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Billing code 43772: Gastric device removalMedicare rate & RVUs

Report laparoscopic removal of one component of an adjustable gastric restrictive device, such as its band or access port, without removing the complete system.

CMS RVU26DEffective Oct 1, 2026109 payment localities101 Medicare services in 2024

Medicare pays $894.81 for 43772 nationally in a facility.

Medicare rate · 43772

Gastric device removal

Swap in your local Medicare rate.

Work RVUs
15.31
Total RVUs
26.79
Global days
090

National rate · 2026

$894.81

Facility setting, before claim adjustments.

See every locality for 43772 → · 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 43772 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 43772 covers

A bariatric surgeon uses laparoscopy to remove a component of an adjustable gastric restrictive device. The system includes a gastric band, connecting tubing, and a subcutaneous access port; this code distinguishes removal of a component from removal of the complete system. A typical clinical context is removal of a band or port because of a device-related problem or a change in the patient’s treatment plan. The service is generally performed in a facility operating room.

Report this code when the operative record supports laparoscopic removal of a component only. Document the component removed and whether the remaining system components were left in place; removal of the complete device and port is distinguished by 43774. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

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 43772 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

43772 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$805.91
Alaska*Unavailable$1,107.26
ArizonaUnavailable$867.94
ArkansasUnavailable$795.13
AtlantaUnavailable$927.01
AustinUnavailable$895.27
BakersfieldUnavailable$876.76
Baltimore/Surr. CntysUnavailable$952.73
BeaumontUnavailable$862.82
BrazoriaUnavailable$867.47

43772 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
43772 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 43772 rate is calculated

Each of 43772’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 · 43772

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.31Practice expense 7.51Malpractice 3.97

26.7900 adjusted RVUs×$33.4009 conversion factor=$894.81

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 43772

43772 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 43772

Gastric device removal

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 · 43772

Gastric device removal

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

43772 without 51 · national facility

$894.81

Gastric device removal

43772-51 · Second procedure: 50%

$447.41

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

43772 compared with similar codes

Compare codes

43772 vs 43771 vs 43773 vs 43774 vs 43770: national Medicare rates

Swap in your local Medicare rate.

  • 43772
    Gastric device removal · 15.31 wRVU
    —
  • 43771
    Gastric device revision · 20.27 wRVU
    —
  • 43773
    Gastric band surgery · 20.27 wRVU
    —
  • 43774
    Gastric band removal · 15.37 wRVU
    —
  • 43770
    Gastric band placement · 17.55 wRVU
    —

How to choose

43771Gastric device revision
43771 is for laparoscopic revision of a device component. Choose 43772 when the component is removed rather than revised.
43773Gastric band surgery
43773 covers laparoscopic removal and replacement of a component; 43772 describes component removal without replacement.
43774Gastric band removal
43774 describes removal of the adjustable gastric device and port components. 43772 is limited to component-only removal.
43770Gastric band placement
43770 is laparoscopic placement of an adjustable gastric restrictive device. It describes initial placement, not removal of an existing component.

Codes related to 43772

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

Codes related to 43772
CodeHow it relatesNational office range
Same family
43770Gastric band placementLaparoscopic placement of an adjustable gastric restrictive device.No office rate
43771Gastric device revisionLaparoscopic revision of an adjustable gastric device component.No office rate
43773Gastric band surgeryLaparoscopic removal and replacement of an adjustable gastric device component.No office rate
43774Gastric band removalLaparoscopic removal of the adjustable gastric device and port components.No office rate

43772 billing questions

How does 43772 differ from 43774?

43772 is for laparoscopic removal of a device component only. Use 43774 when the adjustable gastric device and its subcutaneous port components are removed.

How does 43772 differ from 43773?

43772 describes component removal without replacement. Code 43773 describes removal and replacement of a component.

Can the surgeon report 43772 when removing the band and leaving the port?

The operative note should identify the component removed and what remained. If the complete device and port components are removed, compare the service with 43774 rather than component-only removal.

Does 43772 have a global period?

Yes. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Can modifier 50 be appended for removal of a component on both sides?

No. Bilateral adjustment is inappropriate for this code because the descriptor and anatomy do not support modifier 50.

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 43772PPRRVU2026_Oct_nonQPP.csv, line 5,294 (RVU26D)

Open CMS sourceHow we calculate rates

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