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See a sample rate comparisonCPT 43644 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.
Stomach Weight Loss Surgery, Stomach Surgery Aided By A Scope (Laparoscope). The Procedure Reduces The Size Of The Stomach Or Creates A Route For Food That Bypasses The Stomach.
| 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 | $1,618.27 national non-facility rate (2026) · View Medicare rates for 43644 |
| Medicaid Fee Schedule | $1,251.41 median of the 8 states in the free preview · View Medicaid rates for 43644 |
National average reimbursement for CPT 43644 by major payers:
$2,259.26
$2,324.00
$2,504.43
$2,783.27
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CPT 43644
5 of 25 sample ratesHigher to lower in this preview
Franciscan Orthopedic Surgery Center LLC
$11,797.00Published rateCanyon View Asc, LLC, Canyon View Asc
Canyon View Asc LLC
$4,038.00Published rateIndiana Ambulatory Surgical Associates, Inc
Indiana Ambulatory Surgical Associates Inc
$2,172.00Published rateSunrise Flamingo Surgery Center, LLC, Flamingo Surgery Center
Sunrise Flamingo Surgery Center LLC
$1,815.00Published ratePalm Beach Outpatient Surgical Center, LLC, Palm Beach Outpatient Surgical Center
Palm Beach Outpatient Surgical Center LLC
$835.00Published rate
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See a sample payer proposalCPT 43644 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43644 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 43644 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 |
|---|---|---|
| 43640-CPT | High | Vagotomy Inclu Pyloroplasty W//W/O Gastrostomy; Truncal, Vagotomy Including Pyloroplasty With Or Without Gastrostomy; Truncal |
| 43641-CPT | High | Vagotomy Inclu Pyloroplasty W//W/O Gastrostomy; Parietal, Vagotomy Including Pyloroplasty With Or Without Gastrostomy; Parietal |
| 43644-CPT | High | Stomach Weight Loss Surgery, Stomach Surgery Aided By A Scope (Laparoscope). The Procedure Reduces The Size Of The Stomach Or Creates A Route For Food That Bypasses The Stomach. |
| 43645-CPT | High | Stomach Weight Loss Surgery, Stomach Surgery Aided By A Scope (Laparoscope). The Procedure Reduces The Size Of The Stomach Or Creates A Route For Food That Bypasses The Stomach. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43644. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43644 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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