No office rate
Use 43770 for initial placement of the adjustable system. Use 43771 when the surgeon revises an existing device laparoscopically.
On this page
CMS RVU26D · Effective 2026-10-01
43770 Gastric band placement Medicare reimbursement rates in Iowa
Reports laparoscopic placement of an adjustable gastric band system to restrict stomach capacity as part of surgical treatment for obesity. Compare 43770 office and facility rates across CMS payment localities in Iowa.
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 43770 in Iowa?
Iowa 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
$946.49
1 of 1 localities have a supported rate.
Payment area: Iowa
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 43770: Laparoscopic adjustable gastric band placement
Reports laparoscopic placement of an adjustable gastric band system to restrict stomach capacity as part of surgical treatment for obesity.
A bariatric or general surgeon uses a laparoscopic approach to place an adjustable band around the upper stomach and position its access port beneath the skin. The implanted system can later be adjusted to change the degree of restriction. The procedure is generally performed in a hospital or other surgical facility as part of a bariatric treatment plan; it is distinct from sleeve gastrectomy, which removes part of the stomach.
Report this code for the initial laparoscopic placement, not for later revision, removal, or replacement of an existing device. The operative report should support the laparoscopic approach and placement of the adjustable system. 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 subject to the reduction are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43770
- 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 RVU17.55 · 55%
- Practice expense (office) RVU9.75 · 30%
- Malpractice RVU4.70 · 15%
25
Medicare services in 2024 · #5791 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.
43770 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
43773 is for laparoscopic replacement of an existing device; 43770 is for its initial placement.
No office rate
43775 describes laparoscopic sleeve gastrectomy, which removes part of the stomach. It is not placement of an adjustable band.
Compare 43770 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
Iowa →
Office / nonfacility
Unavailable
Facility
$946.49
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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 43770 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
5,292
- Code
- 43770
- Physician work
- 17.55
- Practice expense
- 9.75
- Malpractice
- 4.70
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.55 | × 1.000 | 17.5500 |
| Practice expense | 9.75 | × 0.915 | 8.9213 |
| Malpractice | 4.70 | × 0.397 | 1.8659 |
| Total RVUs | 28.3372 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$946.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.55 | 1 |
| Practice expense | 9.75 | 0.915 |
| Malpractice | 4.7 | 0.397 |
(17.55 × 1 + 9.75 × 0.915 + 4.7 × 0.397) × $33.4009 = $946.49
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.
43770 billing questions
How is initial placement different from revision or replacement?
Use 43770 for initial laparoscopic placement of the adjustable gastric band system. Code 43771 describes laparoscopic revision, while 43773 describes replacement of an existing device.
Is this the code for a gastric band adjustment?
No. This code represents operative placement of the system, not a later adjustment of an already implanted band.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for placement on both sides?
No. Modifier 50 is inappropriate for this procedure; the code describes placement on the stomach, not a bilateral service.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the reduction are paid at 50%.
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.
5,28943761,,Reposition gastrostomy tube,A,,1.96,1.44,,0.41,,0.28,3.68,2.65,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29043762,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136