5. ALTERNATIVAS DE ABASTECIMIENTO
5.7 ALTERNATIVA DE ABASTECIMIENTO 6
43020 Esophagotomy, cervical approach, with removal of foreign body 43030 Cricopharyngeal myotomy
43045 Esophagotomy, thoracic approach, with removal of foreign body
EXCISION
43100 Excision of lesion, esophagus, with primary repair; cervical approach 43101 thoracic or abdominal approach
43107 Total or near total esophagectomy, without thoracotomy; with
pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)
43108 with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)
43112 Total or near total esophagectomy, with thoracotomy; with
pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty
43113 with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43116 Partial esophagectomy, cervical, with free intestinal graft, including
microvascular anastomosis, obtaining the graft and intestinal reconstruction 43117 Partial esophagectomy, distal two-thirds, with thoracotomy and separate
abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)
43118 with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43121 Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
43122 Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty
43123 with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43124 Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy
43130 Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach
43135 thoracic approach
ENDOSCOPY
43180 Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx
or cervical esophagus (eg, Zenker’s diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed
(Do not report 43180 in conjunction with 69990)
43191 Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure)
43192 with directed submucosal injection(s), any substance 43193 with biopsy, single or multiple
43194 with removal of foreign body(s)
43195 with balloon dilation (less than 30 mm diameter)
43196 with insertion of guide wire followed by dilation over guide wire 43197 Esophagoscopy, flexible, transnasal; diagnostic, including collection of
specimen(s) by brushing or washing, when performed (separate procedure) 43198 with biopsy, single or multiple
43200 Esophagoscopy, flexible; transoral; diagnostic, including collection of
specimen(s) by brushing or washing, when performed (separate procedure) 43201 with directed submucosal injection(s), any substance
43202 with biopsy, single or multiple
43204 with injection sclerosis of esophageal varices 43205 with band ligation of esophageal varices 43206 with optical endomicroscopy
43215 with removal of foreign body(s)
43216 with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps 43217 with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 43211 with endoscopic mucosal resection
43212 with placement of endoscopic stent (includes pre and post-dilation and guide wire passage, when performed)
43220 with transendoscopic balloon dilation (less than 30 mm diameter) 43213 with dilation of esophagus by balloon or dilator, retrograde (includes
fluoroscopic guidance, when performed)
43214 with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)
43226 with insertion of guide wire followed by passage of dilator(s) over guide wire
43227 with control of bleeding, any method
43229 with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre and post-dilation and guide wire passage, when performed)
43231 with endoscopic ultrasound examination
(Do not report 43231 in conjunction with 76975)
43232 with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)
43235 Esophogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 43236 with directed submucosal injection(s), any substance
43237 with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum and adjacent structures
43238 with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), esophagus (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures)
43239 with biopsy, single or multiple
43240 with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed and endoscopic ultrasound, when performed)
43241 with insertion of intraluminal tube or catheter
43242 with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastamosis) 43243 with injection sclerosis of esophageal gastric varices
43244 with band ligation of esophageal gastric varices
43245 with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) (Do not report 43245 in conjunction with 43256)
43246 with directed placement of percutaneous gastrostomy tube 43247 with removal of foreign body(s)
43248 with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire
43249 with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)
43233 with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)
43250 with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps 43251 with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 43252 with optical endomicroscopy
43253 with transendoscopic ultrasound-guided transmural injection or diagnostic or therapeutic substances(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophogus, stomach and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)
43254 with endoscopic mucosal resection 43255 with control of bleeding, any method
43266 with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)
43257 with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophogeal reflux disease
43270 with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)
43259 with endoscopic ultrasound examination, including the esophagus,
stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis
43260 Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
43261 with biopsy, single or multiple 43262 with sphincterotomy/papillotomy
43263 with pressure measurement of sphincter of Oddi
43264 with removal of calculi/debris from biliary pancreatic duct(s)
43265 with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)
43273 Endoscopic cannulation of papilla with direct visualization of
pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)
43274 with placement of endoscopic stent into biliary or pancreatic duct,
including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent
43275 with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) 43276 with removal and exchange of stent(s), biliary or pancreatic duct, including
pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged
43277 with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty) including sphincterotomy, when performed, each duct
43278 with ablation of tumor(s), polyp(s), or other lesion(s) including pre- and post-dilation and guide wire passage, when performed
LAPAROSCOPY
Surgical laparoscopy always includes diagnostic laparoscopy.
43279 Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed
(Do not report 43279 in conjunction with 43280)
43280 Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)
(Do not report 43280 in conjunction with 43279)
43281 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh
43282 with implantation of mesh
(Do not report 43281, 43282 in conjunction with 43280, 43450, 43453, 43456, 43458, 49568)
43283 Laparoscopy, surgical, esophageal lengthening procedure (eg, Collins gastroplasty or wedge gastroplasty)
(List separately in addition to primary procedure) (Use 43283 in conjunction with 43280, 43281, 43282) 43289 Unlisted laparoscopy procedure, esophagus
REPAIR
43300 Esophagoplasty, (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula
43305 with repair of tracheoesophageal fistula
43310 Esophagoplasty, (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula
43312 with repair of tracheoesophageal fistula
43313 Esophagoplasty for congenital defect, (plastic repair or reconstruction), thoracic approach, without repair of congenital tracheoesophageal fistula
(Report required)
43314 with repair of congenital tracheoesophageal fistula (Report required) (Do not report modifier –63 in conjunction with 43313, 43314)
43320 Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach
43327 Esophagogastric fundoplasty partial or complete; laparotomy 43328 thoracotomy
43330 Esophagomyotomy (Heller type); abdominal approach 43331 thoracic approach
43332 Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis
43333 with implantation of mesh or other prosthesis
43334 Repair, paraesophageal hiatal hernia (including fundoplication), via
thoracotomy, except neonatal; without implantation of mesh or other prosthesis 43335 with implantation of mesh or other prosthesis
43336 Repair, paraesophageal hiatal hernia, (including fundoplication), via
thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis
43337 with implantation of mesh or other prosthesis
43338 Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty)
(List separately in addition to primary procedure) (Use 43338 in conjunction with 43280, 43327-43337)
43340 Esophagojejunostomy (without total gastrectomy); abdominal approach 43341 thoracic approach
43351 Esophagostomy, fistulization of esophagus, external; thoracic approach 43352 cervical approach
43360 Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
43361 with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43400 Ligation, direct, esophageal varices
43401 Transection of esophagus with repair, for esophageal varices
43405 Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation
43410 Suture of esophageal wound or injury; cervical approach (Report required) 43415 transthoracic or transabdominal approach
43420 Closure of esophagostomy or fistula; cervical approach 43425 transthoracic or transabdominal approach
MANIPULATION
43450 Dilation of esophagus; by unguided sound or bougie, single or multiple passes 43453 over guide wire
OTHER PROCEDURES
43496 Free jejunum transfer with microvascular anastomosis 43499 Unlisted procedure, esophagus
STOMACH