CPT code 43340: Esophageal reconstruction, intestinal connection2026 Medicare rate & RVUs in Alabama
Reports surgical reconstruction that connects the esophagus to intestine, commonly when the stomach cannot serve as the route for restoring digestive continuity.
In Alabama, Medicare pays $1,162.43 for 43340 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 43340 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 43340 covers
The surgeon creates a connection between the esophagus and intestine to restore passage of swallowed food. This reconstruction may be needed after esophageal or gastric resection when the stomach is unavailable or unsuitable as the receiving organ; a small-intestinal segment, commonly jejunum, may provide the connection. It is performed by a surgeon in an operative setting, rather than as an endoscopic repair or diagnostic procedure.
Report the code when the operative record supports an esophagus-to-intestine reconstruction, distinguishing it from a connection to the stomach and from revision of an existing connection. The 90-day global period includes 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 the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this anatomy. 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 Alabama compares for 43340
Across 109 of 109 payment localities, the facility rate for 43340 runs from $1,139.19 in Wisconsin to $1,612.76 in Miami, FL. Alabama pays $1,162.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$1,162.43
- Los Angeles, CA · California$1,318.42+$155.99
- Washington, DC area · District of Columbia$1,416.42+$253.99
- Miami, FL · Florida$1,612.76+$450.33
- Chicago, IL · Illinois$1,558.76+$396.33
- Manhattan, NY · New York$1,513.22+$350.79
- Alaska · Alaska$1,599.02+$436.59
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $1,146.72 |
| ArizonaArizona | — | $1,252.79 |
| Bakersfield, CACalifornia | — | $1,261.08 |
| Chico, CACalifornia | — | $1,244.95 |
| El Centro, CACalifornia | — | $1,245.96 |
| Fresno, CACalifornia | — | $1,244.95 |
| Hanford, CACalifornia | — | $1,244.95 |
| Madera, CACalifornia | — | $1,244.95 |
| Merced, CACalifornia | — | $1,244.95 |
| Modesto, CACalifornia | — | $1,244.95 |
| Napa, CACalifornia | — | $1,349.94 |
| Oxnard, CACalifornia | — | $1,300.13 |
| Redding, CACalifornia | — | $1,244.95 |
| Rest of CaliforniaCalifornia | — | $1,244.95 |
| Riverside, CACalifornia | — | $1,309.23 |
| Sacramento, CACalifornia | — | $1,282.16 |
| Salinas, CACalifornia | — | $1,277.05 |
| San Diego, CACalifornia | — | $1,290.19 |
| Marin County, CACalifornia | — | $1,395.64 |
| San Francisco, CACalifornia | — | $1,388.83 |
| San Benito County, CACalifornia | — | $1,433.28 |
| Santa Clara County, CACalifornia | — | $1,405.43 |
| San Luis Obispo, CACalifornia | — | $1,259.70 |
| Santa Cruz, CACalifornia | — | $1,288.77 |
| Santa Maria, CACalifornia | — | $1,277.20 |
| Santa Rosa, CACalifornia | — | $1,299.97 |
| Stockton, CACalifornia | — | $1,244.95 |
| Vallejo, CACalifornia | — | $1,340.12 |
| Visalia, CACalifornia | — | $1,244.95 |
| Yuba City, CACalifornia | — | $1,244.95 |
| ColoradoColorado | — | $1,279.33 |
| ConnecticutConnecticut | — | $1,375.76 |
| DelawareDelaware | — | $1,271.67 |
| Fort Lauderdale, FLFlorida | — | $1,458.67 |
| Rest of FloridaFlorida | — | $1,377.99 |
| Atlanta, GAGeorgia | — | $1,340.30 |
| Rest of GeorgiaGeorgia | — | $1,293.71 |
| Hawaii, Guam, HIHawaii | — | $1,254.90 |
| IowaIowa | — | $1,142.28 |
| IdahoIdaho | — | $1,159.22 |
| East St. Louis, ILIllinois | — | $1,468.05 |
| Rest of IllinoisIllinois | — | $1,375.27 |
| Suburban Chicago, ILIllinois | — | $1,461.50 |
| IndianaIndiana | — | $1,164.23 |
| KansasKansas | — | $1,159.95 |
| KentuckyKentucky | — | $1,237.17 |
| New Orleans, LALouisiana | — | $1,299.30 |
| Rest of LouisianaLouisiana | — | $1,244.42 |
| Metropolitan Boston, MAMassachusetts | — | $1,367.49 |
| Rest of MassachusettsMassachusetts | — | $1,281.76 |
| Baltimore area, MDMaryland | — | $1,376.80 |
| Rest of MarylandMaryland | — | $1,287.45 |
| Rest of MaineMaine | — | $1,189.09 |
| Southern Maine, MEMaine | — | $1,215.24 |
| Detroit, MIMichigan | — | $1,417.75 |
| Rest of MichiganMichigan | — | $1,288.29 |
| MinnesotaMinnesota | — | $1,161.14 |
| Metropolitan Kansas City, MOMissouri | — | $1,266.75 |
| Metropolitan St. Louis, MOMissouri | — | $1,276.22 |
| Rest of MissouriMissouri | — | $1,239.73 |
| MississippiMississippi | — | $1,192.29 |
| MontanaMontana | — | $1,291.88 |
| North CarolinaNorth Carolina | — | $1,196.95 |
| North DakotaNorth Dakota | — | $1,173.24 |
| NebraskaNebraska | — | $1,141.22 |
| New HampshireNew Hampshire | — | $1,281.29 |
| Northern New JerseyNew Jersey | — | $1,407.97 |
| Rest of New JerseyNew Jersey | — | $1,373.23 |
| New MexicoNew Mexico | — | $1,304.09 |
| NevadaNevada | — | $1,259.16 |
| NYC suburbs and Long Island, NYNew York | — | $1,576.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,400.65 |
| Queens, NYNew York | — | $1,491.22 |
| Rest of New YorkNew York | — | $1,215.61 |
| OhioOhio | — | $1,264.04 |
| OklahomaOklahoma | — | $1,210.89 |
| Portland, OROregon | — | $1,291.03 |
| Rest of OregonOregon | — | $1,231.39 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,358.50 |
| Rest of PennsylvaniaPennsylvania | — | $1,253.13 |
| Puerto RicoPuerto Rico | — | $1,293.05 |
| Rhode IslandRhode Island | — | $1,296.19 |
| South CarolinaSouth Carolina | — | $1,236.15 |
| South DakotaSouth Dakota | — | $1,159.21 |
| TennesseeTennessee | — | $1,168.28 |
| Austin, TXTexas | — | $1,290.83 |
| Beaumont, TXTexas | — | $1,247.18 |
| Brazoria, TXTexas | — | $1,251.10 |
| Dallas, TXTexas | — | $1,269.19 |
| Fort Worth, TXTexas | — | $1,268.37 |
| Galveston, TXTexas | — | $1,261.40 |
| Houston, TXTexas | — | $1,371.22 |
| Rest of TexasTexas | — | $1,255.35 |
| UtahUtah | — | $1,251.26 |
| VirginiaVirginia | — | $1,227.53 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,293.05 |
| VermontVermont | — | $1,189.85 |
| Rest of WashingtonWashington | — | $1,272.30 |
| King County, WAWashington | — | $1,370.92 |
| WisconsinWisconsin | — | $1,139.19 |
| West VirginiaWest Virginia | — | $1,333.72 |
| WyomingWyoming | — | $1,240.18 |
43340 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 43340 rate is calculated
Each of 43340’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.
How the rate is built · 43340
RVUs × geographic indexes × conversion factor
Work22.42
22.42 RVUs× 1.000 GPCI
Practice expense10.27
10.27 RVUs× 1.000 GPCI
Malpractice6.00
6.00 RVUs× 1.000 GPCI
Adjusted RVUs
38.6900
Conversion factor
$33.4009
Medicare rate
$1,292.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,237
- Code
- 43340
- Physician work
- 22.42
- Practice expense
- 10.27
- Malpractice
- 6.00
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.42 | × 1.000 | 22.4200 |
| Practice expense | 10.27 | × 0.875 | 8.9863 |
| Malpractice | 6.00 | × 0.566 | 3.3960 |
| Total RVUs | 34.8023 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$1162.43
Facility: (22.42 × 1 + 10.27 × 0.875 + 6 × 0.566) × $33.4009 = $1162.43
Payment rules and modifiers for 43340
43340 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43340
Esophageal reconstruction, intestinal connection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 43340
Esophageal reconstruction, intestinal connection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
43340 without 51 · national facility
$1,292.28
Esophageal reconstruction, intestinal connection
43340-51 · Second procedure: 50%
$646.14
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 43340 has changed in Alabama
43340 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,162.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,162.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,162.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,162.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,212.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,212.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,212.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,212.15 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,240.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,240.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,240.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,240.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,220.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,295.49 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,295.49 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,295.49 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,295.49 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,362.14 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,362.14 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,362.14 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,362.14 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,362.06 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,362.06 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,362.06 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,362.06 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,346.24 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,346.24 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,346.24 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,346.24 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,295.84 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,295.84 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,292.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,292.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,292.57 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,292.57 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,292.57 | RVU18B |
| 2018-01-01 | Not available in this setting | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Not available in this setting | Rate data unavailable | RVU17D |
| 2017-07-01 | Not available in this setting | Rate data unavailable | RVU17C |
| 2017-04-01 | Not available in this setting | Rate data unavailable | RVU17B |
| 2017-01-01 | Not available in this setting | Rate data unavailable | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
43340 billing questions
How is this distinguished from 43320?
This code describes a connection from the esophagus to intestine. 43320 is for a connection to the stomach, so the receiving organ documented in the operative report is the key distinction.
What documentation supports reporting it?
The operative report should identify the esophagus and intestinal segment joined and describe creation of the reconstruction. A note describing only esophageal repair or revision of an existing connection does not establish this service.
Can modifier 50 be reported?
No. Modifier 50 is not appropriate for this esophagus-to-intestine reconstruction.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
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
Show the CMS file lines behind this rate
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