43820 Gastrojejunostomy wo vagotmy
Also known as: open gastrojejunostomy, Billroth II anastomosis, gastrojejunal bypass
Gastrojejunostomy via open approach without vagotomy, creating direct communication between stomach and jejunum.
In Plain Language
stomach-to-intestine connection; stomach bypass surgery
Clinical Context
Bypass procedure for gastric outlet obstruction or peptic ulcer disease. Creates connection between stomach and jejunum, bypassing duodenum.
RVU Breakdown
| Work RVU | 21.97 |
| Total RVU | 21.97 |
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 21.97, this code ranks in the 85th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43820?
CPT 43820 (Gastrojejunostomy wo vagotmy) is a Surgery code. Gastrojejunostomy via open approach without vagotomy, creating direct communication between stomach and jejunum.
What is the wRVU value for CPT 43820?
The work RVU for CPT 43820 is 21.97. This code is primarily used by General Surgery. It has a 90-day global period.
When is CPT 43820 used?
Bypass procedure for gastric outlet obstruction or peptic ulcer disease. Creates connection between stomach and jejunum, bypassing duodenum.
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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.