CPT 43420
Repair esophagus opening
Last reviewed August 2026 · DataLily AI data team
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CPT 43420 at a glance
- Code
- 43420
- Code type
- CPT/HCPCS
- Short descriptor
- Repair esophagus opening
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $1,480.50 national · 2026Q2
What is CPT code 43420?
CPT 43420 is a CPT/HCPCS procedure code for repair esophagus opening. Its official short descriptor is "Repair esophagus opening". In the ASC context it is grouped under ASC Surgical.
Is CPT 43420 eligible in an ambulatory surgery center (ASC)?
CPT 43420 can be performed in a certified ambulatory surgery center.
Where is CPT 43420 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 43420?
The national Medicare ASC payment rate for CPT 43420 is $1,480.50 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 43420?
CPT 43420 is most associated with Gastroenterology, General Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.