CPT® Code 43283

Add-On Code

Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)

The CPT® Code 43283 refers to a laparoscopic surgical procedure specifically designed for esophageal lengthening, which may include techniques such as Collis gastroplasty or wedge gastroplasty. This procedure is typically performed in conjunction with a primary laparoscopic operation, such as the repair of a hiatal hernia. The primary goal of the esophageal lengthening procedure is to extend the esophagus to facilitate proper anatomical alignment and function, particularly in cases where the esophagus may be too short due to previous surgeries or congenital conditions. During the procedure, careful attention is given to the surrounding structures, including the vagal nerves, to minimize complications. The use of a bougie dilator aids in ensuring the appropriate size and shape of the newly formed esophagus, while a laparoscopic stapling device is employed to create a neoesophagus, which is essential for restoring normal gastrointestinal function. This code is reported separately in addition to the code for the primary procedure, highlighting its role as an adjunctive surgical intervention.