43653 Laparoscopy gastrostomy
Also known as: lap PEG, laparoscopic G-tube, lap gastrostomy tube
Laparoscopic gastrostomy (percutaneous endoscopic access) tube placement for enteral nutrition support.
In Plain Language
feeding tube placement through stomach; laparoscopic stomach access
Clinical Context
Provision of long-term enteral nutrition in patients unable to eat. Laparoscopic approach often used when endoscopic placement fails or is contraindicated.
RVU Breakdown
| Work RVU | 8.27 |
| Total RVU | 8.27 |
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 8.27, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43653?
CPT 43653 (Laparoscopy gastrostomy) is a Surgery code. Laparoscopic gastrostomy (percutaneous endoscopic access) tube placement for enteral nutrition support.
What is the wRVU value for CPT 43653?
The work RVU for CPT 43653 is 8.27. This code is primarily used by General Surgery, Gastroenterology. It has a 90-day global period.
When is CPT 43653 used?
Provision of long-term enteral nutrition in patients unable to eat. Laparoscopic approach often used when endoscopic placement fails or is contraindicated.
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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.