CPT code 43647: Gastric stimulator leads, laparoscopic approach2026 Medicare rate & RVUs in Nevada

CMS doesn’t publish a rate for 43647 in Nevada.

Check a contract rate as a % of Medicare · 43647 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 43647 covers

This surgical service places or replaces gastric neurostimulator electrodes in the stomach antrum using a laparoscopic approach. A surgeon typically performs it in a hospital operating room for a patient receiving gastric electrical stimulation, often for severe, persistent symptoms associated with gastroparesis. The electrode procedure concerns the leads in the stomach; placement or replacement of the pulse generator is a separate service when performed and reported.

Medicare assigns CPT 43647 carrier-priced status (status C): there is no national payment amount, and the Medicare Administrative Contractor sets payment for each claim. The contractor also sets the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%. Report the code for the laparoscopic electrode procedure; code selection differs for open placement and for laparoscopic revision or removal.

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 Nevada compares for 43647

Every other payment area

43647 rates by state

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

See 43647 in every payment locality

How the 43647 rate is calculated

Each of 43647’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 43647

The CMS indicators that decide how 43647 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 43647

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

How 43647 has changed in Nevada

Price 43647 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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