43610 Excision of stomach lesion
Also known as: gastric ulcer excision, duodenal ulcer excision, ulcer removal
Excision of gastric or duodenal ulcer with closure of ulcer base via open approach. This removes ulcerated tissue.
In Plain Language
removing stomach ulcer surgically; ulcer excision
Clinical Context
Surgical management of refractory gastric or duodenal ulcer disease; rare indication with modern medical therapy.
RVU Breakdown
| Work RVU | 15.93 |
| Total RVU | 15.93 |
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 15.93, this code ranks in the 75th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43610?
CPT 43610 (Excision of stomach lesion) is a Surgery code. Excision of gastric or duodenal ulcer with closure of ulcer base via open approach. This removes ulcerated tissue.
What is the wRVU value for CPT 43610?
The work RVU for CPT 43610 is 15.93. This code is primarily used by Surgery, General Surgery. It has a 90-day global period.
When is CPT 43610 used?
Surgical management of refractory gastric or duodenal ulcer disease; rare indication with modern medical therapy.
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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.