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.
In Plain Language
endoscopic cutting muscle at bottom of esophagus; peroral myotomy
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 |
| Total RVU | 12.96 |
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 12.96, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43497?
CPT 43497 (Transorl lower esophgl myotomy) is a Surgery code. Transoral endoscopic lower esophageal myotomy with creation of submucosal tunnel for treatment of achalasia. This minimally invasive procedure divides the myotomy endoscopically.
What is the wRVU value for CPT 43497?
The work RVU for CPT 43497 is 12.96. This code is primarily used by Gastroenterology, Surgery. It has a 90-day global period.
When is CPT 43497 used?
Emerging minimally invasive alternative to surgical myotomy for achalasia; provides excellent symptom relief with reduced postoperative morbidity.
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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.