43620 Removal of stomach
Also known as: total gastrectomy, complete gastric resection, Billroth reconstruction
Total gastrectomy with removal of entire stomach and creation of esophagojejunal or esophagogastric anastomosis. This is complete gastric resection.
In Plain Language
removing entire stomach surgically; total stomach removal
Clinical Context
Treatment for gastric cancer, multiple gastric ulcers, or severe gastric pathology; significant postoperative morbidity with dumping syndrome.
RVU Breakdown
| Work RVU | 33.19 |
| Total RVU | 33.19 |
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 33.19, this code ranks in the 94th percentile among Surgery codes — 4.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43620?
CPT 43620 (Removal of stomach) is a Surgery code. Total gastrectomy with removal of entire stomach and creation of esophagojejunal or esophagogastric anastomosis. This is complete gastric resection.
What is the wRVU value for CPT 43620?
The work RVU for CPT 43620 is 33.19. This code is primarily used by Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 43620 used?
Treatment for gastric cancer, multiple gastric ulcers, or severe gastric pathology; significant postoperative morbidity with dumping syndrome.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.