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CPT 43810: Gastroduodenal Anastomosis — Stomach to Duodenum Surgical Connection
CPT code 43810 identifies a gastroduodenal anastomosis, an open surgical procedure that forms a connection between the stomach and the duodenum, typically after partial gastrectomy or duodenal resection. Nationally, this code captures complex gastrointestinal reconstructive surgery that can affect inpatient surgical utilization, resource allocation, and postoperative care pathways.
Key payers addressed in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The report provides a clinical and billing context for hospitals and surgical specialists, highlighting where CPT code 43810 fits within surgical service lines and common billing frameworks.
Readers will find: benchmarks and utilization context for inpatient gastrointestinal surgery; policy and coverage considerations relevant to major commercial payers and Medicare; and clinical context describing indications and typical care settings. Data limitations are noted where input fields were not provided. This summary is intended for national stakeholders involved in surgical services, revenue integrity, and payer policy.
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Billing Code Overview
CPT code 43810 describes a gastroduodenal anastomosis — a surgical procedure that creates a direct connection between the stomach and the duodenum, typically performed after resection of part of the stomach or duodenum. This operation restores gastrointestinal continuity and is often part of procedures addressing malignancy, benign lesions, trauma, or complications of prior surgery.
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Service type: Open abdominal gastrointestinal surgical procedure
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Typical site of service: Hospital operating room or inpatient surgical unit