CPT code 43334: Diaphragmatic hernia repair, transthoracic, without prosthesis2026 Medicare rate & RVUs in Arkansas

In Arkansas, Medicare pays $1,041.15 for 43334 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43334 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 43334 covers

This code describes operative repair of a diaphragmatic hernia through a transthoracic approach, without mesh or another prosthesis. Thoracic or general surgeons may perform it in a hospital operating room for a diaphragmatic defect requiring repair through the chest. The operative report should identify the hernia and document the transthoracic route and whether prosthetic material was implanted; a repair using mesh belongs to the corresponding mesh code, 43335.

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies a 50% reduction to the others. Modifier 50 is inappropriate for this code. 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 Arkansas compares for 43334

Across 109 of 109 payment localities, the facility rate for 43334 runs from $1,029.63 in Wisconsin to $1,462.36 in Alaska. Arkansas pays $1,041.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43334 rates by state

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

See 43334 in every payment locality

How the 43334 rate is calculated

Each of 43334’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 43334

43334 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 43334

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

How 43334 has changed in Arkansas

Price 43334 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

• Acorn
• Adona
• Alexander
• Alicia
• Alix
• Alleene
• Allport
• Alma

Browse all communities in Arkansas

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