What CPT code is associated with the excision of an esophageal lesion with primary repair via abdominal approach?

The correct CPT code for the excision of an esophageal lesion with primary repair via abdominal approach is 43101. This code specifically describes the surgical procedure involving the excision of a lesion in the esophagus, which requires accessing the esophagus through the abdominal cavity. The emphasis on a primary repair indicates that following the excision, the surgeon is performing a direct closure of the esophageal wall, which is a critical aspect of this procedure.

Other options do not accurately represent the procedure in question. For instance, codes like 43200 pertain to endoscopy procedures involving the esophagus rather than excision; thus, they do not align with the surgical approach outlined. Additionally, codes such as 38570 and 46700 are related to different surgical interventions altogether—namely, lymph node resections and procedures involving the rectum, respectively. Therefore, recognizing the specifics of each code is essential for proper coding and billing in surgical contexts.