CPT code 43336: Hernia repair, thoracoabdominal, without mesh2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,380.76 for 43336 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43336 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 43336 covers

This code describes open repair of a diaphragmatic hernia through a thoracoabdominal approach, using access through both the chest and abdomen. General or thoracic surgeons may perform it in a hospital operating room for a hernia requiring this combined exposure. The repair is reported without mesh; the operative approach and whether mesh was used distinguish it from nearby options. A transabdominal repair of a paraesophageal hiatal hernia is a different service.

Select the code from the operative report’s documented hernia repair, access route, and use or absence of mesh. The report should support the diaphragmatic defect treated and the combined approach. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is not appropriate for this repair. Assistant-at-surgery payment may be available; 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 New Mexico compares for 43336

Across 109 of 109 payment localities, the facility rate for 43336 runs from $1,204.45 in Wisconsin to $1,709.47 in Alaska. New Mexico pays $1,380.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43336 rates by state

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

See 43336 in every payment locality

How the 43336 rate is calculated

Each of 43336’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 43336

43336 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 43336

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

How 43336 has changed in New Mexico

Price 43336 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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