CPT code 43651 identifies a laparoscopic truncal vagotomy in which both main trunks of the vagus nerve are transected to treat a duodenal ulcer. The code denotes a minimally invasive surgical approach to acid-reduction therapy historically used for peptic ulcer disease management. Nationally, this code matters because it captures definitive surgical acid-reduction therapy that may be billed in inpatient and outpatient surgical settings and affects surgical service-line billing and quality reporting.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical intent behind the code, typical sites of service, and the service type. The publication provides billing benchmarks, common modifiers and coding considerations, and notes on clinical context relevant to payer coverage and claims adjudication. It also outlines the relationships between this code and related surgical interventions for peptic ulcer disease.

Data not available in the input for specific negotiated rates, associated taxonomies, and ICD-10 diagnosis mappings.