CPT code 43825: Gastrojejunostomy2026 Medicare rate & RVUs in Virginia
Reports a surgical connection between the stomach and jejunum performed with vagotomy, commonly for gastric drainage when the usual outlet is unsuitable.
CMS doesn’t publish an office rate for 43825 in Virginia.
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 43825 covers
The surgeon creates an anastomosis between the stomach and jejunum and performs a vagotomy, which interrupts vagal nerve input to reduce gastric acid stimulation. This operation may be used when gastric emptying through the pylorus or duodenum is impaired, including selected cases of gastric outlet obstruction. It is performed by a surgeon in an operating room, generally in a hospital setting.
Report this code when both the gastrojejunostomy and vagotomy are part of the operation; the operative report should document the anastomosis and nerve division. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. 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. An assistant at surgery may be paid; 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.
Where 43825 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $1,349.30 |
| Virginia | Unavailable | $1,169.07 |
How the 43825 rate is calculated
Each of 43825’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 · 43825
RVUs × geographic indexes × conversion factor
Work21.22
21.22 RVUs× 1.000 GPCI
Practice expense9.94
9.94 RVUs× 1.000 GPCI
Malpractice5.68
5.68 RVUs× 1.000 GPCI
Adjusted RVUs
36.8400
Conversion factor
$33.4009
Medicare rate
$1,230.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43825
43825 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43825
Gastrojejunostomy
| 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 · 43825
Gastrojejunostomy
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
43825 without 51 · national facility
$1,230.49
Gastrojejunostomy
43825-51 · Second procedure: 50%
$615.25
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%).
43825 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 43820Gastrojejunostomy
- Choose 43825 when the operation includes vagotomy along with the gastrojejunostomy; 43820 describes the gastrojejunostomy without vagotomy.
- 43810Gastroduodenostomy
- 43810 creates a connection from the stomach to the duodenum. This code creates the connection to the jejunum and includes vagotomy.
- 43865Anastomosis revision
- 43865 is for revision of a gastrojejunal anastomosis with vagotomy, rather than creation of the gastrojejunostomy described here.
43825 billing questions
How does this differ from 43820?
43825 includes a vagotomy with the gastrojejunostomy. Use 43820 when the gastrojejunostomy is performed without vagotomy.
Can the vagotomy be reported separately?
The vagotomy is included in this combined service. The operative report should support both the gastrojejunostomy and the vagotomy.
Should modifier 50 be added?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What documentation supports reporting this code?
The operative report should describe the stomach-to-jejunum anastomosis and the vagotomy. It should make clear that both were performed during the operation.
How is this code affected by other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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 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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