43622 Removal of stomach
Also known as: total gastrectomy with jejunal interposition, total gastrectomy with reconstruction, esophageal reconstruction
Total gastrectomy with jejunal interposition or other esophageal reconstruction for extensive gastric disease. This provides complex reconstruction.
In Plain Language
removing stomach and rebuilding with intestine; complex gastric reconstruction
Clinical Context
Performed for extensive gastric cancer with major tissue defects or when esophagojejunal anastomosis not feasible; highest complexity gastric surgery.
RVU Breakdown
| Work RVU | 39.03 |
| Total RVU | 39.03 |
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 39.03, this code ranks in the 97th percentile among Surgery codes — 4.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43622?
CPT 43622 (Removal of stomach) is a Surgery code. Total gastrectomy with jejunal interposition or other esophageal reconstruction for extensive gastric disease. This provides complex reconstruction.
What is the wRVU value for CPT 43622?
The work RVU for CPT 43622 is 39.03. This code is primarily used by Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 43622 used?
Performed for extensive gastric cancer with major tissue defects or when esophagojejunal anastomosis not feasible; highest complexity 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.