CPT code 43825: Gastrojejunostomy, with vagotomy2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,104.52 for 43825 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43825 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 43825 covers

The surgeon creates an anastomosis between the stomach and jejunum and performs a vagotomy, which interrupts vagal nerve input to reduce gastric acid stimulation. This operation may be used when gastric emptying through the pylorus or duodenum is impaired, including selected cases of gastric outlet obstruction. It is performed by a surgeon in an operating room, generally in a hospital setting.

Report this code when both the gastrojejunostomy and vagotomy are part of the operation; the operative report should document the anastomosis and nerve division. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

How South Dakota compares for 43825

Across 109 of 109 payment localities, the facility rate for 43825 runs from $1,085.26 in Wisconsin to $1,534.18 in Miami, FL. South Dakota pays $1,104.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43825 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 43825 in every payment locality

How the 43825 rate is calculated

Each of 43825’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.

Payment rules and modifiers for 43825

43825 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 43825

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 43825 has changed in South Dakota

Price 43825 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates