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CPT 43279: Laparoscopic Esophagomyotomy, With or Without Fundoplasty
CPT code 43279 represents a laparoscopic esophagomyotomy, a minimally invasive foregut surgery that involves cutting the esophageal muscle and may include a fundoplasty to reduce gastroesophageal reflux. Nationally, this procedure is an important surgical option for patients with achalasia and other obstructive esophageal motility disorders; it influences surgical practice patterns, facility utilization, and payer coverage policies across hospital and ambulatory surgery settings.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for the procedure, common settings where the service is delivered, and the types of benchmarks and policy issues typically examined for surgical foregut procedures, including utilization metrics, site-of-service considerations, and coverage criteria. The publication also outlines common modifier usage and payer-specific administrative considerations when available.
This summary is intended for a national audience of policy analysts, billing managers, and clinical administrators who need concise clinical and billing context for CPT code 43279. Data not provided in the input are noted explicitly where relevant.
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Billing Code Overview
CPT code 43279 describes a laparoscopic esophagomyotomy, a surgical procedure in which the provider cuts the muscular layer of the esophagus to relieve obstructive motility disorders. The procedure may include a fundoplasty, in which part of the stomach is wrapped around the esophagus to reduce reflux.
Service type: Surgical — minimally invasive (laparoscopic) foregut surgery
Typical site of service: Operating room or ambulatory surgery center
Data not available in the input.