43846 Gstr rstcv procedures shrt roux-en-y
Also known as: gastric revision to short RNY, revision bariatric procedure, short-limb bypass conversion, open gastric bypass with BPD
Gastric restrictive procedure revision with short Roux-en-Y limb for inadequate weight loss or complications.
In Plain Language
revision weight loss surgery; bypass conversion for better results
Clinical Context
Revision surgery for failed restrictive procedure or conversion to malabsorptive procedure. Short Roux-en-Y limb provides moderate malabsorption.
RVU Breakdown
| Work RVU | 26.72 |
| Total RVU | 26.72 |
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 26.72, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43846?
CPT 43846 (Gstr rstcv procedures shrt roux-en-y) is a Surgery code. Gastric restrictive procedure revision with short Roux-en-Y limb for inadequate weight loss or complications.
What is the wRVU value for CPT 43846?
The work RVU for CPT 43846 is 26.72. This code is primarily used by Bariatric Surgery, General Surgery. It has a 90-day global period.
When is CPT 43846 used?
Revision surgery for failed restrictive procedure or conversion to malabsorptive procedure. Short Roux-en-Y limb provides moderate malabsorption.
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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.