ABSTRACT Objective To analyze Medicare reimbursement and utilization trends of Zenker's diverticulectomy from 2000 to 2024. Study Design Retrospective cross‐sectional study. Setting Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule (2000–2024) and Part B Medicare Fee‐For‐Service National Summary Data (2000–2022). Methods Utilization and payment trends for open (Current Procedural Terminology [CPT] code 43130) and endoscopic (CPT code 43180, introduced in 2015) repair of Zenker's diverticulum …