No office rate
Choose 43771 for revision of an adjustable device component when the service does not include removing and replacing that component. Use 43773 for the exchange.
On this page
CMS RVU26D · Effective 2026-10-01
43773 Gastric band surgery Medicare reimbursement rates in Wyoming
Reports laparoscopic exchange of an adjustable gastric band component when a device problem requires removal and replacement rather than revision alone. Compare 43773 office and facility rates across CMS payment localities in Wyoming.
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 43773 in Wyoming?
Wyoming 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
$1159.04
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 43773: Laparoscopic gastric band component exchange
Reports laparoscopic exchange of an adjustable gastric band component when a device problem requires removal and replacement rather than revision alone.
A bariatric surgeon performs this laparoscopically to remove and replace an adjustable gastric restrictive device component. It is used when a component has failed or been damaged and the operative plan is an exchange, rather than a revision that leaves the component in place or removal without replacement. The service is typically performed in a hospital or ambulatory surgery center. The operative report should identify the indication, the component removed, the replacement performed, and any relevant findings such as device damage.
Report this code for the laparoscopic component exchange, not for placement of a new device or removal alone. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43773
- 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 RVU20.27 · 56%
- Practice expense (office) RVU10.42 · 29%
- Malpractice RVU5.42 · 15%
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.
43773 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Code 43772 represents laparoscopic removal of a component without replacement; 43773 includes removal and replacement.
No office rate
Code 43774 is for removal of the adjustable device and subcutaneous port components. Code 43773 describes an exchange of a component.
No office rate
Code 43770 is for laparoscopic placement of an adjustable gastric restrictive device, not exchange of a component in an existing device.
Compare 43773 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1159.04
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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 43773 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,295
- Code
- 43773
- Physician work
- 20.27
- Practice expense
- 10.42
- Malpractice
- 5.42
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.27 | × 1.000 | 20.2700 |
| Practice expense | 10.42 | × 1.000 | 10.4200 |
| Malpractice | 5.42 | × 0.740 | 4.0108 |
| Total RVUs | 34.7008 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1159.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.27 | 1 |
| Practice expense | 10.42 | 1 |
| Malpractice | 5.42 | 0.74 |
(20.27 × 1 + 10.42 × 1 + 5.42 × 0.74) × $33.4009 = $1159.04
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.
43773 billing questions
How is this different from code 43771?
Use 43773 when a component is removed and replaced. Code 43771 describes revision of a component without that removal-and-replacement exchange.
Can this be reported when the band is only removed?
No. When the laparoscopic service removes a component without replacing it, compare code 43772. Code 43774 describes removal of the adjustable device and subcutaneous port components.
Should modifier 50 be appended?
No. The abdominal procedure is not bilateral, and modifier 50 is inappropriate.
What postoperative care is included?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction to 50%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 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.
5,29243770,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,