43865 Revision gstr/jj anast with vgtmy
Also known as: open GJ revision with vagotomy, anastomosis revision and vagotomy, reanastomosis with VAG
Revision of gastroenteric anastomosis via open approach with concurrent vagotomy for complications.
In Plain Language
stomach connection revision with nerve cutting; anastomosis repair with acid reduction
Clinical Context
Revision of gastroenteric anastomosis combined with vagotomy for complications like stomal ulceration in setting of prior partial gastrectomy.
RVU Breakdown
| Work RVU | 28.32 |
| Total RVU | 28.32 |
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 28.32, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 43865?
CPT 43865 (Revision gstr/jj anast with vgtmy) is a Surgery code. Revision of gastroenteric anastomosis via open approach with concurrent vagotomy for complications.
What is the wRVU value for CPT 43865?
The work RVU for CPT 43865 is 28.32. This code is primarily used by General Surgery. It has a 90-day global period.
When is CPT 43865 used?
Revision of gastroenteric anastomosis combined with vagotomy for complications like stomal ulceration in setting of prior partial gastrectomy.
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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.