43611 Excision of stomach lesion
Also known as: gastric lesion excision with bypass, ulcer excision with reconstruction, gastric lesion removal with anastomosis
Excision of gastric or duodenal lesion with creation of gastroduodenal or gastrojejunal anastomosis when primary closure inadequate. This removes lesions with reconstruction.
In Plain Language
removing tumor and creating bypass; lesion excision with reconstruction
Clinical Context
Complex excision for large gastric lesions or ulcers requiring reconstruction; provides definitive therapy and improves gastric function.
RVU Breakdown
| Work RVU | 19.87 |
| Total RVU | 19.87 |
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 19.87, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43611?
CPT 43611 (Excision of stomach lesion) is a Surgery code. Excision of gastric or duodenal lesion with creation of gastroduodenal or gastrojejunal anastomosis when primary closure inadequate. This removes lesions with reconstruction.
What is the wRVU value for CPT 43611?
The work RVU for CPT 43611 is 19.87. This code is primarily used by Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 43611 used?
Complex excision for large gastric lesions or ulcers requiring reconstruction; provides definitive therapy and improves gastric function.
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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.