POEM, transoral myotomy
Transoral endoscopic lower esophageal myotomy with creation of submucosal tunnel for treatment of achalasia. This minimally invasive procedure divides the myotomy endoscopically.
Clinical Context
Emerging minimally invasive alternative to surgical myotomy for achalasia; provides excellent symptom relief with reduced postoperative morbidity.
RVU Breakdown
| Work RVU | 12.96 |
| Practice Expense RVU | 6.75 |
| Malpractice RVU | 1.80 |
| Total RVU | 21.51 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.