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

In Delaware, Medicare pays $1,576.46 for 43282 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43282 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 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.

How Delaware compares for 43282

Across 109 of 109 payment localities, the facility rate for 43282 runs from $1,408.63 in Wisconsin to $2,010.09 in Miami, FL. Delaware pays $1,576.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43282 rates by state

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

See 43282 in every payment locality

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.

Payment rules and modifiers for 43282

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

What modifiers do to the payment

When to use modifier 51

Codes related to 43282

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

How 43282 has changed in Delaware

Price 43282 for an earlier date of service

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

Browse all communities in Delaware

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