43800 Pyloroplasty
Also known as: open pyloroplasty, Heineke-Mikulicz pyloroplasty, gastric outlet procedure
Pyloroplasty via open approach to enlarge the pyloric sphincter for treatment of gastric outlet obstruction or pyloric stenosis.
In Plain Language
stomach opening widening surgery; outlet enlargement procedure
Clinical Context
Treatment of gastric outlet obstruction from pyloric stenosis, scarring, or malignancy. Pyloroplasty widens the pyloric outlet to improve gastric emptying.
RVU Breakdown
| Work RVU | 15.04 |
| Total RVU | 15.04 |
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 15.04, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43800?
CPT 43800 (Pyloroplasty) is a Surgery code. Pyloroplasty via open approach to enlarge the pyloric sphincter for treatment of gastric outlet obstruction or pyloric stenosis.
What is the wRVU value for CPT 43800?
The work RVU for CPT 43800 is 15.04. This code is primarily used by General Surgery, Pediatric Surgery. It has a 90-day global period.
When is CPT 43800 used?
Treatment of gastric outlet obstruction from pyloric stenosis, scarring, or malignancy. Pyloroplasty widens the pyloric outlet to improve gastric emptying.
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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.