CPT code 43283: Esophageal lengthening, laparoscopic Collis gastroplasty2026 Medicare rate & RVUs in California
Reported with laparoscopic paraesophageal hernia repair when a short esophagus requires surgical lengthening, typically by a Collis gastroplasty.
CMS doesn’t publish an office rate for 43283 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $136.30 |
| Chico, CA | Unavailable | $134.33 |
| El Centro, CA | Unavailable | $134.45 |
| Fresno, CA | Unavailable | $134.33 |
| Hanford, CA | Unavailable | $134.33 |
| Los Angeles, CA | Unavailable | $141.62 |
| Madera, CA | Unavailable | $134.33 |
| Marin County, CA | Unavailable | $146.67 |
| Merced, CA | Unavailable | $134.33 |
| Modesto, CA | Unavailable | $134.33 |
| Napa, CA | Unavailable | $142.82 |
| Oxnard, CA | Unavailable | $139.35 |
| Redding, CA | Unavailable | $134.33 |
| Rest of California | Unavailable | $134.33 |
| Riverside, CA | Unavailable | $142.15 |
| Sacramento, CA | Unavailable | $137.59 |
| Salinas, CA | Unavailable | $137.02 |
| San Benito County, CA | Unavailable | $150.67 |
| San Diego, CA | Unavailable | $137.86 |
| San Francisco, CA | Unavailable | $145.84 |
| San Luis Obispo, CA | Unavailable | $135.25 |
| Santa Clara County, CA | Unavailable | $147.28 |
| Santa Cruz, CA | Unavailable | $137.26 |
| Santa Maria, CA | Unavailable | $136.88 |
| Santa Rosa, CA | Unavailable | $138.40 |
| Stockton, CA | Unavailable | $134.33 |
| Vallejo, CA | Unavailable | $141.62 |
| Visalia, CA | Unavailable | $134.33 |
| Yuba City, CA | Unavailable | $134.33 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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.
43283 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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