43640 Vagotomy & pylorus repair
Surgery
Global 90d
Also known as: vagotomy and pyloroplasty, open vagotomy, V&P
Vagotomy and pyloroplasty via open approach for peptic ulcer disease or gastric outlet obstruction.
Clinical Context
Historically used for treatment of peptic ulcer disease and gastric acid hypersecretion, now rarely performed due to proton pump inhibitors. Used for severe gastric outlet obstruction.
RVU Breakdown
| Work RVU | 19.07 |
| Practice Expense RVU | 9.42 |
| Malpractice RVU | 5.09 |
| Total RVU | 33.58 |
Est. Medicare Payment
$1,121.57
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.