No office rate
Use 43770 for laparoscopic placement of an adjustable gastric restrictive device. This code is for revision of a component of a device already in place.
On this page
CMS RVU26D · Effective 2026-10-01
43771 Gastric device revision Medicare reimbursement rates in Alaska
Reports laparoscopic operative revision of an existing adjustable gastric restrictive device component, such as its access port or connecting system. Compare 43771 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 43771 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1485.96
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Bariatric surgery
About 43771: Laparoscopic gastric band component revision
Reports laparoscopic operative revision of an existing adjustable gastric restrictive device component, such as its access port or connecting system.
A bariatric surgeon uses laparoscopy to revise a component of an existing adjustable gastric band system. The work may address a problem with the access port or connecting tubing, such as displacement or malfunction. This is an operative revision, not a routine band adjustment performed by accessing the port through the skin. It is typically performed in a hospital operating room for a patient with a previously placed gastric restrictive device.
Report the code when the operative service revises a component rather than placing, removing, or replacing the device as a whole. Documentation should identify the component revised, the reason for surgery, the laparoscopic approach, and the work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. 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 device revision.
CMS billing rules for 43771
- 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 RVU20.27 · 56%
- Practice expense (office) RVU10.42 · 29%
- Malpractice RVU5.42 · 15%
20
Medicare services in 2024 · #5918 by national volume
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.
43771 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
Use 43773 when the device is replaced. This code describes revision of a component rather than replacement of the device.
No office rate
Use 43774 when the device is removed and replaced during the service. This code is for component revision, not removal and replacement.
Compare 43771 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$1485.96
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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 43771 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
5,293
- Code
- 43771
- Physician work
- 20.27
- Practice expense
- 10.42
- Malpractice
- 5.42
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.27 | × 1.500 | 30.4050 |
| Practice expense | 10.42 | × 1.065 | 11.0973 |
| Malpractice | 5.42 | × 0.551 | 2.9864 |
| Total RVUs | 44.4887 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$1485.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.27 | 1.5 |
| Practice expense | 10.42 | 1.065 |
| Malpractice | 5.42 | 0.551 |
(20.27 × 1.5 + 10.42 × 1.065 + 5.42 × 0.551) × $33.4009 = $1485.96
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.
43771 billing questions
How does this differ from routine gastric band adjustment?
This code describes laparoscopic operative revision of a device component. Routine adjustment through the subcutaneous access port is not the operative service described here.
When should the full device replacement code be considered?
Use 43773 when the service replaces the gastric restrictive device, rather than revising a component while retaining the device.
Is this an add-on code?
No. It represents a standalone laparoscopic revision service and is not reported as an add-on to another procedure.
What documentation supports reporting this code?
Document the laparoscopic approach, the specific component revised, the clinical reason for revision, and the operative work. Clarify whether the device was revised, removed, or replaced.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Can modifier 50 be used?
No. Modifier 50 is inappropriate because this service revises a device component, not paired anatomy.
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.
5,29043762,,Rplc gtube no revj trc,A,,0.73,7.27,,0.15,,0.15,8.15,1.03,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29143763,,Rplc gtube revj gstrst trc,A,,1.37,9.50,,0.84,,0.28,11.15,2.49,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29243770,,Lap place gastr adj device,A,,17.55,9.75,NA,9.75,,4.70,32.00,32.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29343771,,Lap revise gastr adj device,A,,20.27,10.42,NA,10.42,,5.42,36.11,36.11,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29443772,,Lap rmvl gastr adj device,A,,15.31,7.51,NA,7.51,,3.97,26.79,26.79,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29543773,,Lap replace gastr adj device,A,,20.27,10.42,NA,10.42,,5.42,36.11,36.11,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29643774,,Lap rmvl gastr adj all parts,A,,15.37,7.73,NA,7.73,,4.07,27.17,27.17,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
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