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CPT code 43753: Gastric aspiration, therapeutic decompression2026 Medicare rate & RVUs

Report this service when a clinician intubates the stomach and aspirates its contents for therapeutic decompression, with lavage included when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.1K Medicare services in 2024

Medicare pays $20.37 for 43753 nationally in a facility.

Medicare rate · 43753

Gastric aspiration, therapeutic decompression

Office or facility?

Work RVUs
0.44
Total RVUs
0.61
Global days
000

National rate · 2026

$20.37

Facility setting, before claim adjustments.

See every locality for 43753 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 43753 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 43753 covers

A clinician passes a tube into the stomach and aspirates gastric contents to relieve distention or decompress the stomach. Lavage may be part of the service when performed. A typical situation is therapeutic decompression in a hospital or emergency setting. The service is distinct from placing a tube for feeding and from collecting gastric contents for diagnostic testing.

Report 43753 when the documented purpose is treatment, such as decompression, and the procedure includes gastric aspiration. The record should support the therapeutic indication and describe the intubation and aspiration performed; document lavage if performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted, and modifier 50 is inappropriate for this service.

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.

Where 43753 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

43753 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$18.84
AlaskaUnavailable$26.72
ArizonaUnavailable$19.90
ArkansasUnavailable$18.65
Atlanta, GAUnavailable$21.00
Austin, TXUnavailable$20.27
Bakersfield, CAUnavailable$19.90
Baltimore area, MDUnavailable$21.46
Beaumont, TXUnavailable$19.91
Brazoria, TXUnavailable$19.88

43753 rates by state

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

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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
43753 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 43753 rate is calculated

Each of 43753’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 · 43753

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.44

0.44 RVUs× 1.000 GPCI

Practice expense0.09

0.09 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

0.6100

Conversion factor

$33.4009

Medicare rate

$20.37

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

Payment rules and modifiers for 43753

The CMS indicators that decide how 43753 is paid alongside other services.

CMS payment indicators · 43753

Gastric aspiration, therapeutic decompression

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

43753 without 80 · national facility

$20.37

Gastric aspiration, therapeutic decompression

43753-80 · Assistant: 16%

$3.26

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

43753 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 43753

    Gastric aspiration, therapeutic decompression0.44 wRVU

    Not priced

  • 43752

    Gastric tube placement, nasal or oral route0.79 wRVU

    Not priced

  • 43754

    Gastric aspiration, single specimen0.44 wRVU

    $339.35

  • 43755

    Gastric aspiration, multiple diagnostic specimens0.92 wRVU

    $224.45

How to choose

43752Gastric tube placementNasal or oral route
43752 represents nasal or oral stomach-tube intubation. Choose 43753 when the documented service includes therapeutic aspiration for a purpose such as decompression.
43754Gastric aspirationSingle specimen
43754 is for diagnostic gastric-content collection when one specimen is obtained. 43753 describes therapeutic aspiration, not diagnostic sampling.
43755Gastric aspirationMultiple diagnostic specimens
43755 is for diagnostic gastric-content collection involving multiple specimens. The therapeutic purpose, rather than specimen count, distinguishes 43753.

Codes related to 43753

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

Codes related to 43753
CodeHow it relatesNational office range
Used instead
43752Gastric tube placement, nasal or oral routeStomach-tube intubation without the therapeutic aspiration service represented by 43753.No office rate
Same family
43754Gastric aspiration, single specimenGastric intubation and aspiration for diagnostic collection of a single specimen.$292.31–$481.14
43755Gastric aspiration, multiple diagnostic specimensGastric intubation and aspiration for diagnostic collection of multiple specimens.$196.10–$310.74
43756Duodenal aspiration, single specimenDiagnostic aspiration targets duodenal contents rather than gastric contents.$263.25–$426.89

43753 billing questions

How is 43753 different from 43752?

43753 is for therapeutic gastric intubation with aspiration, such as decompression. Use 43752 for nasal or oral stomach-tube intubation when the service is tube placement rather than the therapeutic aspiration described by 43753.

Can 43753 be reported for gastric contents collected for testing?

No. When the purpose is diagnostic collection of gastric contents, consider 43754 for a single specimen or 43755 for multiple specimens.

Is lavage included in 43753?

Lavage is included when performed as part of the therapeutic gastric intubation and aspiration service.

Can modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this service.

What global period applies?

The service has a 0-day global period. Same-day preoperative and postoperative care is included.

May an assistant, co-surgeon, or surgical team be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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 43753PPRRVU2026_Oct_nonQPP.csv, line 5,284 (RVU26D)

Open CMS sourceHow we calculate rates

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