CPT code 43755: Gastric aspiration, multiple diagnostic specimens2026 Medicare rate & RVUs in Burleson, Texas
CPT 43755: $214.44–$221.67 office ($53.73–$54.70 facility) across 2 localities in Burleson, TX in 2026 Medicare. Compare each area.
Medicare pays $214.44–$221.67 for 43755 in the office in Burleson, Texas, from Rest of Texas to Fort Worth, TX. Which amount applies depends on the service address.
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 6 sections
Where 43755 pays more and less in Burleson, Texas
Burleson, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Worth, TX | $221.67 | $54.70 |
| Rest of Texas | $214.44 | $53.73 |
How payment areas work in Burleson
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Rest Of State · Johnson County
- Fort Worth · Tarrant County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 43755 rate is calculated
Each of 43755’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 · 43755
RVUs × geographic indexes × conversion factor
Work0.92
0.92 RVUs× 1.000 GPCI
Practice expense5.71
5.71 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.7200
Conversion factor
$33.4009
Medicare rate
$224.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43755
The CMS indicators that decide how 43755 is paid alongside other services.
CMS payment indicators · 43755
Gastric aspiration, multiple diagnostic specimens
| 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
43755 without 80 · national office
$224.45
Gastric aspiration, multiple diagnostic specimens
43755-80 · Assistant: 16%
$35.91
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
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
Fee sheets · Coming soon
Put 43755 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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