CPT code 43327: Fundoplasty, laparoscopic approach2026 Medicare rate & RVUs in Virgin Islands, VI

In Virgin Islands, VI, Medicare pays $792.17 for 43327 in a facility. There’s no office rate.

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.

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 Virgin Islands, VI 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. Virgin Islands, VI pays $792.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43327 rates by state

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

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.

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

Codes related to 43327

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

How 43327 has changed in Virgin Islands, VI

Price 43327 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

• Charlotte Amalie
• Charlotte Amalie East
• Charlotte Amalie West
• Christiansted
• Coral Bay
• Cruz Bay
• Frederiksted
• Frederiksted Southeast

Browse all communities in United States Virgin Islands

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