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See a sample rate comparisonCPT 43633 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery To Remove Stomach Part, Surgery To Remove A Section Of The Stomach. The Procedure Involves Creation Of A New Connection To The Intestines.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,775.93 national non-facility rate (2026) · View Medicare rates for 43633 |
| Medicaid Fee Schedule | $1,376.135 median of the 8 states in the free preview · View Medicaid rates for 43633 |
National average reimbursement for CPT 43633 by major payers:
$2,390.72
$2,510.21
$2,656.75
$3,006.81
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CPT 43633
5 of 25 sample ratesHigher to lower in this preview
Surgery Centers Of Des Moines Ltd
$1,350.00Published rateRiverbend Ambulatory Surgery Center LLC, Day Surgery At Riverbend
Riverbend Ambulatory Surgery Center LLC
$709.00Published rateEye Surgery Center Of Michigan LLC
Eye Surgery Center Of Michigan
$430.00Published rateLinden Surgical Center, LLC
Linden Surgical Center LLC
$340.00Published rateThe Harlingen Endoscopy Center Lp, Valley Endoscopy Center
The Harlingen Endoscopy Center Lp
$112.00Published rate
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See a sample payer proposalCPT 43633 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43633 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43633 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43622-CPT | High | Gastrectomy Total; W/ Formation Of Intestin Pouch Any Typ, Gastrectomy Total; With Formation Of Intestinal Pouch Any Type |
| 43631-CPT | High | Surgery To Remove Stomach Part, Surgery To Remove A Section Of The Stomach. The Procedure Involves Creation Of A New Connection To The Intestines. |
| 43632-CPT | High | Surgery To Remove Stomach Part, Surgery To Remove A Section Of The Stomach. The Procedure Involves Creation Of A New Connection To The Intestines. |
| 43633-CPT | High | Surgery To Remove Stomach Part, Surgery To Remove A Section Of The Stomach. The Procedure Involves Creation Of A New Connection To The Intestines. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43633. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43633 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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