CPT® Code 43825

The procedure described by CPT® Code 43825 is known as gastrojejunostomy with vagotomy, which involves the surgical creation of an anastomosis between the stomach and the jejunum, a part of the small intestine, while also performing a vagotomy. This procedure is specifically designed to treat conditions such as peptic ulcer disease by reducing acid secretion in the stomach. Unlike other surgical approaches, this procedure does not involve the resection or removal of any part of the stomach, duodenum, or jejunum. Various surgical techniques can be employed, including retrocolic and antecolic methods, which refer to the positioning of the anastomosis relative to the colon. The operation begins with a midline incision in the abdomen to expose the stomach and jejunum, allowing for the mobilization of these organs and the lysis of any adhesions that may be present. The vagotomy component of the procedure entails the identification and severing of the vagus nerve, which is responsible for stimulating acid production in the stomach. By cutting the vagus nerve, the procedure aims to alleviate symptoms associated with excessive acid secretion, thereby providing relief to patients suffering from peptic ulcers.