© Copyright 2025 American Medical Association. All rights reserved.
Esophagogastrostomy, also referred to as cardioplasty, is a surgical procedure that involves the creation of a connection between the esophagus and the stomach. This procedure can be performed with or without additional surgical interventions such as vagotomy, which involves cutting the vagus nerve to reduce stomach acid production, and pyloroplasty, which is the surgical widening of the pylorus to facilitate gastric drainage. The approach to this surgery can be either transabdominal, which involves accessing the abdominal cavity, or transthoracic, which involves entering the thoracic cavity through the chest. In a transthoracic approach, a right posterior thoracotomy is typically utilized, allowing the surgeon to access the esophagus while minimizing disruption to the pleura, the membrane surrounding the lungs. Conversely, the transabdominal approach, also known as a transhiatal approach, involves making an incision in the upper abdomen to explore the peritoneal cavity and mobilize the stomach at the gastroesophageal junction. This procedure is indicated for various conditions affecting the esophagus and stomach, and it requires careful dissection and manipulation of surrounding structures to ensure a successful anastomosis between the esophagus and the newly created gastric tube.
© Copyright 2025 Coding Ahead. All rights reserved.
Esophagogastrostomy (cardioplasty) is indicated for various conditions affecting the esophagus and stomach, including but not limited to:
The procedure for esophagogastrostomy involves several critical steps, which can be performed via either a transthoracic or transabdominal approach:
Post-procedure care for patients undergoing esophagogastrostomy includes monitoring for complications such as leakage at the anastomosis site, infection, and respiratory issues due to the thoracic approach. Patients may require a modified diet initially, transitioning from liquids to soft foods as tolerated. Follow-up evaluations are essential to assess the healing process and ensure that the anastomosis is functioning properly. Additionally, patients may need to be educated on signs of complications and the importance of adhering to follow-up appointments for ongoing assessment.
| Short Descr | FUSE ESOPHAGUS & STOMACH | Medium Descr | EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP | Long Descr | Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 94 - Other OR upper GI therapeutic procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.