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

Reports laparoscopic wrapping of the stomach fundus around the distal esophagus as an antireflux operation, such as a Nissen or Toupet procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality57 Medicare services in 2024

In Utah, Medicare pays $765.02 for 43327 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$765.02Hospital or facility

Check a contract rate as a % of Medicare · 43327 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 43327 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 43327 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 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.

How Utah compares for 43327

Across 109 of 109 payment localities, the facility rate for 43327 runs from $700.66 in Nebraska to $978.34 in Miami, FL. Utah pays $765.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

43327 in Utah vs other payment areas
  1. Utah · this page$765.02
  2. Los Angeles, CA · California$814.16+$49.14
  3. Washington, DC area · District of Columbia$870.65+$105.63
  4. Miami, FL · Florida$978.34+$213.32
  5. Chicago, IL · Illinois$945.61+$180.59
  6. Manhattan, NY · New York$925.98+$160.96
  7. Alaska · Alaska$972.30+$207.28

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

Every other payment area

43327 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$710.91
ArkansasArkansas—$701.15
ArizonaArizona—$767.12
Bakersfield, CACalifornia—$777.30
Chico, CACalifornia—$767.97
El Centro, CACalifornia—$768.55
Fresno, CACalifornia—$767.97
Hanford, CACalifornia—$767.97

43327 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
43327 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 43327 in every payment locality

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.

How the rate is built · 43327

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.02

13.02 RVUs× 1.000 GPCI

Practice expense7.20

7.20 RVUs× 1.000 GPCI

Malpractice3.47

3.47 RVUs× 1.000 GPCI

Adjusted RVUs

23.6900

Conversion factor

$33.4009

Medicare rate

$791.27

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,226

Code
43327
Physician work
13.02
Practice expense
7.20
Malpractice
3.47

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 43327 in Utah
ComponentRVULocality factorAdjusted
Physician work13.02× 1.00013.0200
Practice expense7.20× 0.9406.7680
Malpractice3.47× 0.8983.1161
Total RVUs22.9041
Conversion factor× 33.4009

Facility rate, Utah$765.02

Facility: (13.02 × 1 + 7.2 × 0.94 + 3.47 × 0.898) × $33.4009 = $765.02

Open 43327 in the RVU calculator

Payment rules and modifiers for 43327

43327 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 43327

Fundoplasty, laparoscopic 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 · 43327

Fundoplasty, laparoscopic 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

43327 without 51 · national facility

$791.27

Fundoplasty, laparoscopic approach

43327-51 · Second procedure: 50%

$395.64

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 43327 has changed in Utah

43327 · 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$765.02RVU26D
2026-07-01Not available in this setting$765.02RVU26C
2026-04-01Not available in this setting$765.02RVU26B
2026-01-01Not available in this setting$765.02RVU26A
2025-10-01Not available in this setting$789.72RVU25D
2025-07-01Not available in this setting$789.72RVU25C
2025-04-01Not available in this setting$789.72RVU25B
2025-01-01Not available in this setting$789.72RVU25A
2024-10-01Not available in this setting$790.34RVU24D
2024-07-01Not available in this setting$790.34RVU24C
2024-04-01Not available in this setting$790.34RVU24B
2024-03-09Not available in this setting$790.34RVU24AR
2024-01-01Not available in this setting$777.45RVU24A
2023-10-01Not available in this setting$795.50RVU23D
2023-07-01Not available in this setting$795.50RVU23C
2023-04-01Not available in this setting$795.50RVU23B
2023-01-01Not available in this setting$795.50RVU23A
2022-10-01Not available in this setting$800.94RVU22D
2022-07-01Not available in this setting$800.94RVU22C
2022-04-01Not available in this setting$800.94RVU22B
2022-01-01Not available in this setting$800.94RVU22A
2021-10-01Not available in this setting$800.75RVU21D
2021-07-01Not available in this setting$800.75RVU21C
2021-04-01Not available in this setting$800.75RVU21B
2021-01-01Not available in this setting$800.75RVU21A
2020-10-01Not available in this setting$840.00RVU20D
2020-07-01Not available in this setting$840.00RVU20C
2020-04-01Not available in this setting$840.00RVU20B
2020-01-01Not available in this setting$840.00RVU20A
2019-10-01Not available in this setting$855.83RVU19D
2019-07-01Not available in this setting$855.83RVU19C
2019-04-01Not available in this setting$855.83RVU19B
2019-01-01Not available in this setting$855.83RVU19A
2018-10-01Not available in this setting$856.40RVU18D
2018-07-01Not available in this setting$856.40RVU18C
2018-04-01Not available in this setting$856.40RVU18B
2018-01-01Not available in this setting$856.40RVU18AR1
2017-10-01Not available in this setting$851.79RVU17D
2017-07-01Not available in this setting$851.79RVU17C
2017-04-01Not available in this setting$851.79RVU17B
2017-01-01Not available in this setting$851.79RVU17A
2016-10-01Not available in this setting$851.65RVU16D
2016-07-01Not available in this setting$851.65RVU16C
2016-04-01Not available in this setting$851.65RVU16B
2016-01-01Not available in this setting$851.65RVU16A
2015-10-01Not available in this setting$848.83RVU15D
2015-07-01Not available in this setting$848.83RVU15C
2015-04-01Not available in this setting$844.60RVU15B
2015-01-01Not available in this setting$844.60RVU15A
2014-10-01Not available in this setting$830.24RVU14D
2014-07-01Not available in this setting$830.24RVU14C
2014-04-01Not available in this setting$830.24RVU14B
2014-01-01Not available in this setting$830.24RVU14A
2013-10-01Not available in this setting$808.76RVU13D
2013-07-01Not available in this setting$808.76RVU13C
2013-04-01Not available in this setting$808.76RVU13B
2013-01-01Not available in this setting$808.76RVU13AR

Price 43327 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

43327 billing questions

How does this differ from code 43328?

Code 43327 describes the laparoscopic approach. Code 43328 is the thoracic-approach fundoplasty; the operative report should establish which route the surgeon used.

When should I compare this with code 43320?

Both describe esophagogastric fundoplasty, but 43327 identifies laparoscopic access. Review the documented approach before selecting between them.

Does a hiatal hernia repair change code selection?

Document the hernia repair and the fundoplasty performed. Compare the operative service with the applicable fundoplasty code, including 43325 when its descriptor fits the documented work.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other same-session procedures paid?

The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction when performed in the same session.

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 43327PPRRVU2026_Oct_nonQPP.csv, line 5,226 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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