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Billing code 43774: Gastric band removalMedicare rate & RVUs

Reports laparoscopic removal of the complete adjustable gastric band system, including its access port, when the device is removed rather than revised or replaced.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.9K Medicare services in 2024

Medicare pays $907.50 for 43774 nationally in a facility.

Medicare rate · 43774

Gastric band removal

Work RVUs
15.37
Total RVUs
27.17
Global days
090

National rate · 2026

$907.50

Facility setting, before claim adjustments.

See every locality for 43774 →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 43774 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 43774 covers

43774 is used when a surgeon removes an adjustable gastric band system laparoscopically, including the band and its connected access-port components. Bariatric and general surgeons may perform the operation when a patient needs the device removed because of a device-related problem or as part of a change in bariatric treatment. The service is generally performed in a hospital or ambulatory surgical facility.

Choose this code when the operative report supports removal of the complete system; removal of only a component is distinguished from complete-system removal. Document the laparoscopic approach and the components removed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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 not appropriate for this single gastric band system. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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.

Where 43774 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

43774 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$816.23
Alaska*Unavailable$1,119.93
ArizonaUnavailable$879.92
ArkansasUnavailable$805.17
AtlantaUnavailable$940.50
AustinUnavailable$908.01
BakersfieldUnavailable$888.89
Baltimore/Surr. CntysUnavailable$966.78
BeaumontUnavailable$874.61
BrazoriaUnavailable$879.38

43774 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
43774 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 43774 rate is calculated

Each of 43774’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 · 43774

RVUs × geographic indexes × conversion factor

Work15.37

15.37 RVUs× 1.000 GPCI

Practice expense7.73

7.73 RVUs× 1.000 GPCI

Malpractice4.07

4.07 RVUs× 1.000 GPCI

Adjusted RVUs

27.1700

Conversion factor

$33.4009

Medicare rate

$907.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 43774

43774 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 43774

Gastric band 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)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 43774

Gastric band 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

43774 without 51 · national facility

$907.50

Gastric band removal

43774-51 · Second procedure: 50%

$453.75

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

43774 compared with similar codes

Compare codes · National

5 codes, side by side

  • 43774

    Gastric band removal15.37 wRVU

    Not priced

  • 43772

    Gastric device removal15.31 wRVU

    Not priced

  • 43771

    Gastric device revision20.27 wRVU

    Not priced

  • 43773

    Gastric band surgery20.27 wRVU

    Not priced

  • 43775

    Sleeve gastrectomy19.87 wRVU

    Not priced

How to choose

43772Gastric device removal
Use 43772 for laparoscopic removal of only a device component. Use 43774 when the complete band system, including its access-port components, is removed.
43771Gastric device revision
43771 describes laparoscopic revision of the existing device; 43774 describes removal of the complete system.
43773Gastric band surgery
43773 is for laparoscopic replacement of the adjustable device. Removal of the complete system without replacement is reported with 43774.
43775Sleeve gastrectomy
43775 describes laparoscopic sleeve gastrectomy, which removes part of the stomach. It is not the code for removing an adjustable gastric band system.

Codes related to 43774

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

Codes related to 43774
CodeHow it relatesNational office range
Same family
43770Gastric band placementLaparoscopic placement of an adjustable gastric band system.No office rate
43771Gastric device revisionLaparoscopic revision of an existing adjustable gastric band system.No office rate
43772Gastric device removalLaparoscopic removal when only a component of the adjustable device is removed.No office rate
43773Gastric band surgeryLaparoscopic replacement of an adjustable gastric band system.No office rate

43774 billing questions

When should I choose 43774 instead of 43772?

Use 43774 when the operative documentation supports removal of the complete adjustable band system. Code 43772 describes removal of a device component only.

Does 43774 include removal of the access port?

Yes. Complete-system removal includes the band and connected access-port components when those parts are removed during the operation.

How does the 90-day global period affect follow-up billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Should modifier 50 be appended?

No. This is removal of one gastric band system, so report the service without modifier 50.

Can an assistant or co-surgeon be reported?

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

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% 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 43774PPRRVU2026_Oct_nonQPP.csv, line 5,296 (RVU26D)

Open CMS sourceHow we calculate rates

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