No office rate
Choose 43641 when the vagotomy includes a pyloric drainage repair. Choose 43640 for a vagotomy without drainage.
On this page
CMS RVU26D · Effective 2026-10-01
43641 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1095.17
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gastric surgery
About 43641: Vagotomy with pyloric drainage
Reports an open vagotomy combined with a pyloric drainage repair, typically performed to reduce acid secretion while facilitating passage of stomach contents.
This operation divides vagal nerve input to the stomach and includes a repair that widens or improves drainage through the pylorus. It is a nonlaparoscopic abdominal procedure performed by a surgeon, typically in a hospital operating room. A familiar clinical context is surgical treatment of peptic ulcer disease when acid-reducing surgery and improved gastric emptying are both part of the operative plan.
Select this code when the operative report supports both the vagotomy and the pyloric drainage procedure; a vagotomy without drainage is a different service. Documentation should identify the nerve procedure and describe the pyloric repair. The pyloric work is included in this combined service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 43641
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.31 · 57%
- Practice expense (office) RVU9.48 · 28%
- Malpractice RVU5.15 · 15%
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.
43641 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
43651 describes laparoscopic vagotomy without drainage. It differs from 43641 in both approach and the absence of a pyloric drainage procedure.
No office rate
43652 describes laparoscopic vagotomy with drainage. Use 43641 for the nonlaparoscopic operation with pyloric drainage.
The same code, a different location
How does Chico compare?
43641 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Modesto
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Napa
California · 43641
Office
Unavailable
Facility
$1190.32
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43641
Office
Unavailable
Facility
$1144.46
No comparable office rate is available.
Redding
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Rest Of California
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43641
Office
Unavailable
Facility
$1150.35
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43641
Office
Unavailable
Facility
$1128.64
No comparable office rate is available.
Salinas
California · 43641
Office
Unavailable
Facility
$1124.15
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43641
Office
Unavailable
Facility
$1136.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43641
Office
Unavailable
Facility
$1231.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43641
Office
Unavailable
Facility
$1225.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43641
Office
Unavailable
Facility
$1264.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43641
Office
Unavailable
Facility
$1240.80
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43641
Office
Unavailable
Facility
$1108.79
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43641
Office
Unavailable
Facility
$1135.43
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43641
Office
Unavailable
Facility
$1124.43
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43641
Office
Unavailable
Facility
$1145.35
No comparable office rate is available.
Stockton
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Vallejo
California · 43641
Office
Unavailable
Facility
$1181.89
No comparable office rate is available.
Visalia
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Yuba City
California · 43641
Office
Unavailable
Facility
$1095.17
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 43641
Office
Unavailable
Facility
$1244.25
No comparable office rate is available.
Miami
Florida · 43641
Office
Unavailable
Facility
$1409.62
No comparable office rate is available.
Chicago
Illinois · 43641
Office
Unavailable
Facility
$1362.48
No comparable office rate is available.
Manhattan
New York · 43641
Office
Unavailable
Facility
$1327.00
No comparable office rate is available.
Alaska*
Alaska · 43641
Office
Unavailable
Facility
$1399.46
No comparable office rate is available.
Alabama
Alabama · 43641
Office
Unavailable
Facility
$1019.39
No comparable office rate is available.
Arkansas
Arkansas · 43641
Office
Unavailable
Facility
$1005.55
No comparable office rate is available.
Arizona
Arizona · 43641
Office
Unavailable
Facility
$1099.04
No comparable office rate is available.
Colorado
Colorado · 43641
Office
Unavailable
Facility
$1123.96
No comparable office rate is available.
Connecticut
Connecticut · 43641
Office
Unavailable
Facility
$1207.03
No comparable office rate is available.
Delaware
Delaware · 43641
Office
Unavailable
Facility
$1115.68
No comparable office rate is available.
Fort Lauderdale
Florida · 43641
Office
Unavailable
Facility
$1276.73
No comparable office rate is available.
Rest Of Florida
Florida · 43641
Office
Unavailable
Facility
$1206.22
No comparable office rate is available.
Atlanta
Georgia · 43641
Office
Unavailable
Facility
$1175.20
No comparable office rate is available.
Rest Of Georgia
Georgia · 43641
Office
Unavailable
Facility
$1132.46
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43641
Office
Unavailable
Facility
$1104.59
No comparable office rate is available.
Iowa
Iowa · 43641
Office
Unavailable
Facility
$1002.99
No comparable office rate is available.
Idaho
Idaho · 43641
Office
Unavailable
Facility
$1017.64
No comparable office rate is available.
East St. Louis
Illinois · 43641
Office
Unavailable
Facility
$1282.72
No comparable office rate is available.
Rest Of Illinois
Illinois · 43641
Office
Unavailable
Facility
$1202.92
No comparable office rate is available.
Suburban Chicago
Illinois · 43641
Office
Unavailable
Facility
$1279.49
No comparable office rate is available.
Indiana
Indiana · 43641
Office
Unavailable
Facility
$1022.10
No comparable office rate is available.
Kansas
Kansas · 43641
Office
Unavailable
Facility
$1017.91
No comparable office rate is available.
Kentucky
Kentucky · 43641
Office
Unavailable
Facility
$1083.86
No comparable office rate is available.
New Orleans
Louisiana · 43641
Office
Unavailable
Facility
$1138.34
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43641
Office
Unavailable
Facility
$1089.99
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43641
Office
Unavailable
Facility
$1202.58
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43641
Office
Unavailable
Facility
$1125.81
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43641
Office
Unavailable
Facility
$1207.83
No comparable office rate is available.
Rest Of Maryland
Maryland · 43641
Office
Unavailable
Facility
$1129.77
No comparable office rate is available.
Rest Of Maine
Maine · 43641
Office
Unavailable
Facility
$1043.27
No comparable office rate is available.
Southern Maine
Maine · 43641
Office
Unavailable
Facility
$1067.30
No comparable office rate is available.
Detroit
Michigan · 43641
Office
Unavailable
Facility
$1240.55
No comparable office rate is available.
Rest Of Michigan
Michigan · 43641
Office
Unavailable
Facility
$1128.27
No comparable office rate is available.
Minnesota
Minnesota · 43641
Office
Unavailable
Facility
$1021.71
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43641
Office
Unavailable
Facility
$1110.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43641
Office
Unavailable
Facility
$1118.77
No comparable office rate is available.
Rest Of Missouri
Missouri · 43641
Office
Unavailable
Facility
$1085.46
No comparable office rate is available.
Mississippi
Mississippi · 43641
Office
Unavailable
Facility
$1044.72
No comparable office rate is available.
Montana**
Montana · 43641
Office
Unavailable
Facility
$1133.28
No comparable office rate is available.
North Carolina
North Carolina · 43641
Office
Unavailable
Facility
$1050.31
No comparable office rate is available.
North Dakota**
North Dakota · 43641
Office
Unavailable
Facility
$1031.45
No comparable office rate is available.
Nebraska
Nebraska · 43641
Office
Unavailable
Facility
$1002.25
No comparable office rate is available.
New Hampshire
New Hampshire · 43641
Office
Unavailable
Facility
$1125.11
No comparable office rate is available.
Northern Nj
New Jersey · 43641
Office
Unavailable
Facility
$1236.62
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43641
Office
Unavailable
Facility
$1205.24
No comparable office rate is available.
New Mexico
New Mexico · 43641
Office
Unavailable
Facility
$1141.92
No comparable office rate is available.
Nevada**
Nevada · 43641
Office
Unavailable
Facility
$1105.22
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43641
Office
Unavailable
Facility
$1382.17
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43641
Office
Unavailable
Facility
$1228.85
No comparable office rate is available.
Queens
New York · 43641
Office
Unavailable
Facility
$1308.56
No comparable office rate is available.
Rest Of New York
New York · 43641
Office
Unavailable
Facility
$1066.71
No comparable office rate is available.
Ohio
Ohio · 43641
Office
Unavailable
Facility
$1107.45
No comparable office rate is available.
Oklahoma
Oklahoma · 43641
Office
Unavailable
Facility
$1061.39
No comparable office rate is available.
Portland
Oregon · 43641
Office
Unavailable
Facility
$1135.06
No comparable office rate is available.
Rest Of Oregon
Oregon · 43641
Office
Unavailable
Facility
$1081.27
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43641
Office
Unavailable
Facility
$1191.42
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43641
Office
Unavailable
Facility
$1098.20
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43641
Office
Unavailable
Facility
$1134.53
No comparable office rate is available.
Rhode Island
Rhode Island · 43641
Office
Unavailable
Facility
$1137.75
No comparable office rate is available.
South Carolina
South Carolina · 43641
Office
Unavailable
Facility
$1083.76
No comparable office rate is available.
South Dakota**
South Dakota · 43641
Office
Unavailable
Facility
$1019.41
No comparable office rate is available.
Tennessee
Tennessee · 43641
Office
Unavailable
Facility
$1025.17
No comparable office rate is available.
Austin
Texas · 43641
Office
Unavailable
Facility
$1133.67
No comparable office rate is available.
Beaumont
Texas · 43641
Office
Unavailable
Facility
$1092.92
No comparable office rate is available.
Brazoria
Texas · 43641
Office
Unavailable
Facility
$1098.09
No comparable office rate is available.
Dallas
Texas · 43641
Office
Unavailable
Facility
$1113.74
No comparable office rate is available.
Fort Worth
Texas · 43641
Office
Unavailable
Facility
$1112.81
No comparable office rate is available.
Galveston
Texas · 43641
Office
Unavailable
Facility
$1106.98
No comparable office rate is available.
Houston
Texas · 43641
Office
Unavailable
Facility
$1201.25
No comparable office rate is available.
Rest Of Texas
Texas · 43641
Office
Unavailable
Facility
$1100.79
No comparable office rate is available.
Utah
Utah · 43641
Office
Unavailable
Facility
$1097.08
No comparable office rate is available.
Virginia
Virginia · 43641
Office
Unavailable
Facility
$1077.67
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43641
Office
Unavailable
Facility
$1134.53
No comparable office rate is available.
Vermont
Vermont · 43641
Office
Unavailable
Facility
$1045.48
No comparable office rate is available.
Rest Of Washington
Washington · 43641
Office
Unavailable
Facility
$1117.68
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43641
Office
Unavailable
Facility
$1206.27
No comparable office rate is available.
Wisconsin
Wisconsin · 43641
Office
Unavailable
Facility
$1001.29
No comparable office rate is available.
West Virginia
West Virginia · 43641
Office
Unavailable
Facility
$1166.28
No comparable office rate is available.
Wyoming**
Wyoming · 43641
Office
Unavailable
Facility
$1088.90
No comparable office rate is available.
See how rates vary across the country
43641 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 43641 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1204.69
$1095.17 × 110% = $1204.69
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 43641 in Chico.
PPRRVU2026_Oct_nonQPP.csv
5,274
- Code
- 43641
- Physician work
- 19.31
- Practice expense
- 9.48
- Malpractice
- 5.15
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.31 | × 1.017 | 19.6383 |
| Practice expense | 9.48 | × 1.096 | 10.3901 |
| Malpractice | 5.15 | × 0.536 | 2.7604 |
| Total RVUs | 32.7888 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1095.17
Open 43641 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.31 | 1.017 |
| Practice expense | 9.48 | 1.096 |
| Malpractice | 5.15 | 0.536 |
(19.31 × 1.017 + 9.48 × 1.096 + 5.15 × 0.536) × $33.4009 = $1095.17
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
43641 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1095.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $1095.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $1095.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $1095.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $1150.29 | RVU25D |
| 2025-07-01 | Not available in this setting | $1150.29 | RVU25C |
| 2025-04-01 | Not available in this setting | $1150.29 | RVU25B |
| 2025-01-01 | Not available in this setting | $1150.29 | RVU25A |
43641 billing questions
How does this differ from 43640?
43641 includes a pyloric drainage repair with the vagotomy. Use 43640 when the documented vagotomy is performed without a drainage procedure.
Is the pyloric repair separately reported?
The pyloric drainage work is part of 43641. Do not report that same included work again as a separate service.
Should modifier 50 be appended?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
What does the 90-day global period include?
It 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 available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,27143634,,Removal of stomach partial,A,,35.72,13.45,NA,13.45,,9.57,58.74,58.74,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,27243635,,Removal of stomach partial,A,,2.01,0.48,NA,0.48,,0.53,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,27343640,,Vagotomy & pylorus repair,A,,19.07,9.42,NA,9.42,,5.09,33.58,33.58,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,27443641,,Vagotomy & pylorus repair,A,,19.31,9.48,NA,9.48,,5.15,33.94,33.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,27543644,,Lap gastric bypass/roux-en-y,A,,28.67,12.14,NA,12.14,,7.64,48.45,48.45,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,27643645,,Lap gastr bypass incl smll i,A,,30.74,12.59,NA,12.59,,8.11,51.44,51.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,27743647,,Lap impl electrode antrum,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536