CPT® Code 43502

The procedure described by CPT® Code 43502 involves a surgical intervention known as a gastrotomy, which is the creation of an incision in the stomach. This specific procedure is performed to address a pre-existing esophagogastric laceration, commonly referred to as a Mallory-Weiss tear. Such lacerations typically occur at the junction of the esophagus and stomach and can result in significant bleeding. The physician's goal during this procedure is to repair the laceration through suture techniques. The process begins with the surgeon making an incision in the abdominal wall to access the stomach. Once the stomach is exposed, the surgeon carefully palpates the organ to locate the site of the laceration or bleeding ulcer. In cases of a bleeding ulcer, the surgeon will incise the stomach to evacuate any blood and control the bleeding by applying pressure directly to the ulcer. For the repair of the esophagogastric laceration, the surgeon identifies the tear, controls the bleeding, and then ligates the bleeding vessels with sutures to ensure proper closure and healing. This procedure is critical for managing complications arising from esophagogastric lacerations and preventing further hemorrhage.