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43502 Surgical repair of stomach

Surgery Global 90d

Also known as: gastric repair with bypass, gastric reconstruction, gastric repair with anastomosis

Surgical repair of gastric laceration or perforation with creation of gastrojejunal or other anastomosis when primary closure not feasible. This addresses complex gastric defects.

In Plain Language

major surgery to repair stomach and create bypass; gastric reconstruction

Clinical Context

Complex repair for large gastric defects or defects involving the pylorus requiring bypass; higher morbidity than primary closure.

RVU Breakdown

Work RVU25.05
Total RVU25.05

Est. Medicare Payment

$836.67

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 25.05, this code ranks in the 89th percentile among Surgery codes — 3.1x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

SurgeryEmergency Surgery

Frequently Asked Questions

What is CPT code 43502?

CPT 43502 (Surgical repair of stomach) is a Surgery code. Surgical repair of gastric laceration or perforation with creation of gastrojejunal or other anastomosis when primary closure not feasible. This addresses complex gastric defects.

What is the wRVU value for CPT 43502?

The work RVU for CPT 43502 is 25.05. This code is primarily used by Surgery, Emergency Surgery. It has a 90-day global period.

When is CPT 43502 used?

Complex repair for large gastric defects or defects involving the pylorus requiring bypass; higher morbidity than primary closure.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.