No office rate
43771 is for laparoscopic revision of a device component. Choose 43772 when the component is removed rather than revised.
On this page
CMS RVU26D · Effective 2026-10-01
43772 Gastric device removal Medicare reimbursement rates in Virginia
Report laparoscopic removal of one component of an adjustable gastric restrictive device, such as its band or access port, without removing the complete system. Compare 43772 office and facility rates across CMS payment localities in Virginia.
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 43772 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$851.56–$982.06
2 of 2 localities have a supported rate.
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 43772: Laparoscopic adjustable gastric device component removal
Report laparoscopic removal of one component of an adjustable gastric restrictive device, such as its band or access port, without removing the complete system.
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.
CMS billing rules for 43772
- 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 RVU15.31 · 57%
- Practice expense (office) RVU7.51 · 28%
- Malpractice RVU3.97 · 15%
101
Medicare services in 2024 · #4878 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.
43772 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
43773 covers laparoscopic removal and replacement of a component; 43772 describes component removal without replacement.
No office rate
43774 describes removal of the adjustable gastric device and port components. 43772 is limited to component-only removal.
No office rate
43770 is laparoscopic placement of an adjustable gastric restrictive device. It describes initial placement, not removal of an existing component.
Compare 43772 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$982.06
Virginia →
Office / nonfacility
Unavailable
Facility
$851.56
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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 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.
5,29143763,,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
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