CPT code 43300: Esophageal repair, cervical approach, no fistula repair2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $543.73 for 43300 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43300 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 43300 covers

This service involves surgically repairing an esophageal defect through a cervical incision, without repairing a tracheoesophageal fistula. A surgeon may perform it for a cervical esophageal injury or perforation requiring operative closure. The work is generally performed in a hospital operating room by a surgeon experienced in esophageal or upper gastrointestinal surgery; the operative report should identify the cervical approach and the esophageal repair performed.

Report this code when the operative work matches the cervical approach and does not include repair of a tracheoesophageal fistula. Documentation should describe the defect, the repair, the approach, and whether a fistula was repaired. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% multiple-procedure 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 New Mexico compares for 43300

Across 109 of 109 payment localities, the facility rate for 43300 runs from $501.67 in Arkansas to $697.20 in Alaska. New Mexico pays $543.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43300 rates by state

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

See 43300 in every payment locality

How the 43300 rate is calculated

Each of 43300’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 43300

43300 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 43300

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

How 43300 has changed in New Mexico

Price 43300 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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