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CPT 43107: Esophagectomy with Cervical Esophagogastric Reconstruction
CPT code 43107 denotes an esophagectomy with cervical esophagogastric reconstruction performed without a thoracic (chest) incision. This major surgical code captures procedures in which most or all of the esophagus is removed and the stomach is brought up to the pharynx or cervical esophagus, sometimes with widening of the gastric outlet. Nationally, this code is relevant for hospitals, surgical specialists, and payers because it represents high-acuity inpatient surgical care with significant resource utilization and postoperative management needs. Key payers commonly involved in coverage and payment for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical scope and billing context of CPT code 43107, the typical site of service and service type, and what to expect in terms of clinical setting and resource intensity. The publication also provides benchmarks and policy-relevant context where available, as well as clinical considerations tied to the procedure type. Data not available in the input will be indicated as such.
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Billing Code Overview
CPT code 43107 describes a surgical procedure in which the provider removes all or most of the esophagus (esophagectomy) and then connects the stomach to the pharynx or the cervical esophagus without using a chest incision. The procedure may include widening the opening at the bottom of the stomach (pyloroplasty or pyloromyotomy) as part of the reconstruction.
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Service type: Major surgical resection with cervical esophagogastric reconstruction
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Typical site of service: Inpatient hospital (operating room and postoperative inpatient care)
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