CPT code 43754: Gastric aspiration, single specimen2026 Medicare rate & RVUs
Reports diagnostic gastric intubation with aspiration and collection of one specimen for analysis, rather than tube placement alone or therapeutic aspiration.
Medicare pays $339.35 for 43754 nationally in the office and $47.76 in a hospital or facility. Local office rates run $292.31–$481.14.
Medicare rate · 43754
Gastric aspiration, single specimen
- Work RVUs
- 0.44
- Total RVUs
- 10.16
- Global days
- 000
National rate · 2026
$339.35
Office setting, before claim adjustments.
See every locality for 43754 →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.
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On this page 10 sections
What 43754 covers
A clinician passes a tube into the stomach and aspirates gastric contents to obtain one specimen for diagnostic analysis. The service may be performed in a hospital or another setting where gastric sampling is clinically indicated. It is distinct from placing a gastric tube without diagnostic aspiration and from using intubation and aspiration for treatment.
Report this code when the documented service includes diagnostic gastric aspiration and collection of a single specimen. Documentation should identify the gastric sampling and the specimen collected; when multiple specimens are obtained, the corresponding multiple-specimen code is the relevant comparison. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery services may be paid; co-surgeons and team surgery 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.
Where 43754 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$292.31 to $481.14
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $297.64 | $42.49 |
| Alaska | $365.92 | $55.37 |
| Arizona | $328.87 | $46.32 |
| Arkansas | $292.31 | $41.84 |
| Atlanta, GA | $345.27 | $49.02 |
| Austin, TX | $357.58 | $49.08 |
| Bakersfield, CA | $369.01 | $49.43 |
| Baltimore area, MD | $363.89 | $51.01 |
| Beaumont, TX | $310.20 | $44.86 |
| Brazoria, TX | $335.77 | $46.81 |
| Chicago, IL | $345.82 | $52.77 |
| Chico, CA | $368.71 | $49.13 |
| Colorado | $359.27 | $49.02 |
| Connecticut | $365.13 | $51.09 |
| Dallas, TX | $337.68 | $47.26 |
| Delaware | $335.20 | $47.11 |
| Detroit, MI | $330.64 | $49.25 |
| East St. Louis, IL | $317.40 | $49.14 |
| El Centro, CA | $368.73 | $49.15 |
| Fort Lauderdale, FL | $346.49 | $51.11 |
| Fort Worth, TX | $334.52 | $47.01 |
| Fresno, CA | $368.71 | $49.13 |
| Galveston, TX | $336.59 | $47.04 |
| Hanford, CA | $368.71 | $49.13 |
| Hawaii, Guam, HI | $381.78 | $50.24 |
| Houston, TX | $338.61 | $49.06 |
| Idaho | $311.74 | $43.48 |
| Indiana | $314.03 | $43.73 |
| Iowa | $309.85 | $43.05 |
| Kansas | $306.72 | $43.12 |
| Kentucky | $303.41 | $44.19 |
| King County, WA | $412.28 | $54.50 |
| Los Angeles, CA | $397.46 | $52.51 |
| Madera, CA | $368.71 | $49.13 |
| Manhattan, NY | $394.45 | $55.62 |
| Marin County, CA | $470.36 | $59.22 |
| Merced, CA | $368.71 | $49.13 |
| Metropolitan Boston, MA | $401.82 | $53.66 |
| Metropolitan Kansas City, MO | $319.69 | $45.89 |
| Metropolitan Philadelphia, PA | $353.49 | $49.94 |
| Metropolitan St. Louis, MO | $323.95 | $46.36 |
| Miami, FL | $358.13 | $54.59 |
| Minnesota | $346.08 | $46.03 |
| Mississippi | $293.78 | $42.72 |
| Modesto, CA | $368.71 | $49.13 |
| Montana | $339.35 | $47.76 |
| Napa, CA | $440.54 | $56.23 |
| Nebraska | $312.35 | $43.21 |
| Nevada | $339.06 | $47.18 |
| New Hampshire | $352.05 | $48.51 |
| New Mexico | $313.45 | $46.06 |
| New Orleans, LA | $320.91 | $46.53 |
| North Carolina | $316.52 | $44.47 |
| North Dakota | $337.17 | $45.58 |
| Northern New Jersey | $391.89 | $53.64 |
| NYC suburbs and Long Island, NY | $404.11 | $57.41 |
| Ohio | $311.46 | $45.24 |
| Oklahoma | $304.19 | $43.80 |
| Oxnard, CA | $396.80 | $52.14 |
| Portland, OR | $374.28 | $50.32 |
| Poughkeepsie and northern NYC suburbs, NY | $371.28 | $51.99 |
| Puerto Rico | $342.83 | $48.03 |
| Queens, NY | $400.34 | $55.68 |
| Redding, CA | $368.71 | $49.13 |
| Rest of California | $368.71 | $49.13 |
| Rest of Florida | $327.08 | $48.32 |
| Rest of Georgia | $305.39 | $45.29 |
| Rest of Illinois | $313.50 | $47.27 |
| Rest of Louisiana | $302.29 | $44.23 |
| Rest of Maine | $312.29 | $44.02 |
| Rest of Maryland | $343.05 | $47.96 |
| Rest of Massachusetts | $355.85 | $48.81 |
| Rest of Michigan | $311.90 | $45.68 |
| Rest of Missouri | $294.96 | $43.61 |
| Rest of New Jersey | $369.83 | $51.41 |
| Rest of New York | $322.21 | $45.20 |
| Rest of Oregon | $336.98 | $46.55 |
| Rest of Pennsylvania | $312.83 | $45.15 |
| Rest of Texas | $322.63 | $45.91 |
| Rest of Washington | $355.68 | $48.63 |
| Rhode Island | $349.83 | $48.62 |
| Riverside, CA | $369.89 | $50.31 |
| Sacramento, CA | $390.50 | $51.38 |
| Salinas, CA | $389.14 | $51.19 |
| San Benito County, CA | $481.14 | $60.67 |
| San Diego, CA | $401.02 | $52.28 |
| San Francisco, CA | $470.24 | $59.10 |
| San Luis Obispo, CA | $382.51 | $50.39 |
| Santa Clara County, CA | $480.63 | $60.16 |
| Santa Cruz, CA | $406.97 | $52.69 |
| Santa Maria, CA | $391.34 | $51.35 |
| Santa Rosa, CA | $411.27 | $53.20 |
| South Carolina | $314.41 | $44.98 |
| South Dakota | $336.91 | $45.32 |
| Southern Maine, ME | $335.11 | $46.14 |
| Stockton, CA | $368.71 | $49.13 |
| Suburban Chicago, IL | $350.96 | $51.50 |
| Tennessee | $308.44 | $43.39 |
| Utah | $319.72 | $45.62 |
| Vallejo, CA | $440.36 | $56.05 |
| Vermont | $334.33 | $45.65 |
| Virgin Islands, VI | $342.83 | $48.03 |
| Virginia | $332.82 | $46.18 |
| Visalia, CA | $368.71 | $49.13 |
| Washington, DC area | $397.70 | $54.20 |
| West Virginia | $298.89 | $45.50 |
| Wisconsin | $323.33 | $43.99 |
| Wyoming | $338.40 | $46.81 |
| Yuba City, CA | $368.71 | $49.13 |
43754 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.
$292.31
$424.92
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $365.92 | 1 |
| AL | $297.64 | 1 |
| AR | $292.31 | 1 |
| AZ | $328.87 | 1 |
| CA | $368.71–$481.14 | 29 |
| CO | $359.27 | 1 |
| CT | $365.13 | 1 |
| DC | $397.70 | 1 |
| DE | $335.20 | 1 |
| FL | $327.08–$358.13 | 3 |
| GA | $305.39–$345.27 | 2 |
| GU | $381.78 | 1 |
| HI | $381.78 | 1 |
| IA | $309.85 | 1 |
| ID | $311.74 | 1 |
| IL | $313.50–$350.96 | 4 |
| IN | $314.03 | 1 |
| KS | $306.72 | 1 |
| KY | $303.41 | 1 |
| LA | $302.29–$320.91 | 2 |
| MA | $355.85–$401.82 | 2 |
| MD | $343.05–$397.70 | 3 |
| ME | $312.29–$335.11 | 2 |
| MI | $311.90–$330.64 | 2 |
| MN | $346.08 | 1 |
| MO | $294.96–$323.95 | 3 |
| MS | $293.78 | 1 |
| MT | $339.35 | 1 |
| NC | $316.52 | 1 |
| ND | $337.17 | 1 |
| NE | $312.35 | 1 |
| NH | $352.05 | 1 |
| NJ | $369.83–$391.89 | 2 |
| NM | $313.45 | 1 |
| NV | $339.06 | 1 |
| NY | $322.21–$404.11 | 5 |
| OH | $311.46 | 1 |
| OK | $304.19 | 1 |
| OR | $336.98–$374.28 | 2 |
| PA | $312.83–$353.49 | 2 |
| PR | $342.83 | 1 |
| RI | $349.83 | 1 |
| SC | $314.41 | 1 |
| SD | $336.91 | 1 |
| TN | $308.44 | 1 |
| TX | $310.20–$357.58 | 8 |
| UT | $319.72 | 1 |
| VA | $332.82–$397.70 | 2 |
| VI | $342.83 | 1 |
| VT | $334.33 | 1 |
| WA | $355.68–$412.28 | 2 |
| WI | $323.33 | 1 |
| WV | $298.89 | 1 |
| WY | $338.40 | 1 |
How the 43754 rate is calculated
Each of 43754’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 · 43754
RVUs × geographic indexes × conversion factor
Work0.44
0.44 RVUs× 1.000 GPCI
Practice expense9.61
9.61 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
10.1600
Conversion factor
$33.4009
Medicare rate
$339.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43754
The CMS indicators that decide how 43754 is paid alongside other services.
CMS payment indicators · 43754
Gastric aspiration, single specimen
| 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) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
43754 without 80 · national office
$339.35
Gastric aspiration, single specimen
43754-80 · Assistant: 16%
$54.30
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
43754 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 43755Gastric aspirationMultiple diagnostic specimens
- Both describe diagnostic gastric sampling; choose 43754 for one specimen and 43755 when multiple specimens are collected.
- 43752Gastric tube placementNasal or oral route
- 43752 represents gastric tube placement. This code requires diagnostic aspiration and collection of a gastric specimen.
- 43753Gastric aspirationTherapeutic decompression
- 43753 is therapeutic gastric intubation and aspiration; this code is for diagnostic sampling of one specimen.
- 43756Duodenal aspirationSingle specimen
- 43756 is diagnostic sampling from the duodenum. This code is for a single gastric specimen.
43754 billing questions
When should this code be chosen over 43755?
Use this code for diagnostic gastric aspiration with one specimen. Code 43755 is the multiple-specimen counterpart.
Is gastric tube placement by itself enough to report this code?
No. The service includes diagnostic aspiration and collection of a specimen; tube placement alone is represented by 43752.
How does this differ from 43753?
This code describes diagnostic sampling of one gastric specimen. Code 43753 is for therapeutic gastric intubation and aspiration.
Can modifier 50 be used for aspiration from both sides?
No. Bilateral adjustment is inappropriate for this gastric procedure.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant or another surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted.
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
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