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43631 Removal of stomach partial

Surgery Global 90d

Also known as: distal gastrectomy, subtotal gastrectomy, partial gastric resection

Partial gastrectomy with distal gastric resection and creation of gastroduodenal or gastrojejunal anastomosis. This removes distal stomach.

In Plain Language

removing lower part of stomach; partial stomach removal

Clinical Context

Treatment for distal gastric cancer or ulcer disease; preserves proximal stomach for better postoperative function than total gastrectomy.

RVU Breakdown

Work RVU23.90
Total RVU23.90

Est. Medicare Payment

$798.26

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 23.90, this code ranks in the 87th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

SurgerySurgical Oncology

Frequently Asked Questions

What is CPT code 43631?

CPT 43631 (Removal of stomach partial) is a Surgery code. Partial gastrectomy with distal gastric resection and creation of gastroduodenal or gastrojejunal anastomosis. This removes distal stomach.

What is the wRVU value for CPT 43631?

The work RVU for CPT 43631 is 23.90. This code is primarily used by Surgery, Surgical Oncology. It has a 90-day global period.

When is CPT 43631 used?

Treatment for distal gastric cancer or ulcer disease; preserves proximal stomach for better postoperative function than total gastrectomy.

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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.