CPT® Code 43352

Esophagostomy, specifically the procedure described by CPT® Code 43352, involves the surgical creation of a fistula in the esophagus through a cervical approach. This procedure is primarily performed to facilitate normal eating for patients who may have obstructions or other conditions affecting the esophagus. During the operation, the upper portion of the esophagus is brought to the surface of the skin, creating a stoma, while the lower portion is surgically closed. This stoma allows for the insertion of an esophageal tube, which is designed to assist with feeding. The tube features a flange that is positioned within the esophagus and lies completely beneath the skin, with part of it extending outside the body. This external portion is then connected to a gastrostomy tube, enabling nutritional intake. The procedure is distinct from similar interventions, such as CPT® Code 43351, which involves the thoracic esophagus and requires a different surgical approach. In the case of CPT® Code 43352, careful attention is given to the anatomy of the neck, particularly the protection of critical structures such as the recurrent laryngeal nerves during the mobilization of the esophagus. The successful completion of this procedure allows for the management of esophageal conditions while providing a means for the patient to maintain nutritional intake.