CPT code 43752: Gastric tube placement, nasal or oral route2026 Medicare rate & RVUs in Montana
Reports placement of a tube through the nose or mouth into the stomach, with aspiration, for purposes such as decompression, lavage, or feeding.
In Montana, Medicare pays $34.40 for 43752 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 43752 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 43752 covers
A clinician passes a tube through the nose or mouth into the stomach and may aspirate gastric contents. Common situations include relieving gastric distention by decompression, performing lavage, or establishing temporary access for feeding. The service is most often performed in a hospital or emergency department, though it can occur in an office setting. The key distinction is placement of a nasal or oral gastric tube, rather than sampling through a tube for a specified diagnostic test or repositioning an existing gastrostomy tube.
Report the service when the tube is placed and the documented purpose and route support gastric intubation. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted. Documentation should identify the route, placement, clinical purpose, and any aspiration performed.
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 Montana compares for 43752
Across 109 of 109 payment localities, the facility rate for 43752 runs from $32.11 in Wisconsin to $46.57 in Alaska. Montana pays $34.40. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$34.40
- Los Angeles, CA · California$35.39+$0.99
- Washington, DC area · District of Columbia$37.06+$2.66
- Miami, FL · Florida$39.20+$4.80
- Chicago, IL · Illinois$38.51+$4.11
- Manhattan, NY · New York$38.66+$4.26
- Alaska · Alaska$46.57+$12.17
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $32.47 |
| ArkansasArkansas | — | $32.24 |
| ArizonaArizona | — | $33.81 |
| Bakersfield, CACalifornia | — | $34.21 |
| Chico, CACalifornia | — | $33.94 |
| El Centro, CACalifornia | — | $33.95 |
| Fresno, CACalifornia | — | $33.94 |
| Hanford, CACalifornia | — | $33.94 |
| Madera, CACalifornia | — | $33.94 |
| Merced, CACalifornia | — | $33.94 |
| Modesto, CACalifornia | — | $33.94 |
| Napa, CACalifornia | — | $36.18 |
| Oxnard, CACalifornia | — | $34.92 |
| Redding, CACalifornia | — | $33.94 |
| Rest of CaliforniaCalifornia | — | $33.94 |
| Riverside, CACalifornia | — | $34.92 |
| Sacramento, CACalifornia | — | $34.77 |
| Salinas, CACalifornia | — | $34.62 |
| San Diego, CACalifornia | — | $34.80 |
| Marin County, CACalifornia | — | $37.34 |
| San Francisco, CACalifornia | — | $37.24 |
| San Benito County, CACalifornia | — | $38.13 |
| Santa Clara County, CACalifornia | — | $37.71 |
| San Luis Obispo, CACalifornia | — | $34.15 |
| Santa Cruz, CACalifornia | — | $34.64 |
| Santa Maria, CACalifornia | — | $34.58 |
| Santa Rosa, CACalifornia | — | $34.94 |
| Stockton, CACalifornia | — | $33.94 |
| Vallejo, CACalifornia | — | $36.03 |
| Visalia, CACalifornia | — | $33.94 |
| Yuba City, CACalifornia | — | $33.94 |
| ColoradoColorado | — | $34.38 |
| ConnecticutConnecticut | — | $35.95 |
| DelawareDelaware | — | $34.17 |
| Fort Lauderdale, FLFlorida | — | $36.90 |
| Rest of FloridaFlorida | — | $35.69 |
| Atlanta, GAGeorgia | — | $35.17 |
| Rest of GeorgiaGeorgia | — | $34.44 |
| Hawaii, Guam, HIHawaii | — | $33.82 |
| IowaIowa | — | $32.16 |
| IdahoIdaho | — | $32.42 |
| East St. Louis, ILIllinois | — | $37.05 |
| Rest of IllinoisIllinois | — | $35.66 |
| Suburban Chicago, ILIllinois | — | $37.04 |
| IndianaIndiana | — | $32.49 |
| KansasKansas | — | $32.43 |
| KentuckyKentucky | — | $33.59 |
| New Orleans, LALouisiana | — | $34.52 |
| Rest of LouisianaLouisiana | — | $33.70 |
| Metropolitan Boston, MAMassachusetts | — | $36.13 |
| Rest of MassachusettsMassachusetts | — | $34.48 |
| Baltimore area, MDMaryland | — | $35.90 |
| Rest of MarylandMaryland | — | $34.48 |
| Rest of MaineMaine | — | $32.87 |
| Southern Maine, MEMaine | — | $33.25 |
| Detroit, MIMichigan | — | $36.29 |
| Rest of MichiganMichigan | — | $34.35 |
| MinnesotaMinnesota | — | $32.43 |
| Metropolitan Kansas City, MOMissouri | — | $34.03 |
| Metropolitan St. Louis, MOMissouri | — | $34.17 |
| Rest of MissouriMissouri | — | $33.63 |
| MississippiMississippi | — | $32.92 |
| North CarolinaNorth Carolina | — | $32.98 |
| North DakotaNorth Dakota | — | $32.62 |
| NebraskaNebraska | — | $32.15 |
| New HampshireNew Hampshire | — | $34.23 |
| Northern New JerseyNew Jersey | — | $37.07 |
| Rest of New JerseyNew Jersey | — | $36.21 |
| New MexicoNew Mexico | — | $34.59 |
| NevadaNevada | — | $33.91 |
| NYC suburbs and Long Island, NYNew York | — | $39.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $36.70 |
| Queens, NYNew York | — | $38.33 |
| Rest of New YorkNew York | — | $33.26 |
| OhioOhio | — | $33.99 |
| OklahomaOklahoma | — | $33.20 |
| Portland, OROregon | — | $34.61 |
| Rest of OregonOregon | — | $33.49 |
| Metropolitan Philadelphia, PAPennsylvania | — | $35.66 |
| Rest of PennsylvaniaPennsylvania | — | $33.83 |
| Puerto RicoPuerto Rico | — | $34.41 |
| Rhode IslandRhode Island | — | $34.74 |
| South CarolinaSouth Carolina | — | $33.57 |
| South DakotaSouth Dakota | — | $32.41 |
| TennesseeTennessee | — | $32.56 |
| Austin, TXTexas | — | $34.40 |
| Beaumont, TXTexas | — | $33.74 |
| Brazoria, TXTexas | — | $33.91 |
| Dallas, TXTexas | — | $34.19 |
| Fort Worth, TXTexas | — | $34.18 |
| Galveston, TXTexas | — | $34.06 |
| Houston, TXTexas | — | $35.71 |
| Rest of TexasTexas | — | $33.86 |
| UtahUtah | — | $33.80 |
| VirginiaVirginia | — | $33.43 |
| Virgin Islands, VIUnited States Virgin Islands | — | $34.41 |
| VermontVermont | — | $32.87 |
| Rest of WashingtonWashington | — | $34.29 |
| King County, WAWashington | — | $36.31 |
| WisconsinWisconsin | — | $32.11 |
| West VirginiaWest Virginia | — | $35.04 |
| WyomingWyoming | — | $33.62 |
43752 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 43752 rate is calculated
Each of 43752’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 · 43752
RVUs × geographic indexes × conversion factor
Work0.79
0.79 RVUs× 1.000 GPCI
Practice expense0.15
0.15 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
1.0300
Conversion factor
$33.4009
Medicare rate
$34.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,283
- Code
- 43752
- Physician work
- 0.79
- Practice expense
- 0.15
- Malpractice
- 0.09
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.79 | × 1.000 | 0.7900 |
| Practice expense | 0.15 | × 1.000 | 0.1500 |
| Malpractice | 0.09 | × 0.998 | 0.0898 |
| Total RVUs | 1.0298 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$34.40
Facility: (0.79 × 1 + 0.15 × 1 + 0.09 × 0.998) × $33.4009 = $34.40
Payment rules and modifiers for 43752
The CMS indicators that decide how 43752 is paid alongside other services.
CMS payment indicators · 43752
Gastric tube placement, nasal or oral route
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 43752 has changed in Montana
43752 · 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 | $34.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $34.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $34.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $34.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $38.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $38.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $38.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $38.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $39.21 | RVU24D |
| 2024-07-01 | Not available in this setting | $39.21 | RVU24C |
| 2024-04-01 | Not available in this setting | $39.21 | RVU24B |
| 2024-03-09 | Not available in this setting | $39.21 | RVU24AR |
| 2024-01-01 | Not available in this setting | $38.57 | RVU24A |
| 2023-10-01 | Not available in this setting | $40.25 | RVU23D |
| 2023-07-01 | Not available in this setting | $40.25 | RVU23C |
| 2023-04-01 | Not available in this setting | $40.25 | RVU23B |
| 2023-01-01 | Not available in this setting | $40.25 | RVU23A |
| 2022-10-01 | Not available in this setting | $40.76 | RVU22D |
| 2022-07-01 | Not available in this setting | $40.76 | RVU22C |
| 2022-04-01 | Not available in this setting | $40.76 | RVU22B |
| 2022-01-01 | Not available in this setting | $40.76 | RVU22A |
| 2021-10-01 | Not available in this setting | $41.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $41.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $41.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $41.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $43.57 | RVU20D |
| 2020-07-01 | Not available in this setting | $43.57 | RVU20C |
| 2020-04-01 | Not available in this setting | $43.57 | RVU20B |
| 2020-01-01 | Not available in this setting | $43.57 | RVU20A |
| 2019-10-01 | Not available in this setting | $43.99 | RVU19D |
| 2019-07-01 | Not available in this setting | $43.99 | RVU19C |
| 2019-04-01 | Not available in this setting | $43.99 | RVU19B |
| 2019-01-01 | Not available in this setting | $43.99 | RVU19A |
| 2018-10-01 | Not available in this setting | $44.30 | RVU18D |
| 2018-07-01 | Not available in this setting | $44.30 | RVU18C |
| 2018-04-01 | Not available in this setting | $44.30 | RVU18B |
| 2018-01-01 | Not available in this setting | $44.30 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $43.58 | RVU17D |
| 2017-07-01 | Not available in this setting | $43.58 | RVU17C |
| 2017-04-01 | Not available in this setting | $43.58 | RVU17B |
| 2017-01-01 | Not available in this setting | $43.58 | RVU17A |
| 2016-10-01 | Not available in this setting | $42.90 | RVU16D |
| 2016-07-01 | Not available in this setting | $42.90 | RVU16C |
| 2016-04-01 | Not available in this setting | $42.90 | RVU16B |
| 2016-01-01 | Not available in this setting | $42.90 | RVU16A |
| 2015-10-01 | Not available in this setting | $43.49 | RVU15D |
| 2015-07-01 | Not available in this setting | $43.49 | RVU15C |
| 2015-04-01 | Not available in this setting | $43.28 | RVU15B |
| 2015-01-01 | Not available in this setting | $43.28 | RVU15A |
| 2014-10-01 | Not available in this setting | $42.74 | RVU14D |
| 2014-07-01 | Not available in this setting | $42.74 | RVU14C |
| 2014-04-01 | Not available in this setting | $42.74 | RVU14B |
| 2014-01-01 | Not available in this setting | $42.74 | RVU14A |
| 2013-10-01 | Not available in this setting | $40.77 | RVU13D |
| 2013-07-01 | Not available in this setting | $40.77 | RVU13C |
| 2013-04-01 | Not available in this setting | $40.77 | RVU13B |
| 2013-01-01 | Not available in this setting | $40.77 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
43752 billing questions
When should this code be used instead of 43753?
Use 43752 for nasal or oral gastric tube placement for purposes such as decompression, lavage, or feeding. Code 43753 describes therapeutic gastric intubation and aspiration requiring fluoroscopic guidance.
Is tube insertion separately billable?
No. Insertion of the nasal or oral tube is part of this service; do not report a separate charge for that insertion.
What should the procedure note include?
Document the nasal or oral route, that the tube was placed into the stomach, the clinical purpose, and whether gastric contents were aspirated.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate for this service.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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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