43641 Vagotomy & pylorus repair
Also known as: open vagotomy and antrectomy, open Billroth reconstruction, vagotomy with gastrectomy
Vagotomy and antrectomy with gastric reconstruction via open approach for peptic ulcer disease.
Clinical Context
Used for refractory peptic ulcer disease with antrectomy. Now less common due to medical management advances but may be used for complicated ulcer disease.
RVU Breakdown
| Work RVU | 19.31 |
| Practice Expense RVU | 9.48 |
| Malpractice RVU | 5.15 |
| Total RVU | 33.94 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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.