CPT code 43211: Esophageal resection, endoscopic mucosal resection2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $205.23 for 43211 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43211 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 43211 covers

43211 represents flexible transoral endoscopic mucosal resection confined to the esophagus. The endoscopist identifies a superficial mucosal abnormality, separates the target tissue from the deeper wall as needed for capture, and removes it for histologic assessment. Gastroenterologists and other physicians trained in therapeutic endoscopy commonly perform this service in a hospital outpatient endoscopy unit or ambulatory surgery center. A typical indication is resection of a selected visible Barrett-associated dysplastic focus or other superficial esophageal neoplasia; this code describes mucosal resection, not sampling alone or treatment by ablation.

Report 43211 when the documented intervention is endoscopic mucosal resection of esophageal tissue, rather than biopsy alone, conventional lesion removal without mucosal resection, or ablation. Document the esophageal site, lesion findings, resection method, and any additional endoscopic work. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing governs payment. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 43211

Across 109 of 109 payment localities, the facility rate for 43211 runs from $191.74 in Arkansas to $272.04 in Alaska. New Mexico pays $205.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43211 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 43211 in every payment locality

How the 43211 rate is calculated

Each of 43211’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 43211

The CMS indicators that decide how 43211 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 43211

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 43211 has changed in New Mexico

Price 43211 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates