Billing code 43774: Gastric band removalMedicare rate & RVUs in Texas
Reports laparoscopic removal of the complete adjustable gastric band system, including its access port, when the device is removed rather than revised or replaced.
CMS doesn’t publish an office rate for 43774 in Texas.
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 43774 covers
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.
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 43774 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $908.01 |
| Beaumont | Unavailable | $874.61 |
| Brazoria | Unavailable | $879.38 |
| Dallas | Unavailable | $891.79 |
| Fort Worth | Unavailable | $890.97 |
| Galveston | Unavailable | $886.42 |
| Houston | Unavailable | $960.92 |
| Rest Of Texas | Unavailable | $881.15 |
How the 43774 rate is calculated
Each of 43774’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 · 43774
RVUs × geographic indexes × conversion factor
Work15.37
15.37 RVUs× 1.000 GPCI
Practice expense7.73
7.73 RVUs× 1.000 GPCI
Malpractice4.07
4.07 RVUs× 1.000 GPCI
Adjusted RVUs
27.1700
Conversion factor
$33.4009
Medicare rate
$907.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43774
43774 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43774
Gastric band 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) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 43774
Gastric band 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
43774 without 51 · national facility
$907.50
Gastric band removal
43774-51 · Second procedure: 50%
$453.75
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%).
43774 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 43772Gastric device removal
- Use 43772 for laparoscopic removal of only a device component. Use 43774 when the complete band system, including its access-port components, is removed.
- 43771Gastric device revision
- 43771 describes laparoscopic revision of the existing device; 43774 describes removal of the complete system.
- 43773Gastric band surgery
- 43773 is for laparoscopic replacement of the adjustable device. Removal of the complete system without replacement is reported with 43774.
- 43775Sleeve gastrectomy
- 43775 describes laparoscopic sleeve gastrectomy, which removes part of the stomach. It is not the code for removing an adjustable gastric band system.
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 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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