43520 Incision of pyloric muscle
Also known as: pyloroplasty, pyloric sphincter incision, pylorus division
Pyloroplasty with incision and division of the pyloric sphincter muscle to improve gastric drainage. This procedure widens the pyloric opening.
In Plain Language
widening pylorus opening; cutting pylorus muscle
Clinical Context
Treatment for pyloric stenosis or severe gastroparesis; improves gastric emptying and prevents retention.
RVU Breakdown
| Work RVU | 11.01 |
| Total RVU | 11.01 |
Est. Medicare Payment
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 11.01, this code ranks in the 62nd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43520?
CPT 43520 (Incision of pyloric muscle) is a Surgery code. Pyloroplasty with incision and division of the pyloric sphincter muscle to improve gastric drainage. This procedure widens the pyloric opening.
What is the wRVU value for CPT 43520?
The work RVU for CPT 43520 is 11.01. This code is primarily used by Surgery, Pediatric Surgery. It has a 90-day global period.
When is CPT 43520 used?
Treatment for pyloric stenosis or severe gastroparesis; improves gastric emptying and prevents retention.
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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.