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Billing code 43632: Partial gastrectomyMedicare rate & RVUs

Reports distal partial stomach removal with reconstruction connecting the remaining stomach to the jejunum, commonly performed for gastric disease requiring resection.

CMS RVU26DEffective Oct 1, 2026109 payment localities818 Medicare services in 2024

Medicare pays $1,875.46 for 43632 nationally in a facility.

Medicare rate · 43632

Partial gastrectomy

Swap in your local Medicare rate.

Work RVUs
34.26
Total RVUs
56.15
Global days
090

National rate · 2026

$1,875.46

Facility setting, before claim adjustments.

See every locality for 43632 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 43632 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

43632 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,694.07
Alaska*Unavailable$2,345.44
ArizonaUnavailable$1,819.88
ArkansasUnavailable$1,672.18
AtlantaUnavailable$1,944.47
AustinUnavailable$1,870.06
BakersfieldUnavailable$1,825.55
Baltimore/Surr. CntysUnavailable$1,994.91
BeaumontUnavailable$1,815.19
BrazoriaUnavailable$1,816.58

43632 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
43632 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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

Swap in your local Medicare rate.

Work 34.26Practice expense 13.17Malpractice 8.72

56.1500 adjusted RVUs×$33.4009 conversion factor=$1,875.46

All indexes start 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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 43632

Partial gastrectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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

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%).

When to use modifier 51

43632 compared with similar codes

Compare codes

43632 vs 43631 vs 43633 vs 43620: national Medicare rates

Swap in your local Medicare rate.

  • 43632
    Partial gastrectomy · 34.26 wRVU
    —
  • 43631
    Partial gastrectomy · 23.9 wRVU
    —
  • 43633
    Partial gastrectomy · 32.31 wRVU
    —
  • 43620
    Total gastrectomy · 33.19 wRVU
    —

How to choose

43631Partial gastrectomy
Both involve distal partial stomach removal. Choose 43632 for gastrojejunostomy reconstruction and 43631 for gastroduodenostomy reconstruction.
43633Partial gastrectomy
Both involve distal partial stomach removal, but 43633 specifies Roux-en-Y reconstruction rather than the gastrojejunostomy configuration reported with 43632.
43620Total gastrectomy
43620 is for total gastrectomy; 43632 describes removal of only the distal portion of the stomach with gastrojejunostomy reconstruction.

Codes related to 43632

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

Codes related to 43632
CodeHow it relatesNational office range
Same family
43631Partial gastrectomyDistal partial gastrectomy with gastroduodenostomy reconstruction.No office rate
43633Partial gastrectomyDistal partial gastrectomy with Roux-en-Y reconstruction.No office rate
43634Partial gastrectomyPartial gastrectomy involving the proximal stomach rather than the distal stomach.No office rate
Used instead
43620Total gastrectomyFor total rather than partial removal of the stomach.No office rate

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
RVUs for 43632PPRRVU2026_Oct_nonQPP.csv, line 5,269 (RVU26D)

Open CMS sourceHow we calculate rates

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