Billing code 43772: Gastric device removalMedicare rate & RVUs in Illinois
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 doesn’t publish an office rate for 43772 in Illinois.
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 9 sections
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 in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $1,071.36 |
| East St. Louis | Unavailable | $1,009.20 |
| Rest Of Illinois | Unavailable | $947.64 |
| Suburban Chicago | Unavailable | $1,007.53 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share 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.
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%).
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.
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.
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
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