CPT code 43410: Esophageal repair, cervical approach2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $877.59 for 43410 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43410 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 43410 covers

This operation repairs an injured or lacerated esophageal wall through a cervical approach. A surgeon typically performs it in an operating room when an esophageal wound requires operative closure, including a traumatic injury or an injury recognized during another procedure. The operative approach distinguishes this service from repair reached through a thoracic or abdominal approach.

Report 43410 for the wound repair itself, with operative documentation identifying the esophageal injury and cervical approach. Closure of an esophagostomy is a different service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are paid at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Ohio compares for 43410

Across 109 of 109 payment localities, the facility rate for 43410 runs from $823.42 in Arkansas to $1,153.10 in Alaska. Ohio pays $877.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43410 rates by state

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

See 43410 in every payment locality

How the 43410 rate is calculated

Each of 43410’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 43410

43410 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 43410

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

How 43410 has changed in Ohio

Price 43410 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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