43842 Gstr rstcv procedures v-banded gstp
Also known as: open gastric banding with gastroplasty, open VBG, banded gastroplasty, open gastric bypass
Gastric restrictive procedure with Verband-style banding and gastroplasty for morbid obesity.
In Plain Language
open stomach banding and shaping; banded weight loss surgery
Clinical Context
Restrictive bariatric procedure combining gastric banding with vertically oriented gastroplasty pouch. Creates small stomach volume with restricted outlet.
RVU Breakdown
| Work RVU | 20.50 |
| Total RVU | 20.50 |
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 20.50, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43842?
CPT 43842 (Gstr rstcv procedures v-banded gstp) is a Surgery code. Gastric restrictive procedure with Verband-style banding and gastroplasty for morbid obesity.
What is the wRVU value for CPT 43842?
The work RVU for CPT 43842 is 20.50. This code is primarily used by Bariatric Surgery, General Surgery. It has a 90-day global period.
When is CPT 43842 used?
Restrictive bariatric procedure combining gastric banding with vertically oriented gastroplasty pouch. Creates small stomach volume with restricted outlet.
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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.