Billing code 43775: Sleeve gastrectomyMedicare rate & RVUs in Utah
Report this code when a surgeon performs laparoscopic sleeve gastrectomy, removing much of the stomach to create a narrow gastric tube for weight treatment.
CMS doesn’t publish an office rate for 43775 in Utah.
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 43775 covers
A surgeon performs this bariatric operation through laparoscopic access, removing a substantial portion of the stomach along the greater curvature and shaping the remaining stomach into a narrow tube. It is performed in a hospital operating room for patients undergoing surgical treatment of obesity. Unlike gastric bypass, the operation does not reroute food through a reconstructed small intestine, and it does not place an adjustable gastric band.
Report the code for the laparoscopic sleeve operation documented in the operative report; the note should establish the approach and the stomach resection performed. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures 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 inappropriate for this single-stomach operation. CMS may pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery 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.
43775 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $972.46 |
How the 43775 rate is calculated
Each of 43775’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 · 43775
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 19.87Practice expense 4.81Malpractice 5.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 43775
43775 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43775
Sleeve gastrectomy
| 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 · 43775
Sleeve gastrectomy
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
43775 without 51 · national facility
$1,000.02
Sleeve gastrectomy
43775-51 · Second procedure: 50%
$500.01
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%).
43775 compared with similar codes
Compare codes
43775 vs 43644 vs 43770 vs 43845: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 43644Gastric bypass
- Use 43644 for laparoscopic gastric bypass, which creates a pouch and reroutes the intestine. Code 43775 describes stomach resection to form a sleeve without intestinal rerouting.
- 43770Gastric band placement
- Code 43770 describes laparoscopic placement of an adjustable gastric band. Code 43775 describes removal of stomach tissue and creation of a sleeve, without band placement.
- 43845Duodenal switch
- Code 43845 describes biliopancreatic diversion with duodenal switch. It involves a different intestinal reconstruction from the sleeve procedure reported with 43775.
43775 billing questions
How is this different from laparoscopic gastric bypass?
A sleeve removes part of the stomach and leaves a narrow tube. Gastric bypass creates a stomach pouch and reroutes the intestinal pathway.
Should modifier 50 be reported?
No. The procedure involves one stomach, so a bilateral adjustment and modifier 50 are inappropriate.
What documentation supports reporting this code?
The operative report should establish the laparoscopic approach and describe the stomach resection and sleeve created.
How does the 90-day global period affect related care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
CMS may pay an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure 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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