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CPT code 43282: Hernia repair, laparoscopic, with mesh2026 Medicare rate & RVUs

Reports laparoscopic repair of a paraesophageal hernia when mesh is implanted to reinforce the repair, with fundoplasty included when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities11.8K Medicare services in 2024

Medicare pays $1,601.91 for 43282 nationally in a facility.

Medicare rate · 43282

Hernia repair, laparoscopic, with mesh

Office or facility?

Work RVUs
29.35
Total RVUs
47.96
Global days
090

National rate · 2026

$1,601.91

Facility setting, before claim adjustments.

See every locality for 43282 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 43282 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 43282 covers

A surgeon uses a laparoscope to reduce the herniated stomach and repair the opening in the diaphragm, implanting mesh to reinforce the repair. The operation is commonly performed in a hospital operating room for a paraesophageal hernia; a fundoplasty may also be performed as part of the operation. The code distinguishes a repair with mesh from the corresponding repair without mesh.

Report the service when the operative record supports laparoscopic paraesophageal hernia repair and documents mesh implantation. Fundoplasty performed as part of the repair is included. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.

Where 43282 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

43282 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,444.74
AlaskaUnavailable$2,000.27
ArizonaUnavailable$1,553.58
ArkansasUnavailable$1,425.79
Atlanta, GAUnavailable$1,662.37
Austin, TXUnavailable$1,595.68
Bakersfield, CAUnavailable$1,554.96
Baltimore area, MDUnavailable$1,705.15
Beaumont, TXUnavailable$1,550.85
Brazoria, TXUnavailable$1,549.89

43282 rates by state

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

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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
43282 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 43282 rate is calculated

Each of 43282’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 · 43282

RVUs × geographic indexes × conversion factor

Office or facility?

Work29.35

29.35 RVUs× 1.000 GPCI

Practice expense10.91

10.91 RVUs× 1.000 GPCI

Malpractice7.70

7.70 RVUs× 1.000 GPCI

Adjusted RVUs

47.9600

Conversion factor

$33.4009

Medicare rate

$1,601.91

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 43282

43282 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 43282

Hernia repair, laparoscopic, with mesh

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 43282

Hernia repair, laparoscopic, with mesh

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

43282 without 51 · national facility

$1,601.91

Hernia repair, laparoscopic, with mesh

43282-51 · Second procedure: 50%

$800.96

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%).

When to use modifier 51

43282 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 43282

    Hernia repair, laparoscopic, with mesh29.35 wRVU

    Not priced

  • 43281

    Hernia repair, laparoscopic, without mesh25.94 wRVU

    Not priced

  • 43280

    Fundoplasty, laparoscopic antireflux wrap17.65 wRVU

    Not priced

  • 43283

    Esophageal lengthening, laparoscopic Collis gastroplasty2.88 wRVU

    Not priced

How to choose

43281Hernia repairLaparoscopic, without mesh
Choose 43281 for laparoscopic paraesophageal hernia repair without mesh. Choose 43282 when mesh is implanted as part of the repair.
43280FundoplastyLaparoscopic antireflux wrap
43280 describes laparoscopic fundoplasty for an antireflux operation. It is not the paraesophageal hernia repair code.
43283Esophageal lengtheningLaparoscopic Collis gastroplasty
43283 describes laparoscopic esophageal lengthening, such as a Collis procedure. It does not substitute for the paraesophageal hernia repair code.

Codes related to 43282

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

Codes related to 43282
CodeHow it relatesNational office range
Same family
43281Hernia repair, laparoscopic, without meshLaparoscopic paraesophageal hernia repair without implanted mesh.No office rate
Used instead
43280Fundoplasty, laparoscopic antireflux wrapLaparoscopic fundoplasty for an antireflux operation without paraesophageal hernia repair.No office rate
Often billed with
43283Esophageal lengthening, laparoscopic Collis gastroplastyEsophageal lengthening, such as a Collis procedure, may accompany repair when clinically required.No office rate

43282 billing questions

How does 43282 differ from 43281?

Both report laparoscopic paraesophageal hernia repair, but 43282 is for a repair with implanted mesh. Use 43281 for the corresponding repair without mesh.

Can fundoplasty be billed separately with 43282?

Fundoplasty performed as part of the paraesophageal hernia repair is included in 43282. The operative report should describe the repair and any fundoplasty performed.

What documentation supports reporting the mesh version?

The operative report should establish the laparoscopic paraesophageal hernia repair and document that mesh was implanted to reinforce the repair.

What is included in the Medicare global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.

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
RVUs for 43282PPRRVU2026_Oct_nonQPP.csv, line 5,206 (RVU26D)

Open CMS sourceHow we calculate rates

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