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CPT 43502: Repair of Lower Esophageal Laceration to Control Bleeding
CPT code 43502 denotes surgical suture repair of a preexisting laceration involving the lower esophagus at its entry into the stomach, typically performed to control bleeding from tears at the gastroesophageal junction such as Mallory–Weiss tears. Nationally, this code captures a focused surgical intervention that can be emergent and resource-intensive, with implications for hospital operating room utilization, perioperative care patterns, and payer coverage determinations for acute gastrointestinal bleeding.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context for this procedure, typical sites of service, and the service type. The publication summarizes common billing and coding considerations, outlines payer coverage patterns where available, and identifies areas for attention in claims documentation and surgical reporting. It also situates the procedure within clinical scenarios that prompt urgent intervention, helping coding and clinical teams align documentation to support appropriate billing. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 43502 describes surgical repair by suture of a preexisting laceration involving the lower esophagus at its entry into the stomach. The procedure is performed to control bleeding from a full-thickness or mucosal tear at the gastroesophageal junction, such as a Mallory–Weiss tear resulting from severe retching or vomiting.
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Service type: Surgical repair of an esophageal laceration to achieve hemostasis
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Typical site of service: Operating room or other procedural/surgical suite capable of endoscopic or open gastrointestinal surgery