CPT code 43341: Esophageal anastomosis, intrathoracic approach2026 Medicare rate & RVUs in Kansas

Reports reconstruction connecting the esophagus to intestine through an intrathoracic approach, commonly after esophageal resection when intestinal tissue is used.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Kansas, Medicare pays $1,205.40 for 43341 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)

$1,205.40Hospital or facility

Check a contract rate as a % of Medicare · 43341 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

Rate in Kansas
What 43341 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 43341 covers

This operation joins the esophagus to an intestinal segment through an intrathoracic approach to restore digestive continuity. A surgeon may perform it during reconstruction after esophageal resection when the stomach is not used for the connection. The operative report should make clear that intestine was joined to the esophagus and identify the thoracic route; a cervical approach is reported with 43340 instead.

Report one unit for the documented reconstruction, with the operative note supporting the anastomosis, tissues joined, and approach. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed 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 inappropriate 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 Kansas compares for 43341

Across 109 of 109 payment localities, the facility rate for 43341 runs from $1,185.26 in Wisconsin to $1,665.52 in Alaska. Kansas pays $1,205.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

43341 in Kansas vs other payment areas

Kansas · this page$1,205.40
Los Angeles, CA · California$1,367.16+$161.76
Washington, DC area · District of Columbia$1,465.05+$259.65
Miami, FL · Florida$1,656.42+$451.02
Chicago, IL · Illinois$1,602.77+$397.37
Manhattan, NY · New York$1,561.50+$356.10
Alaska · Alaska$1,665.52+$460.12

Other areas in Kansas first, then benchmark localities. Bars start at $0.

Every other payment area

43341 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	—	$1,207.60
ArkansasArkansas	—	$1,191.85
ArizonaArizona	—	$1,298.20
Bakersfield, CACalifornia	—	$1,308.43
Chico, CACalifornia	—	$1,292.32
El Centro, CACalifornia	—	$1,293.32
Fresno, CACalifornia	—	$1,292.32
Hanford, CACalifornia	—	$1,292.32
Madera, CACalifornia	—	$1,292.32
Merced, CACalifornia	—	$1,292.32
Modesto, CACalifornia	—	$1,292.32
Napa, CACalifornia	—	$1,400.67
Oxnard, CACalifornia	—	$1,348.39
Redding, CACalifornia	—	$1,292.32
Rest of CaliforniaCalifornia	—	$1,292.32
Riverside, CACalifornia	—	$1,356.22
Sacramento, CACalifornia	—	$1,330.74
Salinas, CACalifornia	—	$1,325.40
San Diego, CACalifornia	—	$1,338.74
Marin County, CACalifornia	—	$1,448.34
San Francisco, CACalifornia	—	$1,441.57
San Benito County, CACalifornia	—	$1,486.69
Santa Clara County, CACalifornia	—	$1,459.02
San Luis Obispo, CACalifornia	—	$1,307.36
Santa Cruz, CACalifornia	—	$1,337.09
Santa Maria, CACalifornia	—	$1,325.48
Santa Rosa, CACalifornia	—	$1,348.74
Stockton, CACalifornia	—	$1,292.32
Vallejo, CACalifornia	—	$1,390.92
Visalia, CACalifornia	—	$1,292.32
Yuba City, CACalifornia	—	$1,292.32
ColoradoColorado	—	$1,325.96
ConnecticutConnecticut	—	$1,422.22
DelawareDelaware	—	$1,317.35
Fort Lauderdale, FLFlorida	—	$1,503.10
Rest of FloridaFlorida	—	$1,422.45
Atlanta, GAGeorgia	—	$1,385.68
Rest of GeorgiaGeorgia	—	$1,338.16
Hawaii, Guam, HIHawaii	—	$1,301.81
IowaIowa	—	$1,187.94
IdahoIdaho	—	$1,204.82
East St. Louis, ILIllinois	—	$1,511.59
Rest of IllinoisIllinois	—	$1,419.36
Suburban Chicago, ILIllinois	—	$1,506.35
IndianaIndiana	—	$1,209.86
KentuckyKentucky	—	$1,281.97
New Orleans, LALouisiana	—	$1,344.15
Rest of LouisianaLouisiana	—	$1,289.13
Metropolitan Boston, MAMassachusetts	—	$1,416.00
Rest of MassachusettsMassachusetts	—	$1,328.45
Baltimore area, MDMaryland	—	$1,423.04
Rest of MarylandMaryland	—	$1,333.47
Rest of MaineMaine	—	$1,234.48
Southern Maine, MEMaine	—	$1,261.10
Detroit, MIMichigan	—	$1,462.03
Rest of MichiganMichigan	—	$1,332.96
MinnesotaMinnesota	—	$1,207.70
Metropolitan Kansas City, MOMissouri	—	$1,311.80
Metropolitan St. Louis, MOMissouri	—	$1,321.32
Rest of MissouriMissouri	—	$1,284.27
MississippiMississippi	—	$1,237.14
MontanaMontana	—	$1,337.31
North CarolinaNorth Carolina	—	$1,242.41
North DakotaNorth Dakota	—	$1,219.46
NebraskaNebraska	—	$1,186.96
New HampshireNew Hampshire	—	$1,327.16
Northern New JerseyNew Jersey	—	$1,456.90
Rest of New JerseyNew Jersey	—	$1,420.75
New MexicoNew Mexico	—	$1,348.69
NevadaNevada	—	$1,304.81
NYC suburbs and Long Island, NYNew York	—	$1,624.89
Poughkeepsie and northern NYC suburbs, NYNew York	—	$1,448.23
Queens, NYNew York	—	$1,539.83
Rest of New YorkNew York	—	$1,261.10
OhioOhio	—	$1,308.87
OklahomaOklahoma	—	$1,255.89
Portland, OROregon	—	$1,338.18
Rest of OregonOregon	—	$1,277.18
Metropolitan Philadelphia, PAPennsylvania	—	$1,404.67
Rest of PennsylvaniaPennsylvania	—	$1,298.08
Puerto RicoPuerto Rico	—	$1,338.57
Rhode IslandRhode Island	—	$1,342.74
South CarolinaSouth Carolina	—	$1,281.27
South DakotaSouth Dakota	—	$1,205.52
TennesseeTennessee	—	$1,213.71
Austin, TXTexas	—	$1,336.87
Beaumont, TXTexas	—	$1,292.10
Brazoria, TXTexas	—	$1,297.07
Dallas, TXTexas	—	$1,315.14
Fort Worth, TXTexas	—	$1,314.23
Galveston, TXTexas	—	$1,307.33
Houston, TXTexas	—	$1,416.42
Rest of TexasTexas	—	$1,300.56
UtahUtah	—	$1,296.42
VirginiaVirginia	—	$1,273.23
Virgin Islands, VIUnited States Virgin Islands	—	$1,338.57
VermontVermont	—	$1,235.87
Rest of WashingtonWashington	—	$1,318.92
King County, WAWashington	—	$1,420.11
WisconsinWisconsin	—	$1,185.26
West VirginiaWest Virginia	—	$1,377.69
WyomingWyoming	—	$1,285.95

43341 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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43341 office rate range by state
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

See 43341 in every payment locality

How the 43341 rate is calculated

Each of 43341’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 · 43341

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work23.62

23.62 RVUs× 1.000 GPCI

Practice expense10.47

10.47 RVUs× 1.000 GPCI

Malpractice5.96

5.96 RVUs× 1.000 GPCI

Adjusted RVUs

40.0500

Conversion factor

$33.4009

Medicare rate

$1,337.71

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,238

Code: 43341
Physician work: 23.62
Practice expense: 10.47
Malpractice: 5.96

GPCI2026.csv

Locality: Kansas
Physician work: 1.000
Practice expense: 0.904
Malpractice: 0.504

Facility calculation for 43341 in Kansas
Component	RVU	Locality factor	Adjusted
Physician work	23.62	× 1.000	23.6200
Practice expense	10.47	× 0.904	9.4649
Malpractice	5.96	× 0.504	3.0038
Total RVUs			36.0887
Conversion factor			× 33.4009

Facility rate, Kansas$1205.40

Facility: (23.62 × 1 + 10.47 × 0.904 + 5.96 × 0.504) × $33.4009 = $1205.40

Open 43341 in the RVU calculator

Payment rules and modifiers for 43341

43341 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 43341

Esophageal anastomosis, intrathoracic approach

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 · 43341

Esophageal anastomosis, intrathoracic approach

Date of surgery

Date of a later visit

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.

24Unrelated E/M visit by the same physician
79Unrelated procedure (starts its own global period)
58Staged, more extensive, or therapy procedure that was planned
78Unplanned return to the operating room for a related complication

SurgeryVisit

Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

43341 without 51 · national facility

$1,337.71

Esophageal anastomosis, intrathoracic approach

43341-51 · Second procedure: 50%

$668.86

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%).

When to use modifier 51

Codes related to 43341

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

Codes related to 43341
Code	How it relates	Office range, Kansas
Same family
43340	Esophageal reconstruction, intestinal connectionEsophagoenterostomy through a cervical rather than intrathoracic approach.	No office rate
Used instead
43320	Esophageal reconstruction, stomach connectionEsophagus-to-stomach reconstruction rather than an intestinal anastomosis.	No office rate
43300	Esophageal repair, cervical approach, no fistula repairEsophageal repair for a different operative circumstance without intestinal reconstruction.	No office rate

How 43341 has changed in Kansas

43341 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

Compare with release effective

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	Not available in this setting	$1,205.40	RVU26D
2026-07-01	Not available in this setting	$1,205.40	RVU26C
2026-04-01	Not available in this setting	$1,205.40	RVU26B
2026-01-01	Not available in this setting	$1,205.40	RVU26A
2025-10-01	Not available in this setting	$1,226.11	RVU25D
2025-07-01	Not available in this setting	$1,226.11	RVU25C
2025-04-01	Not available in this setting	$1,226.11	RVU25B
2025-01-01	Not available in this setting	$1,226.11	RVU25A
2024-10-01	Not available in this setting	$1,256.71	RVU24D
2024-07-01	Not available in this setting	$1,256.71	RVU24C
2024-04-01	Not available in this setting	$1,256.71	RVU24B
2024-03-09	Not available in this setting	$1,256.71	RVU24AR
2024-01-01	Not available in this setting	$1,236.20	RVU24A
2023-10-01	Not available in this setting	$1,265.89	RVU23D
2023-07-01	Not available in this setting	$1,265.89	RVU23C
2023-04-01	Not available in this setting	$1,265.89	RVU23B
2023-01-01	Not available in this setting	$1,265.89	RVU23A
2022-10-01	Not available in this setting	$1,284.56	RVU22D
2022-07-01	Not available in this setting	$1,284.56	RVU22C
2022-04-01	Not available in this setting	$1,284.56	RVU22B
2022-01-01	Not available in this setting	$1,284.56	RVU22A
2021-10-01	Not available in this setting	$1,291.06	RVU21D
2021-07-01	Not available in this setting	$1,291.06	RVU21C
2021-04-01	Not available in this setting	$1,291.06	RVU21B
2021-01-01	Not available in this setting	$1,291.06	RVU21A
2020-10-01	Not available in this setting	$1,335.13	RVU20D
2020-07-01	Not available in this setting	$1,335.13	RVU20C
2020-04-01	Not available in this setting	$1,335.13	RVU20B
2020-01-01	Not available in this setting	$1,335.13	RVU20A
2019-10-01	Not available in this setting	$1,349.45	RVU19D
2019-07-01	Not available in this setting	$1,349.45	RVU19C
2019-04-01	Not available in this setting	$1,349.45	RVU19B
2019-01-01	Not available in this setting	$1,349.45	RVU19A
2018-10-01	Not available in this setting	$1,347.85	RVU18D
2018-07-01	Not available in this setting	$1,347.85	RVU18C
2018-04-01	Not available in this setting	$1,347.85	RVU18B
2018-01-01	Not available in this setting	$1,347.85	RVU18AR1
2017-10-01	Not available in this setting	$1,351.89	RVU17D
2017-07-01	Not available in this setting	$1,351.89	RVU17C
2017-04-01	Not available in this setting	$1,351.89	RVU17B
2017-01-01	Not available in this setting	$1,351.89	RVU17A
2016-10-01	Not available in this setting	$1,357.60	RVU16D
2016-07-01	Not available in this setting	$1,357.60	RVU16C
2016-04-01	Not available in this setting	$1,357.60	RVU16B
2016-01-01	Not available in this setting	$1,357.60	RVU16A
2015-10-01	Not available in this setting	$1,428.04	RVU15D
2015-07-01	Not available in this setting	$1,428.04	RVU15C
2015-04-01	Not available in this setting	$1,420.93	RVU15B
2015-01-01	Not available in this setting	$1,420.93	RVU15A
2014-10-01	Not available in this setting	$1,371.10	RVU14D
2014-07-01	Not available in this setting	$1,371.10	RVU14C
2014-04-01	Not available in this setting	$1,371.10	RVU14B
2014-01-01	Not available in this setting	$1,371.10	RVU14A
2013-10-01	Not available in this setting	$1,450.05	RVU13D
2013-07-01	Not available in this setting	$1,450.05	RVU13C
2013-04-01	Not available in this setting	$1,450.05	RVU13B
2013-01-01	Not available in this setting	$1,450.05	RVU13AR

Price 43341 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

Abbyville
Abilene
Ada
Admire
Agenda
Agra
Albert
Alden

Browse all communities in Kansas

43341 billing questions

How is 43341 distinguished from 43340?

43341 describes the intrathoracic approach. Use 43340 when the esophagoenteric anastomosis is performed through a cervical approach.

When would an esophagogastrostomy code be used instead?

Use an esophagogastrostomy code when the esophagus is joined to the stomach. 43341 is for a connection to intestine.

What operative documentation supports 43341?

Document the intestinal tissue joined to the esophagus, the completed anastomosis, and the intrathoracic approach. The record should distinguish this reconstruction from a cervical approach or a stomach-based connection.

Does the procedure have a global period?

Yes. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant surgeon or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Should modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

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

RVUs for 43341PPRRVU2026_Oct_nonQPP.csv, line 5,238 (RVU26D)

5,23543337,,[CPT descriptor omitted],A,,26.96,9.70,NA,9.70,,6.78,43.44,43.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,23643338,,[CPT descriptor omitted],A,,2.15,0.42,NA,0.42,,0.53,3.10,3.10,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,23743340,,[CPT descriptor omitted],A,,22.42,10.27,NA,10.27,,6.00,38.69,38.69,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,23843341,,[CPT descriptor omitted],A,,23.62,10.47,NA,10.47,,5.96,40.05,40.05,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,23943351,,[CPT descriptor omitted],A,,21.50,11.28,NA,11.28,,5.41,38.19,38.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,24043352,,[CPT descriptor omitted],A,,17.36,9.24,NA,9.24,,4.36,30.96,30.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,24143360,,[CPT descriptor omitted],A,,39.11,14.54,NA,14.54,,9.87,63.52,63.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563

5208102,IN,00,INDIANA,1.000,0.927,0.486

5305102,IA,00,IOWA,1.000,0.915,0.397

5405202,KS,00,KANSAS,1.000,0.904,0.504

5515102,KY,00,KENTUCKY,1.000,0.889,0.915

5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136

5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958

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What 43341 covers

How Kansas compares for 43341

Every other payment area

43341 rates by state

How the 43341 rate is calculated

Payment rules and modifiers for 43341

What modifiers do to the payment

Codes related to 43341

How 43341 has changed in Kansas

Where the Kansas rate applies

43341 billing questions

How is 43341 distinguished from 43340?

When would an esophagogastrostomy code be used instead?

What operative documentation supports 43341?

Does the procedure have a global period?

Can an assistant surgeon or co-surgeon be paid?

Should modifier 50 be reported?

Where these rates come from

Did this answer your question about what 43341 pays in Kansas?

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