43605 Biopsy of stomach
Also known as: gastric biopsy, surgical gastric biopsy, gastric tissue biopsy
Biopsy of gastric mucosa via open surgical approach for tissue diagnosis. This obtains gastric tissue specimens.
In Plain Language
taking tissue sample from stomach surgically; gastric biopsy
Clinical Context
Diagnostic biopsy for gastric malignancy, H. pylori infection, or inflammatory conditions; typically performed during other gastric surgery.
RVU Breakdown
| Work RVU | 13.38 |
| Total RVU | 13.38 |
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 13.38, this code ranks in the 69th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43605?
CPT 43605 (Biopsy of stomach) is a Surgery code. Biopsy of gastric mucosa via open surgical approach for tissue diagnosis. This obtains gastric tissue specimens.
What is the wRVU value for CPT 43605?
The work RVU for CPT 43605 is 13.38. This code is primarily used by Surgery, Pathology. It has a 90-day global period.
When is CPT 43605 used?
Diagnostic biopsy for gastric malignancy, H. pylori infection, or inflammatory conditions; typically performed during other gastric surgery.
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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.