CPT 43775: Laparoscopic Sleeve Gastrectomy
Medicare pays $1000 and commercial payers pay $3424 on average nationally for this procedure.
CPT code 43775 describes a laparoscopic sleeve gastrectomy performed to reduce stomach volume by removing the greater curvature and creating a long, tubular stomach; this bariatric surgical procedure is typically coded when done as a standalone weight-loss operation or as the first stage for high‑risk patients. Service type: bariatric surgery / laparoscopic restrictive gastric procedure. Typical site of service: hospital inpatient or hospital outpatient surgical suite depending on patient risk and facility practices.
For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.
Customize your policy alerts
Sign up for cpt 43775 policy alerts
Get alerted when payer policies referencing 43775 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Commercial averages sit well above Medicare for CPT 43775: BlueCross BlueShield and BUCA averages are notably higher than Medicare’s mean of $1,000.30, with BUCA’s mean at $3,424.40 and Blue Cross Blue Shield’s mean at $4,623.60, illustrating a substantial commercial–Medicare spread in national allowed amounts. Cigna, Aetna, and UnitedHealth Group also average above Medicare but below the largest commercial means, reflecting tiering among commercial payers.
Dispersion measured by the interquartile spread (P75–P25) highlights where rates are most and least variable. BlueCross BlueShield shows one of the widest IQRs at $3,008.40, followed by BUCA at $2,182.70 and UnitedHealth Group at $1,222.00, indicating broader negotiated variability. Aetna and Cigna have tighter spreads of $822.50 and $1,201.40 respectively, signaling relatively more consistency in middle-range commercial payments; Medicare’s IQR is narrow at $83.00.