CPT® Code 43180

Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed

Esophagoscopy, rigid, transoral with diverticulectomy of the hypopharynx or cervical esophagus, specifically for conditions such as Zenker's diverticulum, is a surgical procedure that involves the use of a rigid endoscope to visualize and treat abnormalities in the esophagus. Zenker's diverticulum is characterized by the formation of a pouch in the throat, located between the cricopharyngeus muscle and the inferior pharyngeal constrictor muscles. This condition is often a result of spasms in the cricopharyngeal muscle and is most commonly seen in elderly patients. The diverticulum can lead to significant complications, including food trapping, regurgitation, aspiration, and pneumonia. During the procedure, a rigid double-bladed endoscope is utilized, which may be equipped with a telescope or operating microscope for enhanced visualization. The surgical approach includes diverticulectomy, where the diverticulum is excised, and cricopharyngeal myotomy, which involves cutting the muscle to alleviate pressure and improve esophageal function. The use of advanced tools such as a linear stapler, carbon dioxide (CO2) laser, or potassium-titanyl-phosphate (KTP) laser may be employed to ensure precision in the excision and repair of the esophageal tissue. This comprehensive approach aims to restore normal swallowing function and reduce the risk of further complications associated with Zenker's diverticulum.