43621 Removal of stomach
Also known as: total gastrectomy with esophagectomy, En bloc resection, esophagogastric resection
Total gastrectomy with distal esophagus removal when esophageal involvement present and creation of esophagojejunal anastomosis. This resects stomach and lower esophagus.
In Plain Language
removing stomach and lower esophagus; combined gastric and esophageal resection
Clinical Context
Performed for gastric cancer with gastroesophageal junction involvement or distal esophageal cancer; extensive resection with significant morbidity.
RVU Breakdown
| Work RVU | 38.54 |
| Total RVU | 38.54 |
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 38.54, this code ranks in the 97th percentile among Surgery codes — 4.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43621?
CPT 43621 (Removal of stomach) is a Surgery code. Total gastrectomy with distal esophagus removal when esophageal involvement present and creation of esophagojejunal anastomosis. This resects stomach and lower esophagus.
What is the wRVU value for CPT 43621?
The work RVU for CPT 43621 is 38.54. This code is primarily used by Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 43621 used?
Performed for gastric cancer with gastroesophageal junction involvement or distal esophageal cancer; extensive resection with significant morbidity.
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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.