GAST — Gastric Surgery – Incision or excision of stomach; includes subtotal or total gastrectomy; does not include vagotomy or fundoplication
Procedure Code Category CPT Codes Code Description
CPT code 43117 Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)
CPT code 43118 Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
CPT code 43121 Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
CPT code 43122 Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty
CPT code 43286 Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, laparoscopic transhiatal esophagectomy)
CPT code 43287 Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)
CPT code 43288 Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)
CPT code 43320 Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach
CPT code 43360 Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
CPT code 43500 Gastrotomy; with exploration or foreign body removal
CPT code 43501 Gastrotomy; with suture repair of bleeding ulcer
CPT code 43502 Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)
CPT code 43520 Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)
CPT code 43605 Biopsy of stomach, by laparotomy
CPT code 43610 Excision, local; ulcer or benign tumor of stomach
CPT code 43611 Excision, local; malignant tumor of stomach
CPT code 43620 Gastrectomy, total; with esophagoenterostomy
CPT code 43621 Gastrectomy, total; with Roux-en-Y reconstruction
CPT code 43622 Gastrectomy, total; with formation of intestinal pouch, any type
CPT code 43631 Gastrectomy, partial, distal; with gastroduodenostomy
CPT code 43632 Gastrectomy, partial, distal; with gastrojejunostomy
CPT code 43633 Gastrectomy, partial, distal; with Roux-en-Y reconstruction
CPT code 43634 Gastrectomy, partial, distal; with formation of intestinal pouch
CPT code 43640 Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
CPT code 43641 Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
CPT code 43644 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
CPT code 43645 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
CPT code 43770 Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)
CPT code 43771 Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only
CPT code 43772 Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
CPT code 43773 Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only
CPT code 43774 Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components
CPT code 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)
CPT code 43800 Pyloroplasty
CPT code 43810 Gastroduodenostomy
CPT code 43820 Gastrojejunostomy; without vagotomy
CPT code 43825 Gastrojejunostomy; with vagotomy, any type
CPT code 43840 Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
CPT code 43842 Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
CPT code 43843 Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty
CPT code 43845 Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
CPT code 43846 Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy
CPT code 43847 Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption
CPT code 43848 Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
CPT code 43860 Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy
CPT code 43865 Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy
CPT code 43870 Closure of gastrostomy, surgical
CPT code 43880 Closure of gastrocolic fistula
CPT code 43886 Gastric restrictive procedure, open; revision of subcutaneous port component only
CPT code 43887 Gastric restrictive procedure, open; removal of subcutaneous port component only
CPT code 43888 Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only
