CPT code 43327: Fundoplasty, laparoscopic approach2026 Medicare rate & RVUs

Medicare pays $791.27 for 43327 nationally in a facility.

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

What 43327 covers

The surgeon uses laparoscopic access to mobilize the stomach fundus and wrap it around the lower esophagus, reinforcing the barrier against reflux. A complete Nissen wrap and a partial Toupet wrap are familiar examples. General or foregut surgeons typically perform the operation in a hospital operating room for patients undergoing surgical treatment of gastroesophageal reflux; it may also be part of an operation addressing a hiatal hernia.

Select this code when the operative report supports laparoscopic fundoplasty, rather than an open or thoracic approach. Documentation should describe the approach and the fundal wrap performed; record any associated hernia work so the applicable code selection can be evaluated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Assistant-at-surgery payment may be made; 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.

Where 43327 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

43327 rates by state

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

How the 43327 rate is calculated

Each of 43327’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 43327

43327 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

43327 compared with similar codes

How to choose

43320Esophageal reconstructionStomach connection

Both describe esophagogastric fundoplasty. Code 43327 is selected for the laparoscopic approach; code 43320 is the related nonlaparoscopic service.

43325Anastomosis revisionAbdominal approach

This related fundoplasty code identifies a service involving hiatal hernia repair. Use the code whose descriptor matches the operative work, rather than choosing by the wrap alone.

43328FundoplastyThoracic approach

Both are fundoplasty procedures, but 43328 uses a thoracic approach; 43327 identifies laparoscopic access.

Codes related to 43327

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

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