No office rate
Use 43772 for laparoscopic removal of only a device component. Use 43774 when the complete band system, including its access-port components, is removed.
On this page
CMS RVU26D · Effective 2026-10-01
43774 Gastric band removal Medicare reimbursement rates in New Mexico
Reports laparoscopic removal of the complete adjustable gastric band system, including its access port, when the device is removed rather than revised or replaced. Compare 43774 office and facility rates across CMS payment localities in New Mexico.
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 43774 in New Mexico?
New Mexico 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
$913.40
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 43774: Laparoscopic complete gastric band removal
Reports laparoscopic removal of the complete adjustable gastric band system, including its access port, when the device is removed rather than revised or replaced.
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.
CMS billing rules for 43774
- 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 RVU15.37 · 57%
- Practice expense (office) RVU7.73 · 28%
- Malpractice RVU4.07 · 15%
1.9K
Medicare services in 2024 · #2509 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.
43774 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
43771 describes laparoscopic revision of the existing device; 43774 describes removal of the complete system.
No office rate
43773 is for laparoscopic replacement of the adjustable device. Removal of the complete system without replacement is reported with 43774.
No office rate
43775 describes laparoscopic sleeve gastrectomy, which removes part of the stomach. It is not the code for removing an adjustable gastric band system.
Compare 43774 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$913.40
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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 43774 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
5,296
- Code
- 43774
- Physician work
- 15.37
- Practice expense
- 7.73
- Malpractice
- 4.07
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.37 | × 1.000 | 15.3700 |
| Practice expense | 7.73 | × 0.917 | 7.0884 |
| Malpractice | 4.07 | × 1.201 | 4.8881 |
| Total RVUs | 27.3465 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$913.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.37 | 1 |
| Practice expense | 7.73 | 0.917 |
| Malpractice | 4.07 | 1.201 |
(15.37 × 1 + 7.73 × 0.917 + 4.07 × 1.201) × $33.4009 = $913.40
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.
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 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.
5,29343771,,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
5,29743775,,Lap sleeve gastrectomy,A,,19.87,4.81,NA,4.81,,5.26,29.94,29.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29843800,,Pyloroplasty,A,,15.04,7.30,NA,7.30,,3.74,26.08,26.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29943810,,Gastroduodenostomy,A,,16.46,7.76,NA,7.76,,4.40,28.62,28.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210