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CPT code 43453: Esophageal dilation, balloon with fluoroscopy2026 Medicare rate & RVUs in Oxnard, CA

Reports balloon dilation of an esophageal narrowing when the catheter is positioned and the procedure is performed with fluoroscopic guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4K Medicare services in 2024

In Oxnard, CA, Medicare pays $972.64 for 43453 in the office and $81.19 when it’s performed in a hospital or facility.

$972.64Office (non-facility)
$81.19Hospital or facility
+16.9%vs the national office rate ($831.68)

Check a contract rate as a % of Medicare · 43453 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 43453 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 43453 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 43453 covers

This service enlarges a narrowed segment of the esophagus by inflating a balloon catheter under fluoroscopic guidance. It may be used for conditions such as a benign stricture, ring, or web that limits passage through the esophagus. A gastroenterologist or interventional radiologist typically performs the dilation in a hospital or outpatient procedure setting. The fluoroscopic balloon approach distinguishes this service from dilation performed through an endoscope or with an unguided bougie.

Report the service when the esophageal dilation uses a balloon catheter with fluoroscopic guidance. Documentation should identify the narrowing and its location, the balloon-catheter technique, and the fluoroscopic guidance used. The 0-day global period includes same-day preoperative and postoperative care. 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% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are 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 Oxnard, CA compares for 43453

Across 109 of 109 payment localities, the office rate for 43453 runs from $718.80 in Arkansas to $1,178.65 in San Benito County, CA. Oxnard, CA pays $972.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

43453 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$972.64
  2. Bakersfield, CA · California$905.07−$67.57
  3. Chico, CA · California$904.54−$68.10
  4. El Centro, CA · California$904.57−$68.07
  5. Fresno, CA · California$904.54−$68.10
  6. Hanford, CA · California$904.54−$68.10
  7. Los Angeles, CA · California$974.26+$1.62

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

Every other payment area

43453 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$904.54$77.95
Merced, CACalifornia$904.54$77.95
Modesto, CACalifornia$904.54$77.95
Napa, CACalifornia$1,079.62$85.59
Redding, CACalifornia$904.54$77.95
Rest of CaliforniaCalifornia$904.54$77.95
Riverside, CACalifornia$906.49$79.90
Sacramento, CACalifornia$957.67$80.54

43453 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$718.80

$1,041.60

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
43453 office rate range by state
State / territoryOffice rate rangeLocalities
AK$902.561
AL$731.581
AR$718.801
AZ$806.641
CA$904.54–$1,178.6529
CO$880.831
CT$893.911
DC$973.661
DE$821.951
FL$800.39–$872.853
GA$748.61–$845.512
GU$936.001
HI$936.001
IA$761.761
ID$766.121
IL$767.21–$857.704
IN$771.661
KS$753.831
KY$744.601
LA$741.74–$786.492
MA$872.53–$984.202
MD$841.01–$973.663
ME$767.02–$822.442
MI$764.61–$808.512
MN$850.071
MO$723.90–$794.263
MS$721.711
MT$831.671
NC$777.261
ND$828.111
NE$767.891
NH$862.911
NJ$905.85–$959.762
NM$768.161
NV$831.461
NY$790.90–$987.175
OH$763.881
OK$746.891
OR$826.78–$917.452
PA$767.40–$865.642
PR$840.171
RI$857.641
SC$771.511
SD$827.691
TN$757.931
TX$761.06–$876.328
UT$784.271
VA$816.66–$973.662
VI$840.171
VT$820.911
WA$872.18–$1,009.912
WI$794.771
WV$732.111
WY$830.121

See 43453 in every payment locality

How the 43453 rate is calculated

Each of 43453’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 · 43453

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.37

1.37 RVUs× 1.000 GPCI

Practice expense23.35

23.35 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

24.9000

Conversion factor

$33.4009

Medicare rate

$831.68

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

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,251

Code
43453
Physician work
1.37
Practice expense
23.35
Malpractice
0.18

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 43453 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0281.4084
Practice expense23.35× 1.18227.5997
Malpractice0.18× 0.6230.1121
Total RVUs29.1202
Conversion factor× 33.4009

Office rate, Oxnard, CA$972.64

Office: (1.37 × 1.028 + 23.35 × 1.182 + 0.18 × 0.623) × $33.4009 = $972.64

Facility: (1.37 × 1.028 + 0.77 × 1.182 + 0.18 × 0.623) × $33.4009 = $81.19

Open 43453 in the RVU calculator

Payment rules and modifiers for 43453

The CMS indicators that decide how 43453 is paid alongside other services.

CMS payment indicators · 43453

Esophageal dilation, balloon with fluoroscopy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

43453 without 51 · national office

$831.68

Esophageal dilation, balloon with fluoroscopy

43453-51 · Second procedure: 50%

$415.84

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 43453

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

Codes related to 43453
CodeHow it relatesOffice range, Oxnard, CA
Used instead
43450Esophageal dilation, unguided sound or bougieEsophageal dilation by unguided sound or bougie rather than fluoroscopic balloon catheter.$241.47
43249Esophageal dilation, balloon under 30 mmEndoscopic balloon dilation for an esophageal narrowing, using a balloon under 30 mm.$1,376.24
43233Esophageal dilation, balloon 30 mm or largerEndoscopic balloon dilation for an esophageal narrowing, using a balloon 30 mm or larger.No office rate

How 43453 has changed in Oxnard, CA

43453 · Office / nonfacility

$972.64

Effective 2026-10-01

The base rate is $110.82 higher than on 2025-10-01, moving from $861.82 to $972.64 (12.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $861.82changed to$972.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.41 changed to 1.37
    • Practice expense RVU 21.20 changed to 23.35
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $923.73changed to$861.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 22.13 changed to 21.20
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $908.66changed to$923.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $961.58changed to$908.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 22.69 changed to 22.13
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651

  5. January 1, 2023

    RVU23A

    $1018.76changed to$961.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 23.63 changed to 22.69
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1087.17changed to$1018.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 25.10 changed to 23.63
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1055.32changed to$1087.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 23.50 changed to 25.10
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1067.45changed to$1055.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 23.85 changed to 23.50
    • Malpractice RVU 0.19 changed to 0.16
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1089.33changed to$1067.45

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 24.40 changed to 23.85
    • Malpractice RVU 0.18 changed to 0.19

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1079.10changed to$1089.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 24.18 changed to 24.40
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1149.70changed to$1079.10

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.51 changed to 1.41
    • Practice expense RVU 25.76 changed to 24.18
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1172.98changed to$1149.70

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 26.19 changed to 25.76
    • Malpractice RVU 0.22 changed to 0.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1167.14changed to$1172.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1164.51changed to$1167.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 25.94 changed to 26.19
    • Work GPCI 1.032 changed to 1.030
    • Practice expense GPCI 1.187 changed to 1.180
    • Malpractice GPCI 0.720 changed to 0.834

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $358.62changed to$1164.51

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.41 changed to 25.94
    • Malpractice RVU 0.23 changed to 0.22
    • Work GPCI 1.034 changed to 1.032
    • Practice expense GPCI 1.193 changed to 1.187
    • Malpractice GPCI 0.605 changed to 0.720

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$358.62

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$972.64$81.19RVU26D
2026-07-01$972.64$81.19RVU26C
2026-04-01$972.64$81.19RVU26B
2026-01-01$972.64$81.19RVU26A
2025-10-01$861.82$88.85RVU25D
2025-07-01$861.82$88.85RVU25C
2025-04-01$861.82$88.85RVU25B
2025-01-01$861.82$88.85RVU25A
2024-10-01$923.73$90.86RVU24D
2024-07-01$923.73$90.86RVU24C
2024-04-01$923.73$90.86RVU24B
2024-03-09$923.73$90.86RVU24AR
2024-01-01$908.66$89.38RVU24A
2023-10-01$961.58$91.53RVU23D
2023-07-01$961.58$91.53RVU23C
2023-04-01$961.58$91.53RVU23B
2023-01-01$961.58$91.53RVU23A
2022-10-01$1,018.76$92.99RVU22D
2022-07-01$1,018.76$92.99RVU22C
2022-04-01$1,018.76$92.99RVU22B
2022-01-01$1,018.76$92.99RVU22A
2021-10-01$1,087.17$92.84RVU21D
2021-07-01$1,087.17$92.84RVU21C
2021-04-01$1,087.17$92.84RVU21B
2021-01-01$1,087.17$92.84RVU21A
2020-10-01$1,055.32$94.51RVU20D
2020-07-01$1,055.32$94.51RVU20C
2020-04-01$1,055.32$94.51RVU20B
2020-01-01$1,055.32$94.51RVU20A
2019-10-01$1,067.45$94.79RVU19D
2019-07-01$1,067.45$94.79RVU19C
2019-04-01$1,067.45$94.79RVU19B
2019-01-01$1,067.45$94.79RVU19A
2018-10-01$1,089.33$95.29RVU18D
2018-07-01$1,089.33$95.29RVU18C
2018-04-01$1,089.33$95.29RVU18B
2018-01-01$1,089.33$95.29RVU18AR1
2017-10-01$1,079.10$96.16RVU17D
2017-07-01$1,079.10$96.16RVU17C
2017-04-01$1,079.10$96.16RVU17B
2017-01-01$1,079.10$96.16RVU17A
2016-10-01$1,149.70$102.34RVU16D
2016-07-01$1,149.70$102.34RVU16C
2016-04-01$1,149.70$102.34RVU16B
2016-01-01$1,149.70$102.34RVU16A
2015-10-01$1,172.98$104.88RVU15D
2015-07-01$1,172.98$104.88RVU15C
2015-04-01$1,167.14$104.36RVU15B
2015-01-01$1,167.14$104.36RVU15A
2014-10-01$1,164.51$104.44RVU14D
2014-07-01$1,164.51$104.44RVU14C
2014-04-01$1,164.51$104.44RVU14B
2014-01-01$1,164.51$104.44RVU14A
2013-10-01$358.62$104.13RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 43453 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

43453 billing questions

How does this differ from 43450?

43453 is for balloon-catheter dilation under fluoroscopic guidance. 43450 describes dilation with an unguided sound or bougie.

When would an endoscopic dilation code be more appropriate?

Use an endoscopic dilation code when dilation is performed through an endoscope. For example, 43249 and 43233 distinguish endoscopic balloon dilation by balloon diameter.

Is same-day postoperative care separately reported?

Same-day preoperative and postoperative care is included in this service's 0-day global period.

Can modifier 50 be used for dilation on both sides?

No. The code's descriptor or anatomy makes bilateral adjustment inappropriate.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.

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 43453PPRRVU2026_Oct_nonQPP.csv, line 5,251 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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