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CPT code 43754: Gastric aspiration, single specimen2026 Medicare rate & RVUs in Iowa

Reports diagnostic gastric intubation with aspiration and collection of one specimen for analysis, rather than tube placement alone or therapeutic aspiration.

CMS RVU26DEffective Oct 1, 2026One payment locality34 Medicare services in 2024

In Iowa, Medicare pays $309.85 for 43754 in the office and $43.05 when it’s performed in a hospital or facility.

$309.85Office (non-facility)
$43.05Hospital or facility
−8.7%vs the national office rate ($339.35)

Check a contract rate as a % of Medicare · 43754 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 43754 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 43754 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 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.

How Iowa compares for 43754

Across 109 of 109 payment localities, the office rate for 43754 runs from $292.31 in Arkansas to $481.14 in San Benito County, CA. Iowa pays $309.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

43754 in Iowa vs other payment areas
  1. Iowa · this page$309.85
  2. Los Angeles, CA · California$397.46+$87.61
  3. Washington, DC area · District of Columbia$397.70+$87.85
  4. Miami, FL · Florida$358.13+$48.28
  5. Chicago, IL · Illinois$345.82+$35.97
  6. Manhattan, NY · New York$394.45+$84.60
  7. Alaska · Alaska$365.92+$56.07

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

Every other payment area

43754 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$297.64$42.49
ArkansasArkansas$292.31$41.84
ArizonaArizona$328.87$46.32
Bakersfield, CACalifornia$369.01$49.43
Chico, CACalifornia$368.71$49.13
El Centro, CACalifornia$368.73$49.15
Fresno, CACalifornia$368.71$49.13
Hanford, CACalifornia$368.71$49.13

43754 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.

$292.31

$424.92

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

View every state and territory as a table
43754 office rate range by state
State / territoryOffice rate rangeLocalities
AK$365.921
AL$297.641
AR$292.311
AZ$328.871
CA$368.71–$481.1429
CO$359.271
CT$365.131
DC$397.701
DE$335.201
FL$327.08–$358.133
GA$305.39–$345.272
GU$381.781
HI$381.781
IA$309.851
ID$311.741
IL$313.50–$350.964
IN$314.031
KS$306.721
KY$303.411
LA$302.29–$320.912
MA$355.85–$401.822
MD$343.05–$397.703
ME$312.29–$335.112
MI$311.90–$330.642
MN$346.081
MO$294.96–$323.953
MS$293.781
MT$339.351
NC$316.521
ND$337.171
NE$312.351
NH$352.051
NJ$369.83–$391.892
NM$313.451
NV$339.061
NY$322.21–$404.115
OH$311.461
OK$304.191
OR$336.98–$374.282
PA$312.83–$353.492
PR$342.831
RI$349.831
SC$314.411
SD$336.911
TN$308.441
TX$310.20–$357.588
UT$319.721
VA$332.82–$397.702
VI$342.831
VT$334.331
WA$355.68–$412.282
WI$323.331
WV$298.891
WY$338.401

See 43754 in every payment locality

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

Office or facility?

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.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,285

Code
43754
Physician work
0.44
Practice expense
9.61
Malpractice
0.11

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 43754 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0000.4400
Practice expense9.61× 0.9158.7932
Malpractice0.11× 0.3970.0437
Total RVUs9.2768
Conversion factor× 33.4009

Office rate, Iowa$309.85

Office: (0.44 × 1 + 9.61 × 0.915 + 0.11 × 0.397) × $33.4009 = $309.85

Facility: (0.44 × 1 + 0.88 × 0.915 + 0.11 × 0.397) × $33.4009 = $43.05

Open 43754 in the RVU calculator

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

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

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.

When to use modifier 80

Codes related to 43754

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

Codes related to 43754
CodeHow it relatesOffice range, Iowa
Same family
43755Gastric aspiration, multiple diagnostic specimensDiagnostic gastric aspiration when multiple specimens are collected.$206.43
Used instead
43752Gastric tube placement, nasal or oral routeGastric tube placement without the diagnostic aspiration and specimen collection described here.No office rate
43753Gastric aspiration, therapeutic decompressionTherapeutic rather than diagnostic gastric intubation and aspiration.No office rate
43756Duodenal aspiration, single specimenDiagnostic aspiration and collection of one specimen from the duodenum rather than the stomach.$278.42
43757Duodenal aspiration, multiple specimensDiagnostic aspiration and collection of multiple specimens from the duodenum.$374.23

How 43754 has changed in Iowa

43754 · Office / nonfacility

$309.85

Effective 2026-10-01

The base rate is $106.58 higher than on 2025-10-01, moving from $203.27 to $309.85 (52.4%).

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

    $203.27changed to$309.85

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.45 changed to 0.44
    • Practice expense RVU 6.34 changed to 9.61
    • Malpractice RVU 0.10 changed to 0.11
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $213.44changed to$203.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.48 changed to 6.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $209.95changed to$213.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $219.65changed to$209.95

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.58 changed to 6.48
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $217.93changed to$219.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.40 changed to 6.58
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $203.59changed to$217.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.89 changed to 6.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $169.50changed to$203.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.64 changed to 5.89
    • Malpractice RVU 0.09 changed to 0.10
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $151.63changed to$169.50

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.11 changed to 4.64
    • Malpractice RVU 0.07 changed to 0.09
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $151.48changed to$151.63

    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $125.34changed to$151.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.31 changed to 4.11
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $113.12changed to$125.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.96 changed to 3.31
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $98.13changed to$113.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.54 changed to 2.96
    • Malpractice RVU 0.03 changed to 0.07
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $120.76changed to$98.13

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.21 changed to 2.54
    • Malpractice RVU 0.07 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $120.16changed to$120.76

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $82.95changed to$120.16

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.07 changed to 3.21
    • Malpractice RVU 0.04 changed to 0.07
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $89.57changed to$82.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.44 changed to 2.07
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $89.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$309.85$43.05RVU26D
2026-07-01$309.85$43.05RVU26C
2026-04-01$309.85$43.05RVU26B
2026-01-01$309.85$43.05RVU26A
2025-10-01$203.27$34.05RVU25D
2025-07-01$203.27$34.05RVU25C
2025-04-01$203.27$34.05RVU25B
2025-01-01$203.27$34.05RVU25A
2024-10-01$213.44$34.43RVU24D
2024-07-01$213.44$34.43RVU24C
2024-04-01$213.44$34.43RVU24B
2024-03-09$213.44$34.43RVU24AR
2024-01-01$209.95$33.87RVU24A
2023-10-01$219.65$34.32RVU23D
2023-07-01$219.65$34.32RVU23C
2023-04-01$219.65$34.32RVU23B
2023-01-01$219.65$34.32RVU23A
2022-10-01$217.93$33.05RVU22D
2022-07-01$217.93$33.05RVU22C
2022-04-01$217.93$33.05RVU22B
2022-01-01$217.93$33.05RVU22A
2021-10-01$203.59$33.01RVU21D
2021-07-01$203.59$33.01RVU21C
2021-04-01$203.59$33.01RVU21B
2021-01-01$203.59$33.01RVU21A
2020-10-01$169.50$33.66RVU20D
2020-07-01$169.50$33.66RVU20C
2020-04-01$169.50$33.66RVU20B
2020-01-01$169.50$33.66RVU20A
2019-10-01$151.63$34.61RVU19D
2019-07-01$151.63$34.61RVU19C
2019-04-01$151.48$34.46RVU19B
2019-01-01$151.48$34.46RVU19A
2018-10-01$125.34$34.90RVU18D
2018-07-01$125.34$34.90RVU18C
2018-04-01$125.34$34.90RVU18B
2018-01-01$125.34$34.90RVU18AR1
2017-10-01$113.12$33.49RVU17D
2017-07-01$113.12$33.49RVU17C
2017-04-01$113.12$33.49RVU17B
2017-01-01$113.12$33.49RVU17A
2016-10-01$98.13$31.72RVU16D
2016-07-01$98.13$31.72RVU16C
2016-04-01$98.13$31.72RVU16B
2016-01-01$98.13$31.72RVU16A
2015-10-01$120.76$34.47RVU15D
2015-07-01$120.76$34.47RVU15C
2015-04-01$120.16$34.30RVU15B
2015-01-01$120.16$34.30RVU15A
2014-10-01$82.95$31.50RVU14D
2014-07-01$82.95$31.50RVU14C
2014-04-01$82.95$31.50RVU14B
2014-01-01$82.95$31.50RVU14A
2013-10-01$89.57$31.62RVU13D
2013-07-01$89.57$31.62RVU13C
2013-04-01$89.57$31.62RVU13B
2013-01-01$89.57$31.62RVU13AR

Price 43754 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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

Show the CMS file lines behind this rate
RVUs for 43754PPRRVU2026_Oct_nonQPP.csv, line 5,285 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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