CPT 43771
Global 090 ActiveLap revise gastr adj device
CPT 43771 Billing & Documentation Guide
CPT code 43771 (Lap revise gastr adj device) is classified under Surgery (Digestive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 20.27, a non-facility practice expense RVU of 10.42, and a malpractice RVU of 5.42, a total non-facility RVU of 36.11 and facility RVU of 36.11. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1209.05, though rates vary from $1066.21 to $1497.18 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 43771, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 43771 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 43771 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 43771
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 20.27 | 20.27 |
| Practice Expense RVU | 10.42 | 10.42 |
| Malpractice RVU | 5.42 | 5.42 |
| Total RVU | 36.11 | 36.11 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 43771
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1211.3 | $1211.3 | $1167.03 - $1350.41 | 29 |
| Florida | $1378.65 | $1378.65 | $1281.85 - $1497.18 | 3 |
| Georgia | $1226.69 | $1226.69 | $1203.28 - $1250.09 | 2 |
| Illinois | $1361.65 | $1361.65 | $1277.75 - $1447.02 | 4 |
| Michigan | $1258.65 | $1258.65 | $1199.18 - $1318.11 | 2 |
| North Carolina | $1117.44 | $1117.44 | $1117.44 - $1117.44 | 1 |
| New York | $1343.53 | $1343.53 | $1134.94 - $1470.36 | 5 |
| Ohio | $1177.28 | $1177.28 | $1177.28 - $1177.28 | 1 |
| Pennsylvania | $1217.55 | $1217.55 | $1167.61 - $1267.5 | 2 |
| Texas | $1191.56 | $1191.56 | $1161.93 - $1277.15 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 43771
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 43771 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0392T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 43771
What does CPT code 43771 mean? +
CPT code 43771 represents: Lap revise gastr adj device. It's in the Surgery (Digestive) category with a global period of 090.
What is the Medicare reimbursement for CPT 43771? +
The 2026 Medicare national average non-facility payment for CPT 43771 is $1209.05. Rates range from $1066.21 to $1497.18 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 43771? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 43771? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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