What is the CPT (Current Procedural Terminology) code for a laparoscopic gastric sleeve procedure?

CPT Code for Laparoscopic Gastric Sleeve

The CPT code for laparoscopic sleeve gastrectomy is 43775. 1

Primary Procedure Code

• CPT 43775 is the standard code used for laparoscopic sleeve gastrectomy (LSG) when performed as a stand-alone bariatric procedure 1

Additional Codes for Combined Procedures

When gastric sleeve is performed with concomitant removal of a gastric band, the coding includes:

• CPT 43775 + (43772 or 43774) for laparoscopic sleeve gastrectomy with simultaneous gastric band removal 1
• This combination procedure carries higher operative time (124.6 minutes vs 98.6 minutes for LSG alone) and increased risk of postoperative sepsis (odds ratio 3.32) 1

Clinical Context

The laparoscopic sleeve gastrectomy coded as 43775 involves:

• Removal of two-thirds to three-fourths of the stomach, creating a tubularized conduit based on the lesser curvature 2
• Stapling typically begins 6-7 cm from the pylorus to preserve part of the antrum 3
• The procedure is the most commonly performed bariatric operation internationally 2

Procedure Outcomes

• LSG achieves 25% total body weight loss with 38-79% excess weight loss 2, 4
• Perioperative mortality ranges from 0.1-0.3% when performed by experienced surgeons 2, 4
• Staple line complications including stenosis occur in less than 1% to 2.7% of cases 2, 5, 4