43651 Laparoscopy vagus nerve
Also known as: lap HSV, laparoscopic selective vagotomy, lap proximal vagotomy
Laparoscopic highly selective vagotomy with pyloroplasty for peptic ulcer disease.
In Plain Language
laparoscopic stomach nerve surgery; minimally invasive ulcer treatment
Clinical Context
Laparoscopic approach to selective denervation of stomach fundus while preserving vagal branches to hepatic and celiac plexuses. Used for intractable peptic ulcer disease.
RVU Breakdown
| Work RVU | 9.88 |
| Total RVU | 9.88 |
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 9.88, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43651?
CPT 43651 (Laparoscopy vagus nerve) is a Surgery code. Laparoscopic highly selective vagotomy with pyloroplasty for peptic ulcer disease.
What is the wRVU value for CPT 43651?
The work RVU for CPT 43651 is 9.88. This code is primarily used by General Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 43651 used?
Laparoscopic approach to selective denervation of stomach fundus while preserving vagal branches to hepatic and celiac plexuses. Used for intractable peptic 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.