CPT 43715: Distal Antrectomy with Billroth II Reconstruction
CPT 43715 – Resection of distal antrum and duodenal bulb with Billroth II (gastrojejunostomy) reconstruction.
Indications
- Gastric outlet obstruction (peptic ulcer, cancer)
- Complicated duodenal ulcer
- Distal gastric malignancy (palliative)
Procedure Highlights
- Distal gastrectomy (antrum + proximal duodenum).
- Gastrojejunostomy (Billroth II) – stomach anastomosed to jejunum; duodenal stump closed.
- May include vagotomy (truncal/selective).
Coding Notes
- Do not report separate anastomosis code.
- If laparoscopic, use 43775 (laparoscopic gastric restrictive procedure) or unlisted; check current CPT.
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