CPT® Code 43020

An esophagotomy is a surgical procedure that involves making an incision in the esophagus, which is the tube that carries food from the throat to the stomach. This specific procedure, identified by CPT® Code 43020, is performed through a cervical approach, meaning the incision is made in the neck area. The primary purpose of this procedure is to remove a foreign body that has become incarcerated or impacted within the esophagus. Such foreign bodies can include food items, bones, or other objects that may obstruct the esophagus and cause significant discomfort or potential injury. During the procedure, the surgeon typically makes an incision on the left side of the neck, carefully identifies and retracts vital structures such as the internal jugular vein and carotid artery to gain access to the esophagus. Once the esophagus is exposed, an incision is made directly at the site of the foreign body, allowing for its removal. After the foreign body is extracted, the surgeon inspects the esophagus for any signs of tearing or injury, performing repairs as necessary to ensure the integrity of the esophagus. Finally, the esophageal incision is closed, and the neck is sutured in layers to promote proper healing.