43118
Partial removal of esophagus
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
RVU Breakdown
Component
Office
Facility
Work
65.39
65.39
Practice expense
18.54
18.54
Malpractice
16.49
16.49
Total RVU
100.42
100.42
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split