CPT code 43310: Esophageal repair, thoracic approach, no fistula2026 Medicare rate & RVUs in New Mexico
Reports surgical repair of an esophageal injury or defect through a thoracic approach when the operation does not include tracheoesophageal fistula repair.
In New Mexico, Medicare pays $1,416.32 for 43310 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 43310 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 43310 covers
This code describes operative repair of an esophageal defect reached through the chest, without repair of a tracheoesophageal fistula. Thoracic or general surgeons may use it for a perforation or other esophageal injury requiring surgical closure or reconstruction. The operative report should establish the thoracic route and describe the defect and repair; an esophageal injury treated through a cervical approach belongs to a different code in this family.
Select the code based on the documented approach and whether a tracheoesophageal fistula is repaired, not simply on the diagnosis of an esophageal perforation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this single esophageal repair. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 43310
Across 109 of 109 payment localities, the facility rate for 43310 runs from $1,237.78 in Wisconsin to $1,752.92 in Alaska. New Mexico pays $1,416.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,416.32
- Los Angeles, CA · California$1,423.73+$7.41
- Washington, DC area · District of Columbia$1,529.78+$113.46
- Miami, FL · Florida$1,742.93+$326.61
- Chicago, IL · Illinois$1,686.69+$270.37
- Manhattan, NY · New York$1,634.79+$218.47
- Alaska · Alaska$1,752.92+$336.60
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,265.85 |
| ArkansasArkansas | — | $1,249.60 |
| ArizonaArizona | — | $1,359.28 |
| Bakersfield, CACalifornia | — | $1,364.35 |
| Chico, CACalifornia | — | $1,346.94 |
| El Centro, CACalifornia | — | $1,348.02 |
| Fresno, CACalifornia | — | $1,346.94 |
| Hanford, CACalifornia | — | $1,346.94 |
| Madera, CACalifornia | — | $1,346.94 |
| Merced, CACalifornia | — | $1,346.94 |
| Modesto, CACalifornia | — | $1,346.94 |
| Napa, CACalifornia | — | $1,453.59 |
| Oxnard, CACalifornia | — | $1,403.47 |
| Redding, CACalifornia | — | $1,346.94 |
| Rest of CaliforniaCalifornia | — | $1,346.94 |
| Riverside, CACalifornia | — | $1,415.98 |
| Sacramento, CACalifornia | — | $1,385.32 |
| Salinas, CACalifornia | — | $1,379.72 |
| San Diego, CACalifornia | — | $1,392.38 |
| Marin County, CACalifornia | — | $1,500.80 |
| San Francisco, CACalifornia | — | $1,493.48 |
| San Benito County, CACalifornia | — | $1,540.76 |
| Santa Clara County, CACalifornia | — | $1,510.86 |
| San Luis Obispo, CACalifornia | — | $1,361.15 |
| Santa Cruz, CACalifornia | — | $1,389.67 |
| Santa Maria, CACalifornia | — | $1,379.47 |
| Santa Rosa, CACalifornia | — | $1,401.66 |
| Stockton, CACalifornia | — | $1,346.94 |
| Vallejo, CACalifornia | — | $1,443.05 |
| Visalia, CACalifornia | — | $1,346.94 |
| Yuba City, CACalifornia | — | $1,346.94 |
| ColoradoColorado | — | $1,384.79 |
| ConnecticutConnecticut | — | $1,488.21 |
| DelawareDelaware | — | $1,379.09 |
| Fort Lauderdale, FLFlorida | — | $1,578.60 |
| Rest of FloridaFlorida | — | $1,494.16 |
| Atlanta, GAGeorgia | — | $1,451.59 |
| Rest of GeorgiaGeorgia | — | $1,406.12 |
| Hawaii, Guam, HIHawaii | — | $1,355.20 |
| IowaIowa | — | $1,242.71 |
| IdahoIdaho | — | $1,260.71 |
| East St. Louis, ILIllinois | — | $1,592.19 |
| Rest of IllinoisIllinois | — | $1,492.86 |
| Suburban Chicago, ILIllinois | — | $1,581.46 |
| IndianaIndiana | — | $1,265.82 |
| KansasKansas | — | $1,262.10 |
| KentuckyKentucky | — | $1,345.55 |
| New Orleans, LALouisiana | — | $1,410.26 |
| Rest of LouisianaLouisiana | — | $1,353.48 |
| Metropolitan Boston, MAMassachusetts | — | $1,475.98 |
| Rest of MassachusettsMassachusetts | — | $1,388.02 |
| Baltimore area, MDMaryland | — | $1,489.27 |
| Rest of MarylandMaryland | — | $1,395.38 |
| Rest of MaineMaine | — | $1,292.76 |
| Southern Maine, MEMaine | — | $1,318.15 |
| Detroit, MIMichigan | — | $1,536.50 |
| Rest of MichiganMichigan | — | $1,399.51 |
| MinnesotaMinnesota | — | $1,258.65 |
| Metropolitan Kansas City, MOMissouri | — | $1,375.40 |
| Metropolitan St. Louis, MOMissouri | — | $1,385.07 |
| Rest of MissouriMissouri | — | $1,349.32 |
| MississippiMississippi | — | $1,298.44 |
| MontanaMontana | — | $1,400.07 |
| North CarolinaNorth Carolina | — | $1,300.72 |
| North DakotaNorth Dakota | — | $1,272.73 |
| NebraskaNebraska | — | $1,241.27 |
| New HampshireNew Hampshire | — | $1,387.16 |
| Northern New JerseyNew Jersey | — | $1,521.85 |
| Rest of New JerseyNew Jersey | — | $1,485.96 |
| NevadaNevada | — | $1,364.91 |
| NYC suburbs and Long Island, NYNew York | — | $1,702.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,515.53 |
| Queens, NYNew York | — | $1,610.42 |
| Rest of New YorkNew York | — | $1,320.10 |
| OhioOhio | — | $1,373.48 |
| OklahomaOklahoma | — | $1,317.19 |
| Portland, OROregon | — | $1,395.78 |
| Rest of OregonOregon | — | $1,335.29 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,470.95 |
| Rest of PennsylvaniaPennsylvania | — | $1,361.58 |
| Puerto RicoPuerto Rico | — | $1,400.91 |
| Rhode IslandRhode Island | — | $1,404.42 |
| South CarolinaSouth Carolina | — | $1,343.13 |
| South DakotaSouth Dakota | — | $1,257.67 |
| TennesseeTennessee | — | $1,270.85 |
| Austin, TXTexas | — | $1,396.85 |
| Beaumont, TXTexas | — | $1,355.50 |
| Brazoria, TXTexas | — | $1,357.04 |
| Dallas, TXTexas | — | $1,376.33 |
| Fort Worth, TXTexas | — | $1,375.82 |
| Galveston, TXTexas | — | $1,368.03 |
| Houston, TXTexas | — | $1,485.91 |
| Rest of TexasTexas | — | $1,362.79 |
| UtahUtah | — | $1,358.74 |
| VirginiaVirginia | — | $1,331.64 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,400.91 |
| VermontVermont | — | $1,290.94 |
| Rest of WashingtonWashington | — | $1,377.71 |
| King County, WAWashington | — | $1,478.88 |
| WisconsinWisconsin | — | $1,237.78 |
| West VirginiaWest Virginia | — | $1,449.93 |
| WyomingWyoming | — | $1,344.57 |
43310 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 43310 rate is calculated
Each of 43310’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 · 43310
RVUs × geographic indexes × conversion factor
Work25.60
25.60 RVUs× 1.000 GPCI
Practice expense9.89
9.89 RVUs× 1.000 GPCI
Malpractice6.44
6.44 RVUs× 1.000 GPCI
Adjusted RVUs
41.9300
Conversion factor
$33.4009
Medicare rate
$1,400.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,220
- Code
- 43310
- Physician work
- 25.60
- Practice expense
- 9.89
- Malpractice
- 6.44
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.60 | × 1.000 | 25.6000 |
| Practice expense | 9.89 | × 0.917 | 9.0691 |
| Malpractice | 6.44 | × 1.201 | 7.7344 |
| Total RVUs | 42.4036 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1416.32
Facility: (25.6 × 1 + 9.89 × 0.917 + 6.44 × 1.201) × $33.4009 = $1416.32
Payment rules and modifiers for 43310
43310 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43310
Esophageal repair, thoracic approach, no fistula
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 43310
Esophageal repair, thoracic approach, no fistula
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
43310 without 51 · national facility
$1,400.50
Esophageal repair, thoracic approach, no fistula
43310-51 · Second procedure: 50%
$700.25
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 43310 has changed in New Mexico
43310 · 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 | $1,416.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,416.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,416.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,416.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,426.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,426.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,426.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,426.24 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,464.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,464.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,464.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,464.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,440.14 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,480.23 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,480.23 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,480.23 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,480.23 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,506.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,506.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,506.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,506.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,510.53 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,510.53 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,510.53 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,510.53 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,558.07 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,558.07 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,558.07 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,558.07 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,576.00 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,576.00 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,571.50 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,571.50 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,571.79 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,571.79 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,571.79 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,571.79 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,549.68 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,549.68 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,549.68 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,549.68 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,555.48 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,555.48 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,555.48 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,555.48 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,550.77 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,550.77 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,543.05 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,543.05 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,524.40 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,524.40 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,524.40 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,524.40 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,473.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,473.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,473.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,473.21 | RVU13AR |
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
43310 billing questions
How does 43310 differ from 43300?
43310 is for repair through a thoracic approach; 43300 is the corresponding repair through a cervical approach. The operative report must support the route used.
When should 43312 be used instead?
Use 43312 when the thoracic esophageal operation also repairs a tracheoesophageal fistula. 43310 describes thoracic repair without that fistula repair.
What documentation supports 43310?
The operative report should identify the esophageal defect, describe the repair, document the thoracic approach, and clarify whether a tracheoesophageal fistula was repaired.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this single esophageal repair.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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