CPT code 43332: Hiatal hernia repair, open, without fundoplasty2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,061.27 for 43332 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43332 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 43332 covers

This code describes an open abdominal operation to repair a paraesophageal hiatal hernia. The surgeon brings herniated stomach or other displaced contents back into the abdomen and repairs the enlarged opening in the diaphragm. General and foregut surgeons commonly perform the procedure in a hospital operating room. The code distinguishes a repair performed without fundoplasty and without mesh from related approaches and repairs that include those features.

Report the code when the operative report supports the transabdominal approach and confirms that neither fundoplasty nor mesh implantation was performed. Documentation should describe the hernia repair and the operative approach; use a related code when the operation includes a different approach, fundoplasty, or mesh. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this repair.

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 Delaware compares for 43332

Across 109 of 109 payment localities, the facility rate for 43332 runs from $953.47 in Wisconsin to $1,342.07 in Alaska. Delaware pays $1,061.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43332 rates by state

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

See 43332 in every payment locality

How the 43332 rate is calculated

Each of 43332’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 43332

43332 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 43332

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

How 43332 has changed in Delaware

Price 43332 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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