CPT code 43333: Hernia repair, transabdominal, with mesh2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,090.63 for 43333 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43333 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 43333 covers

Code 43333 represents operative repair of a paraesophageal hiatal hernia through an abdominal approach, with mesh reinforcement at the hiatus. The surgeon reduces herniated stomach or other displaced viscera from the chest and reconstructs the hiatus; fundoplasty may be performed as part of the repair. This major foregut operation is generally performed by a general or thoracic surgeon in a hospital operating room, often for a large hernia associated with obstructive symptoms, reflux, or risk of volvulus. The transabdominal route distinguishes it from transthoracic repair, while mesh distinguishes it from 43332.

Report 43333 when documentation establishes the paraesophageal hernia, transabdominal approach, and mesh use; describe the repair and any fundoplasty. Fundoplasty performed as part of the hernia operation is included rather than separately reported as a distinct service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this single hiatal repair. 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 North Carolina compares for 43333

Across 109 of 109 payment localities, the facility rate for 43333 runs from $1,038.22 in Wisconsin to $1,464.15 in Miami, FL. North Carolina pays $1,090.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43333 rates by state

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

See 43333 in every payment locality

How the 43333 rate is calculated

Each of 43333’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 43333

43333 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 43333

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

How 43333 has changed in North Carolina

Price 43333 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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