43652 Laparoscopy vagus nerve
Also known as: lap antrectomy with vagotomy, laparoscopic Billroth, lap V&A
Laparoscopic antrectomy with vagotomy and pyloroplasty for peptic ulcer disease.
In Plain Language
laparoscopic stomach partial removal with nerve cutting; minimally invasive ulcer surgery
Clinical Context
Combined laparoscopic procedure for refractory peptic ulcer disease. Antrectomy removes acid-secreting region; vagotomy reduces acid production; pyloroplasty prevents outlet obstruction.
RVU Breakdown
| Work RVU | 11.83 |
| Total RVU | 11.83 |
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 11.83, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43652?
CPT 43652 (Laparoscopy vagus nerve) is a Surgery code. Laparoscopic antrectomy with vagotomy and pyloroplasty for peptic ulcer disease.
What is the wRVU value for CPT 43652?
The work RVU for CPT 43652 is 11.83. This code is primarily used by General Surgery. It has a 90-day global period.
When is CPT 43652 used?
Combined laparoscopic procedure for refractory peptic ulcer disease. Antrectomy removes acid-secreting region; vagotomy reduces acid production; pyloroplasty prevents outlet obstruction.
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.