FeeBase
Log inGet started
Menu

CPT code 43283: Esophageal lengthening, laparoscopic Collis gastroplasty2026 Medicare rate & RVUs

Reported with laparoscopic paraesophageal hernia repair when a short esophagus requires surgical lengthening, typically by a Collis gastroplasty.

CMS RVU26DEffective Oct 1, 2026109 payment localities687 Medicare services in 2024

Medicare pays $141.95 for 43283 nationally in a facility.

Medicare rate · 43283

Esophageal lengthening, laparoscopic Collis gastroplasty

Office or facility?

Work RVUs
2.88
Total RVUs
4.25
Global days
ZZZ

National rate · 2026

$141.95

Facility setting, before claim adjustments.

See every locality for 43283 →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 43283 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 43283 covers

This add-on represents laparoscopic surgical lengthening of the esophagus, commonly performed as a Collis gastroplasty. A foregut or general surgeon may perform it during laparoscopic repair of a paraesophageal hernia when mobilization leaves too little esophagus below the diaphragm for a tension-free repair. The surgeon creates additional esophageal length using the stomach; routine esophageal mobilization alone is not the lengthening service.

Report 43283 only with its qualifying primary laparoscopic paraesophageal hernia repair, 43281 or 43282. The operative report should establish that a short esophagus remained after mobilization and describe the lengthening actually performed. Do not report it merely because the surgeon dissected or repositioned the esophagus during hernia repair. CMS treats this as an add-on code billed with a primary procedure and paid within that procedure’s global period.

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 43283 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

43283 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$128.70
AlaskaUnavailable$180.49
ArizonaUnavailable$137.78
ArkansasUnavailable$127.11
Atlanta, GAUnavailable$147.49
Austin, TXUnavailable$140.61
Bakersfield, CAUnavailable$136.30
Baltimore area, MDUnavailable$150.83
Beaumont, TXUnavailable$138.30
Brazoria, TXUnavailable$137.17

43283 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
43283 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 43283 rate is calculated

Each of 43283’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 · 43283

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.88

2.88 RVUs× 1.000 GPCI

Practice expense0.64

0.64 RVUs× 1.000 GPCI

Malpractice0.73

0.73 RVUs× 1.000 GPCI

Adjusted RVUs

4.2500

Conversion factor

$33.4009

Medicare rate

$141.95

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

Payment rules and modifiers for 43283

The CMS indicators that decide how 43283 is paid alongside other services.

CMS payment indicators · 43283

Esophageal lengthening, laparoscopic Collis gastroplasty

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

43283 without 80 · national facility

$141.95

Esophageal lengthening, laparoscopic Collis gastroplasty

43283-80 · Assistant: 16%

$22.71

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

43283 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 43283

    Esophageal lengthening, laparoscopic Collis gastroplasty2.88 wRVU

    Not priced

  • 43281

    Hernia repair, laparoscopic, without mesh25.94 wRVU

    Not priced

  • 43282

    Hernia repair, laparoscopic, with mesh29.35 wRVU

    Not priced

  • 43280

    Fundoplasty, laparoscopic antireflux wrap17.65 wRVU

    Not priced

How to choose

43281Hernia repairLaparoscopic, without mesh
43281 reports the laparoscopic paraesophageal hernia repair. Add 43283 only when the surgeon also performs esophageal lengthening.
43282Hernia repairLaparoscopic, with mesh
43282 reports laparoscopic paraesophageal hernia repair with mesh. It is a primary procedure; 43283 separately represents qualifying esophageal lengthening performed with it.
43280FundoplastyLaparoscopic antireflux wrap
43280 represents laparoscopic fundoplasty. It does not describe lengthening a short esophagus; 43283 is for the additional lengthening procedure.

Codes related to 43283

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

Codes related to 43283
CodeHow it relatesNational office range
Add-on codes
43281Hernia repair, laparoscopic, without meshLaparoscopic paraesophageal hernia repair that may be paired with esophageal lengthening.No office rate
43282Hernia repair, laparoscopic, with meshLaparoscopic paraesophageal hernia repair with mesh that may be paired with esophageal lengthening.No office rate
Used instead
43289Laparoscopic esophageal surgery, unlisted serviceUnlisted laparoscopic esophageal procedure when no specific listed code describes the service.No office rate

43283 billing questions

When is 43283 appropriate during paraesophageal hernia repair?

Report it when the surgeon performs an actual laparoscopic esophageal lengthening, such as a Collis gastroplasty, because mobilization alone did not provide adequate esophageal length for the repair.

Which primary codes can be paired with 43283?

Pair it with laparoscopic paraesophageal hernia repair code 43281 or 43282, as supported by the operative report.

Can 43283 be reported for esophageal mobilization alone?

No. The record should describe a lengthening procedure, not just dissection or mobilization performed as part of the hernia repair.

What documentation supports reporting 43283?

Document the inadequate esophageal length after mobilization, the lengthening technique performed, and the associated primary hernia repair.

How does CMS treat payment for this add-on code?

CMS requires it to be billed with a primary procedure and pays it within that procedure’s global period.

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 43283PPRRVU2026_Oct_nonQPP.csv, line 5,207 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 43283 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 43283 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist