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.
In Plain Language
stomach nerve cutting and partial removal; ulcer surgery with reconstruction
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 |
| Total RVU | 19.31 |
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 19.31, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43641?
CPT 43641 (Vagotomy & pylorus repair) is a Surgery code. Vagotomy and antrectomy with gastric reconstruction via open approach for peptic ulcer disease.
What is the wRVU value for CPT 43641?
The work RVU for CPT 43641 is 19.31. This code is primarily used by General Surgery. It has a 90-day global period.
When is CPT 43641 used?
Used for refractory peptic ulcer disease with antrectomy. Now less common due to medical management advances but may be used for complicated ulcer disease.
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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.