CPT code 43244: Variceal ligation, esophageal or gastric varices2026 Medicare rate & RVUs in Delaware
Reports therapeutic upper endoscopy in which an endoscopist places bands on esophageal or gastric varices to treat or prevent variceal bleeding.
In Delaware, Medicare pays $213.89 for 43244 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 43244 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 43244 covers
During upper endoscopy, the gastroenterologist or other qualified endoscopist identifies varices and deploys bands to close them. The service is used for varices associated with portal hypertension, including varices treated because they are bleeding or to reduce bleeding risk. The treated sites may be in the esophagus, stomach, or both; documentation should identify the varices and describe the ligation performed.
Report this code for endoscopic band treatment, rather than injection therapy reported with 43243. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted for this code.
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 Delaware compares for 43244
Across 109 of 109 payment localities, the facility rate for 43244 runs from $199.86 in Arkansas to $283.70 in Alaska. Delaware pays $213.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$213.89
- Los Angeles, CA · California$226.37+$12.48
- Washington, DC area · District of Columbia$235.00+$21.11
- Miami, FL · Florida$241.75+$27.86
- Chicago, IL · Illinois$237.05+$23.16
- Manhattan, NY · New York$242.95+$29.06
- Alaska · Alaska$283.70+$69.81
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $201.57 |
| ArkansasArkansas | — | $199.86 |
| ArizonaArizona | — | $211.43 |
| Bakersfield, CACalifornia | — | $217.44 |
| Chico, CACalifornia | — | $216.01 |
| El Centro, CACalifornia | — | $216.09 |
| Fresno, CACalifornia | — | $216.01 |
| Hanford, CACalifornia | — | $216.01 |
| Madera, CACalifornia | — | $216.01 |
| Merced, CACalifornia | — | $216.01 |
| Modesto, CACalifornia | — | $216.01 |
| Napa, CACalifornia | — | $234.69 |
| Oxnard, CACalifornia | — | $223.80 |
| Redding, CACalifornia | — | $216.01 |
| Rest of CaliforniaCalifornia | — | $216.01 |
| Riverside, CACalifornia | — | $221.13 |
| Sacramento, CACalifornia | — | $222.51 |
| Salinas, CACalifornia | — | $221.57 |
| San Diego, CACalifornia | — | $223.61 |
| Marin County, CACalifornia | — | $243.70 |
| San Francisco, CACalifornia | — | $243.17 |
| San Benito County, CACalifornia | — | $248.86 |
| Santa Clara County, CACalifornia | — | $246.68 |
| San Luis Obispo, CACalifornia | — | $218.43 |
| Santa Cruz, CACalifornia | — | $223.30 |
| Santa Maria, CACalifornia | — | $221.53 |
| Santa Rosa, CACalifornia | — | $225.32 |
| Stockton, CACalifornia | — | $216.01 |
| Vallejo, CACalifornia | — | $233.92 |
| Visalia, CACalifornia | — | $216.01 |
| Yuba City, CACalifornia | — | $216.01 |
| ColoradoColorado | — | $217.33 |
| ConnecticutConnecticut | — | $225.94 |
| Fort Lauderdale, FLFlorida | — | $228.85 |
| Rest of FloridaFlorida | — | $220.85 |
| Atlanta, GAGeorgia | — | $219.92 |
| Rest of GeorgiaGeorgia | — | $212.35 |
| Hawaii, Guam, HIHawaii | — | $216.56 |
| IowaIowa | — | $201.17 |
| IdahoIdaho | — | $202.65 |
| East St. Louis, ILIllinois | — | $226.84 |
| Rest of IllinoisIllinois | — | $219.36 |
| Suburban Chicago, ILIllinois | — | $230.08 |
| IndianaIndiana | — | $203.25 |
| KansasKansas | — | $202.23 |
| KentuckyKentucky | — | $207.84 |
| New Orleans, LALouisiana | — | $214.24 |
| Rest of LouisianaLouisiana | — | $208.29 |
| Metropolitan Boston, MAMassachusetts | — | $230.53 |
| Rest of MassachusettsMassachusetts | — | $217.53 |
| Baltimore area, MDMaryland | — | $225.57 |
| Rest of MarylandMaryland | — | $216.26 |
| Rest of MaineMaine | — | $204.99 |
| Southern Maine, MEMaine | — | $209.14 |
| Detroit, MIMichigan | — | $224.23 |
| Rest of MichiganMichigan | — | $212.55 |
| MinnesotaMinnesota | — | $206.02 |
| Metropolitan Kansas City, MOMissouri | — | $211.63 |
| Metropolitan St. Louis, MOMissouri | — | $212.76 |
| Rest of MissouriMissouri | — | $207.24 |
| MississippiMississippi | — | $203.49 |
| MontanaMontana | — | $215.40 |
| North CarolinaNorth Carolina | — | $205.99 |
| North DakotaNorth Dakota | — | $206.11 |
| NebraskaNebraska | — | $201.32 |
| New HampshireNew Hampshire | — | $215.79 |
| Northern New JerseyNew Jersey | — | $234.56 |
| Rest of New JerseyNew Jersey | — | $227.88 |
| New MexicoNew Mexico | — | $213.91 |
| NevadaNevada | — | $212.87 |
| NYC suburbs and Long Island, NYNew York | — | $248.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $230.54 |
| Queens, NYNew York | — | $241.82 |
| Rest of New YorkNew York | — | $207.95 |
| OhioOhio | — | $210.65 |
| OklahomaOklahoma | — | $205.90 |
| Portland, OROregon | — | $219.98 |
| Rest of OregonOregon | — | $210.55 |
| Metropolitan Philadelphia, PAPennsylvania | — | $223.36 |
| Rest of PennsylvaniaPennsylvania | — | $209.94 |
| Puerto RicoPuerto Rico | — | $215.82 |
| Rhode IslandRhode Island | — | $218.33 |
| South CarolinaSouth Carolina | — | $208.79 |
| South DakotaSouth Dakota | — | $205.01 |
| TennesseeTennessee | — | $203.03 |
| Austin, TXTexas | — | $217.21 |
| Beaumont, TXTexas | — | $209.24 |
| Brazoria, TXTexas | — | $212.62 |
| Dallas, TXTexas | — | $214.27 |
| Fort Worth, TXTexas | — | $213.91 |
| Galveston, TXTexas | — | $213.49 |
| Houston, TXTexas | — | $222.09 |
| Rest of TexasTexas | — | $211.03 |
| UtahUtah | — | $210.45 |
| VirginiaVirginia | — | $209.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $215.82 |
| VermontVermont | — | $207.12 |
| Rest of WashingtonWashington | — | $216.54 |
| King County, WAWashington | — | $232.54 |
| WisconsinWisconsin | — | $202.20 |
| West VirginiaWest Virginia | — | $214.81 |
| WyomingWyoming | — | $211.35 |
43244 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 43244 rate is calculated
Each of 43244’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.
How the rate is built · 43244
RVUs × geographic indexes × conversion factor
Work4.29
4.29 RVUs× 1.000 GPCI
Practice expense1.69
1.69 RVUs× 1.000 GPCI
Malpractice0.47
0.47 RVUs× 1.000 GPCI
Adjusted RVUs
6.4500
Conversion factor
$33.4009
Medicare rate
$215.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,172
- Code
- 43244
- Physician work
- 4.29
- Practice expense
- 1.69
- Malpractice
- 0.47
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.29 | × 1.005 | 4.3114 |
| Practice expense | 1.69 | × 0.988 | 1.6697 |
| Malpractice | 0.47 | × 0.899 | 0.4225 |
| Total RVUs | 6.4037 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$213.89
Facility: (4.29 × 1.005 + 1.69 × 0.988 + 0.47 × 0.899) × $33.4009 = $213.89
Payment rules and modifiers for 43244
The CMS indicators that decide how 43244 is paid alongside other services.
CMS payment indicators · 43244
Variceal ligation, esophageal or gastric varices
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
43244 without 51 · national facility
$215.44
Variceal ligation, esophageal or gastric varices
43244-51 · Second procedure: 50%
$107.72
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 43244 has changed in Delaware
43244 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $213.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $213.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $213.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $213.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $233.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $233.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $233.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $233.70 | RVU25A |
| 2024-10-01 | Not available in this setting | $240.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $240.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $240.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $240.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $236.25 | RVU24A |
| 2023-10-01 | Not available in this setting | $243.84 | RVU23D |
| 2023-07-01 | Not available in this setting | $243.84 | RVU23C |
| 2023-04-01 | Not available in this setting | $243.84 | RVU23B |
| 2023-01-01 | Not available in this setting | $243.84 | RVU23A |
| 2022-10-01 | Not available in this setting | $249.10 | RVU22D |
| 2022-07-01 | Not available in this setting | $249.10 | RVU22C |
| 2022-04-01 | Not available in this setting | $249.10 | RVU22B |
| 2022-01-01 | Not available in this setting | $249.10 | RVU22A |
| 2021-10-01 | Not available in this setting | $249.77 | RVU21D |
| 2021-07-01 | Not available in this setting | $249.77 | RVU21C |
| 2021-04-01 | Not available in this setting | $249.77 | RVU21B |
| 2021-01-01 | Not available in this setting | $249.77 | RVU21A |
| 2020-10-01 | Not available in this setting | $258.53 | RVU20D |
| 2020-07-01 | Not available in this setting | $258.53 | RVU20C |
| 2020-04-01 | Not available in this setting | $258.53 | RVU20B |
| 2020-01-01 | Not available in this setting | $258.53 | RVU20A |
| 2019-10-01 | Not available in this setting | $263.39 | RVU19D |
| 2019-07-01 | Not available in this setting | $263.39 | RVU19C |
| 2019-04-01 | Not available in this setting | $263.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $263.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $264.57 | RVU18D |
| 2018-07-01 | Not available in this setting | $264.57 | RVU18C |
| 2018-04-01 | Not available in this setting | $264.57 | RVU18B |
| 2018-01-01 | Not available in this setting | $264.57 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $264.75 | RVU17D |
| 2017-07-01 | Not available in this setting | $264.75 | RVU17C |
| 2017-04-01 | Not available in this setting | $264.75 | RVU17B |
| 2017-01-01 | Not available in this setting | $264.75 | RVU17A |
| 2016-10-01 | Not available in this setting | $270.06 | RVU16D |
| 2016-07-01 | Not available in this setting | $270.06 | RVU16C |
| 2016-04-01 | Not available in this setting | $270.06 | RVU16B |
| 2016-01-01 | Not available in this setting | $270.06 | RVU16A |
| 2015-10-01 | Not available in this setting | $276.72 | RVU15D |
| 2015-07-01 | Not available in this setting | $276.72 | RVU15C |
| 2015-04-01 | Not available in this setting | $275.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $275.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $271.51 | RVU14D |
| 2014-07-01 | Not available in this setting | $271.51 | RVU14C |
| 2014-04-01 | Not available in this setting | $271.51 | RVU14B |
| 2014-01-01 | Not available in this setting | $271.51 | RVU14A |
| 2013-10-01 | Not available in this setting | $296.78 | RVU13D |
| 2013-07-01 | Not available in this setting | $296.78 | RVU13C |
| 2013-04-01 | Not available in this setting | $296.78 | RVU13B |
| 2013-01-01 | Not available in this setting | $296.78 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
43244 billing questions
How does this differ from 43243?
Use 43244 when varices are treated with endoscopic bands. Code 43243 describes injection treatment of varices.
Can 43244 be reported per band placed?
Report the endoscopic ligation service, not a separate unit for each band. Document the treated sites and the ligation performed.
When is 43255 a better fit?
Code 43255 is for endoscopic control of bleeding by methods other than variceal band ligation. Use 43244 when the documented treatment is banding varices.
Should modifier 50 be appended when varices are treated in both the esophagus and stomach?
No. Modifier 50 is inappropriate for this code; the service can involve esophageal varices, gastric varices, or both.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. Related endoscopies performed together are subject to endoscopy family pricing.
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
Show the CMS file lines behind this rate
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