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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.
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The procedure described by CPT® Code 43502 is indicated for specific conditions that involve the esophagogastric region. The following are the primary indications for performing this surgical intervention:
The procedure for CPT® Code 43502 involves several critical steps to ensure effective repair of the esophagogastric laceration. The following outlines the procedural steps:
Following the completion of the procedure, the patient is monitored in a recovery area to ensure stable vital signs and to assess for any immediate complications. Post-operative care may include pain management, intravenous fluids, and monitoring for signs of infection or bleeding. The patient may be placed on a specific diet as they recover, gradually transitioning from clear liquids to a regular diet as tolerated. Follow-up appointments are typically scheduled to evaluate the healing process and to address any concerns that may arise during recovery.
| Short Descr | SURGICAL REPAIR OF STOMACH | Medium Descr | GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC | Long Descr | Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 1995-01-01 | Added | First appearance in code book in 1995. |
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