CPT code 43632: Partial gastrectomy, gastrojejunostomy reconstruction2026 Medicare rate & RVUs in California
Reports distal partial stomach removal with reconstruction connecting the remaining stomach to the jejunum, commonly performed for gastric disease requiring resection.
CMS doesn’t publish an office rate for 43632 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 43632 covers
A surgeon removes the distal portion of the stomach and restores continuity by connecting the remaining stomach to the jejunum. The gastrojejunostomy routes food past the duodenum. This operation may be performed for a resectable gastric tumor or other disease requiring removal of the distal stomach, typically in an operating room. The procedure includes the reconstruction specified by this code; it is not simply a stomach lesion excision or a total gastrectomy.
Select this code when the operative report supports distal partial resection and gastrojejunostomy reconstruction. Document the resection and the reconstruction performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single-stomach operation.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 43632 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $1,825.55 |
| Chico, CA | Unavailable | $1,802.00 |
| El Centro, CA | Unavailable | $1,803.46 |
| Fresno, CA | Unavailable | $1,802.00 |
| Hanford, CA | Unavailable | $1,802.00 |
| Los Angeles, CA | Unavailable | $1,905.02 |
| Madera, CA | Unavailable | $1,802.00 |
| Marin County, CA | Unavailable | $2,006.96 |
| Merced, CA | Unavailable | $1,802.00 |
| Modesto, CA | Unavailable | $1,802.00 |
| Napa, CA | Unavailable | $1,944.14 |
| Oxnard, CA | Unavailable | $1,877.76 |
| Redding, CA | Unavailable | $1,802.00 |
| Rest of California | Unavailable | $1,802.00 |
| Riverside, CA | Unavailable | $1,895.47 |
| Sacramento, CA | Unavailable | $1,853.22 |
| Salinas, CA | Unavailable | $1,845.73 |
| San Benito County, CA | Unavailable | $2,060.62 |
| San Diego, CA | Unavailable | $1,862.61 |
| San Francisco, CA | Unavailable | $1,997.05 |
| San Luis Obispo, CA | Unavailable | $1,820.92 |
| Santa Clara County, CA | Unavailable | $2,020.14 |
| Santa Cruz, CA | Unavailable | $1,858.92 |
| Santa Maria, CA | Unavailable | $1,845.38 |
| Santa Rosa, CA | Unavailable | $1,874.94 |
| Stockton, CA | Unavailable | $1,802.00 |
| Vallejo, CA | Unavailable | $1,929.87 |
| Visalia, CA | Unavailable | $1,802.00 |
| Yuba City, CA | Unavailable | $1,802.00 |
How the 43632 rate is calculated
Each of 43632’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 43632
RVUs × geographic indexes × conversion factor
Work34.26
34.26 RVUs× 1.000 GPCI
Practice expense13.17
13.17 RVUs× 1.000 GPCI
Malpractice8.72
8.72 RVUs× 1.000 GPCI
Adjusted RVUs
56.1500
Conversion factor
$33.4009
Medicare rate
$1,875.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43632
43632 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43632
Partial gastrectomy, gastrojejunostomy reconstruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 43632
Partial gastrectomy, gastrojejunostomy reconstruction
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
43632 without 51 · national facility
$1,875.46
Partial gastrectomy, gastrojejunostomy reconstruction
43632-51 · Second procedure: 50%
$937.73
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
43632 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 43631Partial gastrectomyDistal, gastroduodenostomy
- Both involve distal partial stomach removal. Choose 43632 for gastrojejunostomy reconstruction and 43631 for gastroduodenostomy reconstruction.
- 43633Partial gastrectomyDistal, Roux-en-Y reconstruction
- Both involve distal partial stomach removal, but 43633 specifies Roux-en-Y reconstruction rather than the gastrojejunostomy configuration reported with 43632.
- 43620Total gastrectomyEsophagoenterostomy reconstruction
- 43620 is for total gastrectomy; 43632 describes removal of only the distal portion of the stomach with gastrojejunostomy reconstruction.
43632 billing questions
How does this differ from 43631?
Both describe distal partial gastrectomy, but 43632 includes gastrojejunostomy reconstruction. Choose 43631 when the reconstruction is gastroduodenostomy.
Is the gastrojejunostomy separately reported?
The gastrojejunostomy reconstruction is part of this procedure. The operative report should establish that the remaining stomach was connected to the jejunum.
When should 43633 be considered instead?
Use 43633 when the documented distal partial gastrectomy uses Roux-en-Y reconstruction rather than the gastrojejunostomy configuration described by 43632.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
CMS allows payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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