CPT code 43283: Esophageal lengthening, laparoscopic Collis gastroplasty2026 Medicare rate & RVUs in Mississippi
Reported with laparoscopic paraesophageal hernia repair when a short esophagus requires surgical lengthening, typically by a Collis gastroplasty.
In Mississippi, Medicare pays $132.62 for 43283 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 43283 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 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.
How Mississippi compares for 43283
Across 109 of 109 payment localities, the facility rate for 43283 runs from $124.18 in Wisconsin to $180.49 in Alaska. Mississippi pays $132.62. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$132.62
- Los Angeles, CA · California$141.62+$9.00
- Washington, DC area · District of Columbia$153.71+$21.09
- Miami, FL · Florida$180.11+$47.49
- Chicago, IL · Illinois$174.31+$41.69
- Manhattan, NY · New York$165.86+$33.24
- Alaska · Alaska$180.49+$47.87
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $128.70 |
| ArkansasArkansas | — | $127.11 |
| ArizonaArizona | — | $137.78 |
| Bakersfield, CACalifornia | — | $136.30 |
| Chico, CACalifornia | — | $134.33 |
| El Centro, CACalifornia | — | $134.45 |
| Fresno, CACalifornia | — | $134.33 |
| Hanford, CACalifornia | — | $134.33 |
| Madera, CACalifornia | — | $134.33 |
| Merced, CACalifornia | — | $134.33 |
| Modesto, CACalifornia | — | $134.33 |
| Napa, CACalifornia | — | $142.82 |
| Oxnard, CACalifornia | — | $139.35 |
| Redding, CACalifornia | — | $134.33 |
| Rest of CaliforniaCalifornia | — | $134.33 |
| Riverside, CACalifornia | — | $142.15 |
| Sacramento, CACalifornia | — | $137.59 |
| Salinas, CACalifornia | — | $137.02 |
| San Diego, CACalifornia | — | $137.86 |
| Marin County, CACalifornia | — | $146.67 |
| San Francisco, CACalifornia | — | $145.84 |
| San Benito County, CACalifornia | — | $150.67 |
| Santa Clara County, CACalifornia | — | $147.28 |
| San Luis Obispo, CACalifornia | — | $135.25 |
| Santa Cruz, CACalifornia | — | $137.26 |
| Santa Maria, CACalifornia | — | $136.88 |
| Santa Rosa, CACalifornia | — | $138.40 |
| Stockton, CACalifornia | — | $134.33 |
| Vallejo, CACalifornia | — | $141.62 |
| Visalia, CACalifornia | — | $134.33 |
| Yuba City, CACalifornia | — | $134.33 |
| ColoradoColorado | — | $139.14 |
| ConnecticutConnecticut | — | $150.64 |
| DelawareDelaware | — | $139.72 |
| Fort Lauderdale, FLFlorida | — | $161.93 |
| Rest of FloridaFlorida | — | $153.28 |
| Atlanta, GAGeorgia | — | $147.49 |
| Rest of GeorgiaGeorgia | — | $144.33 |
| Hawaii, Guam, HIHawaii | — | $134.62 |
| IowaIowa | — | $125.43 |
| IdahoIdaho | — | $127.39 |
| East St. Louis, ILIllinois | — | $164.97 |
| Rest of IllinoisIllinois | — | $153.82 |
| Suburban Chicago, ILIllinois | — | $162.03 |
| IndianaIndiana | — | $127.86 |
| KansasKansas | — | $127.81 |
| KentuckyKentucky | — | $137.51 |
| New Orleans, LALouisiana | — | $144.01 |
| Rest of LouisianaLouisiana | — | $138.47 |
| Metropolitan Boston, MAMassachusetts | — | $147.36 |
| Rest of MassachusettsMassachusetts | — | $139.68 |
| Baltimore area, MDMaryland | — | $150.83 |
| Rest of MarylandMaryland | — | $141.17 |
| Rest of MaineMaine | — | $131.03 |
| Southern Maine, MEMaine | — | $132.76 |
| Detroit, MIMichigan | — | $157.93 |
| Rest of MichiganMichigan | — | $143.24 |
| MinnesotaMinnesota | — | $125.41 |
| Metropolitan Kansas City, MOMissouri | — | $140.09 |
| Metropolitan St. Louis, MOMissouri | — | $140.98 |
| Rest of MissouriMissouri | — | $138.37 |
| MontanaMontana | — | $141.91 |
| North CarolinaNorth Carolina | — | $131.72 |
| North DakotaNorth Dakota | — | $127.47 |
| NebraskaNebraska | — | $125.14 |
| New HampshireNew Hampshire | — | $139.78 |
| Northern New JerseyNew Jersey | — | $153.09 |
| Rest of New JerseyNew Jersey | — | $150.13 |
| New MexicoNew Mexico | — | $145.08 |
| NevadaNevada | — | $137.90 |
| NYC suburbs and Long Island, NYNew York | — | $173.05 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $153.43 |
| Queens, NYNew York | — | $162.78 |
| Rest of New YorkNew York | — | $133.64 |
| OhioOhio | — | $140.29 |
| OklahomaOklahoma | — | $134.23 |
| Portland, OROregon | — | $139.62 |
| Rest of OregonOregon | — | $134.63 |
| Metropolitan Philadelphia, PAPennsylvania | — | $149.27 |
| Rest of PennsylvaniaPennsylvania | — | $138.86 |
| Puerto RicoPuerto Rico | — | $141.82 |
| Rhode IslandRhode Island | — | $141.85 |
| South CarolinaSouth Carolina | — | $136.67 |
| South DakotaSouth Dakota | — | $125.76 |
| TennesseeTennessee | — | $128.72 |
| Austin, TXTexas | — | $140.61 |
| Beaumont, TXTexas | — | $138.30 |
| Brazoria, TXTexas | — | $137.17 |
| Dallas, TXTexas | — | $139.27 |
| Fort Worth, TXTexas | — | $139.37 |
| Galveston, TXTexas | — | $138.38 |
| Houston, TXTexas | — | $151.74 |
| Rest of TexasTexas | — | $138.50 |
| UtahUtah | — | $138.18 |
| VirginiaVirginia | — | $134.42 |
| Virgin Islands, VIUnited States Virgin Islands | — | $141.82 |
| VermontVermont | — | $129.70 |
| Rest of WashingtonWashington | — | $138.51 |
| King County, WAWashington | — | $147.15 |
| WisconsinWisconsin | — | $124.18 |
| West VirginiaWest Virginia | — | $149.66 |
| WyomingWyoming | — | $135.61 |
43283 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 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.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,207
- Code
- 43283
- Physician work
- 2.88
- Practice expense
- 0.64
- Malpractice
- 0.73
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.88 | × 1.000 | 2.8800 |
| Practice expense | 0.64 | × 0.861 | 0.5510 |
| Malpractice | 0.73 | × 0.739 | 0.5395 |
| Total RVUs | 3.9705 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$132.62
Facility: (2.88 × 1 + 0.64 × 0.861 + 0.73 × 0.739) × $33.4009 = $132.62
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.
How 43283 has changed in Mississippi
43283 · 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 | $132.62 | RVU26D |
| 2026-07-01 | Not available in this setting | $132.62 | RVU26C |
| 2026-04-01 | Not available in this setting | $132.62 | RVU26B |
| 2026-01-01 | Not available in this setting | $132.62 | RVU26A |
| 2025-10-01 | Not available in this setting | $140.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $140.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $140.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $140.87 | RVU25A |
| 2024-10-01 | Not available in this setting | $144.91 | RVU24D |
| 2024-07-01 | Not available in this setting | $144.91 | RVU24C |
| 2024-04-01 | Not available in this setting | $144.91 | RVU24B |
| 2024-03-09 | Not available in this setting | $144.91 | RVU24AR |
| 2024-01-01 | Not available in this setting | $142.54 | RVU24A |
| 2023-10-01 | Not available in this setting | $145.66 | RVU23D |
| 2023-07-01 | Not available in this setting | $145.66 | RVU23C |
| 2023-04-01 | Not available in this setting | $145.66 | RVU23B |
| 2023-01-01 | Not available in this setting | $145.66 | RVU23A |
| 2022-10-01 | Not available in this setting | $148.18 | RVU22D |
| 2022-07-01 | Not available in this setting | $148.18 | RVU22C |
| 2022-04-01 | Not available in this setting | $148.18 | RVU22B |
| 2022-01-01 | Not available in this setting | $148.18 | RVU22A |
| 2021-10-01 | Not available in this setting | $148.70 | RVU21D |
| 2021-07-01 | Not available in this setting | $148.70 | RVU21C |
| 2021-04-01 | Not available in this setting | $148.70 | RVU21B |
| 2021-01-01 | Not available in this setting | $148.70 | RVU21A |
| 2020-10-01 | Not available in this setting | $149.34 | RVU20D |
| 2020-07-01 | Not available in this setting | $149.34 | RVU20C |
| 2020-04-01 | Not available in this setting | $149.34 | RVU20B |
| 2020-01-01 | Not available in this setting | $149.34 | RVU20A |
| 2019-10-01 | Not available in this setting | $145.62 | RVU19D |
| 2019-07-01 | Not available in this setting | $145.62 | RVU19C |
| 2019-04-01 | Not available in this setting | $145.62 | RVU19B |
| 2019-01-01 | Not available in this setting | $145.62 | RVU19A |
| 2018-10-01 | Not available in this setting | $145.28 | RVU18D |
| 2018-07-01 | Not available in this setting | $145.28 | RVU18C |
| 2018-04-01 | Not available in this setting | $145.28 | RVU18B |
| 2018-01-01 | Not available in this setting | $145.28 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $148.24 | RVU17D |
| 2017-07-01 | Not available in this setting | $148.24 | RVU17C |
| 2017-04-01 | Not available in this setting | $148.24 | RVU17B |
| 2017-01-01 | Not available in this setting | $148.24 | RVU17A |
| 2016-10-01 | Not available in this setting | $150.99 | RVU16D |
| 2016-07-01 | Not available in this setting | $150.99 | RVU16C |
| 2016-04-01 | Not available in this setting | $150.99 | RVU16B |
| 2016-01-01 | Not available in this setting | $150.99 | RVU16A |
| 2015-10-01 | Not available in this setting | $151.54 | RVU15D |
| 2015-07-01 | Not available in this setting | $151.54 | RVU15C |
| 2015-04-01 | Not available in this setting | $150.78 | RVU15B |
| 2015-01-01 | Not available in this setting | $150.78 | RVU15A |
| 2014-10-01 | Not available in this setting | $149.76 | RVU14D |
| 2014-07-01 | Not available in this setting | $149.76 | RVU14C |
| 2014-04-01 | Not available in this setting | $149.76 | RVU14B |
| 2014-01-01 | Not available in this setting | $149.76 | RVU14A |
| 2013-10-01 | Not available in this setting | $147.43 | RVU13D |
| 2013-07-01 | Not available in this setting | $147.43 | RVU13C |
| 2013-04-01 | Not available in this setting | $147.43 | RVU13B |
| 2013-01-01 | Not available in this setting | $147.43 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
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
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