CPT code 43243: Variceal injection, esophageal or gastric varices2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $198.57 for 43243 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43243 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 43243 covers

A gastroenterologist or other qualified endoscopist uses an upper endoscope to locate esophageal or gastric varices and injects them with a sclerosing agent. This treatment may be performed for varices associated with portal hypertension, including when variceal bleeding requires endoscopic intervention. The procedure is typically done in a hospital endoscopy suite or another setting equipped for upper endoscopy and patient monitoring.

Report this code when the documented endoscopic treatment is injection of varices, rather than band ligation or injection of a nonvariceal site. The procedure note should identify the varices treated and describe the injection therapy. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. CMS does not pay for an assistant at surgery; 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 North Dakota compares for 43243

Across 109 of 109 payment localities, the facility rate for 43243 runs from $193.11 in Arkansas to $274.02 in Alaska. North Dakota pays $198.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43243 rates by state

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

See 43243 in every payment locality

How the 43243 rate is calculated

Each of 43243’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 43243

The CMS indicators that decide how 43243 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 43243

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

How 43243 has changed in North Dakota

Price 43243 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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