CPT code 43325: Anastomosis revision, abdominal approach2026 Medicare rate & RVUs in Mississippi

Report this code when a surgeon revises an existing esophagus-to-stomach connection through an abdominal approach, commonly to address an anastomotic stricture.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $1,174.30 for 43325 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,174.30Hospital or facility

Check a contract rate as a % of Medicare · 43325 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 43325 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 43325 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 43325 covers

This operation revises an existing connection between the esophagus and stomach through an abdominal approach. A surgeon may perform it when a prior reconstruction has left a narrowed or otherwise problematic anastomosis. Repair of a hiatal hernia may be part of the operation. The service is typically performed in an operating room, often in a hospital setting, by a surgeon managing the patient’s esophageal reconstruction.

Select the code when the operative report supports revision of the prior connection and an abdominal approach; distinguish it from creating a new connection or performing an antireflux procedure. Document the indication, prior anastomosis, approach, and work performed. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this single junction. 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 Mississippi compares for 43325

Across 109 of 109 payment localities, the facility rate for 43325 runs from $1,122.49 in Wisconsin to $1,587.65 in Miami, FL. Mississippi pays $1,174.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

43325 in Mississippi vs other payment areas
  1. Mississippi · this page$1,174.30
  2. Los Angeles, CA · California$1,299.21+$124.91
  3. Washington, DC area · District of Columbia$1,395.42+$221.12
  4. Miami, FL · Florida$1,587.65+$413.35
  5. Chicago, IL · Illinois$1,534.53+$360.23
  6. Manhattan, NY · New York$1,490.39+$316.09
  7. Alaska · Alaska$1,574.76+$400.46

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

43325 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,145.02
ArkansasArkansas—$1,129.55
ArizonaArizona—$1,234.04
Bakersfield, CACalifornia—$1,242.62
Chico, CACalifornia—$1,226.78
El Centro, CACalifornia—$1,227.77
Fresno, CACalifornia—$1,226.78
Hanford, CACalifornia—$1,226.78

43325 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
43325 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

See 43325 in every payment locality

How the 43325 rate is calculated

Each of 43325’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 · 43325

RVUs × geographic indexes × conversion factor

Office or facility?

Work22.04

22.04 RVUs× 1.000 GPCI

Practice expense10.18

10.18 RVUs× 1.000 GPCI

Malpractice5.89

5.89 RVUs× 1.000 GPCI

Adjusted RVUs

38.1100

Conversion factor

$33.4009

Medicare rate

$1,272.91

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

5,225

Code
43325
Physician work
22.04
Practice expense
10.18
Malpractice
5.89

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 43325 in Mississippi
ComponentRVULocality factorAdjusted
Physician work22.04× 1.00022.0400
Practice expense10.18× 0.8618.7650
Malpractice5.89× 0.7394.3527
Total RVUs35.1577
Conversion factor× 33.4009

Facility rate, Mississippi$1174.30

Facility: (22.04 × 1 + 10.18 × 0.861 + 5.89 × 0.739) × $33.4009 = $1174.30

Open 43325 in the RVU calculator

Payment rules and modifiers for 43325

43325 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 43325

Anastomosis revision, abdominal approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 43325

Anastomosis revision, abdominal approach

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

43325 without 51 · national facility

$1,272.91

Anastomosis revision, abdominal approach

43325-51 · Second procedure: 50%

$636.46

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%).

When to use modifier 51

How 43325 has changed in Mississippi

43325 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,174.30RVU26D
2026-07-01Not available in this setting$1,174.30RVU26C
2026-04-01Not available in this setting$1,174.30RVU26B
2026-01-01Not available in this setting$1,174.30RVU26A
2025-10-01Not available in this setting$1,222.50RVU25D
2025-07-01Not available in this setting$1,222.50RVU25C
2025-04-01Not available in this setting$1,222.50RVU25B
2025-01-01Not available in this setting$1,222.50RVU25A
2024-10-01Not available in this setting$1,251.09RVU24D
2024-07-01Not available in this setting$1,251.09RVU24C
2024-04-01Not available in this setting$1,251.09RVU24B
2024-03-09Not available in this setting$1,251.09RVU24AR
2024-01-01Not available in this setting$1,230.67RVU24A
2023-10-01Not available in this setting$1,257.48RVU23D
2023-07-01Not available in this setting$1,257.48RVU23C
2023-04-01Not available in this setting$1,257.48RVU23B
2023-01-01Not available in this setting$1,257.48RVU23A
2022-10-01Not available in this setting$1,272.45RVU22D
2022-07-01Not available in this setting$1,272.45RVU22C
2022-04-01Not available in this setting$1,272.45RVU22B
2022-01-01Not available in this setting$1,272.45RVU22A
2021-10-01Not available in this setting$1,273.26RVU21D
2021-07-01Not available in this setting$1,273.26RVU21C
2021-04-01Not available in this setting$1,273.26RVU21B
2021-01-01Not available in this setting$1,273.26RVU21A
2020-10-01Not available in this setting$1,275.04RVU20D
2020-07-01Not available in this setting$1,275.04RVU20C
2020-04-01Not available in this setting$1,275.04RVU20B
2020-01-01Not available in this setting$1,275.04RVU20A
2019-10-01Not available in this setting$1,243.42RVU19D
2019-07-01Not available in this setting$1,243.42RVU19C
2019-04-01Not available in this setting$1,242.49RVU19B
2019-01-01Not available in this setting$1,242.49RVU19A
2018-10-01Not available in this setting$1,240.72RVU18D
2018-07-01Not available in this setting$1,240.72RVU18C
2018-04-01Not available in this setting$1,240.72RVU18B
2018-01-01Not available in this setting$1,240.72RVU18AR1
2017-10-01Not available in this setting$1,243.80RVU17D
2017-07-01Not available in this setting$1,243.80RVU17C
2017-04-01Not available in this setting$1,243.80RVU17B
2017-01-01Not available in this setting$1,243.80RVU17A
2016-10-01Not available in this setting$1,265.97RVU16D
2016-07-01Not available in this setting$1,265.97RVU16C
2016-04-01Not available in this setting$1,265.97RVU16B
2016-01-01Not available in this setting$1,265.97RVU16A
2015-10-01Not available in this setting$1,272.75RVU15D
2015-07-01Not available in this setting$1,272.75RVU15C
2015-04-01Not available in this setting$1,266.41RVU15B
2015-01-01Not available in this setting$1,266.41RVU15A
2014-10-01Not available in this setting$1,267.25RVU14D
2014-07-01Not available in this setting$1,267.25RVU14C
2014-04-01Not available in this setting$1,267.25RVU14B
2014-01-01Not available in this setting$1,267.25RVU14A
2013-10-01Not available in this setting$1,255.20RVU13D
2013-07-01Not available in this setting$1,255.20RVU13C
2013-04-01Not available in this setting$1,255.20RVU13B
2013-01-01Not available in this setting$1,255.20RVU13AR

Price 43325 for an earlier date of service

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

Browse all communities in Mississippi

43325 billing questions

How is 43325 distinguished from 43326?

43325 is for revision through an abdominal approach; 43326 is the thoracic-approach counterpart. The operative report should identify the approach used.

Can a hiatal hernia repair be included?

Yes. Hiatal hernia repair may be performed as part of the anastomosis revision; document the work in the operative report.

Is this code for creating a new esophagus-to-stomach connection?

No. It describes revision of an existing connection. A procedure that creates the connection is distinct and should be selected based on the work performed.

What does the 90-day global period include?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.

Should modifier 50 be reported?

No. This revision involves a single esophagogastric junction, so modifier 50 is inappropriate.

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 43325PPRRVU2026_Oct_nonQPP.csv, line 5,225 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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