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CPT code 43755: Gastric aspiration, multiple diagnostic specimens2026 Medicare rate & RVUs in Virgin Islands, VI

Reports gastric intubation and aspiration to collect multiple specimens for diagnostic evaluation, such as analysis of gastric contents.

CMS RVU26DEffective Oct 1, 2026One payment locality18 Medicare services in 2024

In Virgin Islands, VI, Medicare pays $226.51 for 43755 in the office and $55.30 when it’s performed in a hospital or facility.

$226.51Office (non-facility)
$55.30Hospital or facility
+0.9%vs the national office rate ($224.45)

Check a contract rate as a % of Medicare · 43755 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 43755 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virgin Islands, VI
  2. What 43755 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 43755 covers

The service involves passing a tube into the stomach and aspirating multiple specimens for diagnostic evaluation. A physician, often in a hospital or other facility setting, may perform it when gastric contents are needed for testing, including acid analysis. The code describes obtaining multiple specimens from the stomach, rather than a single specimen or aspiration performed for treatment such as decompression.

Select this code when the procedure documentation supports collection of multiple gastric specimens; a single specimen is described by 43754. Record the diagnostic purpose, gastric site, and number of specimens collected. The service includes the intubation and aspiration; laboratory analysis is a separate service when performed. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this single-organ service. Medicare may pay an assistant at surgery, but does not permit co-surgeon or team-surgery billing for this code.

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 Virgin Islands, VI compares for 43755

Across 109 of 109 payment localities, the office rate for 43755 runs from $196.10 in Arkansas to $310.74 in San Benito County, CA. Virgin Islands, VI pays $226.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

43755 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$226.51
  2. Los Angeles, CA · California$259.61+$33.10
  3. Washington, DC area · District of Columbia$260.40+$33.89
  4. Miami, FL · Florida$236.87+$10.36
  5. Chicago, IL · Illinois$229.52+$3.01
  6. Manhattan, NY · New York$259.08+$32.57
  7. Alaska · Alaska$250.87+$24.36

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

43755 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$199.31$51.13
ArkansasArkansas$196.10$50.64
ArizonaArizona$218.11$54.02
Bakersfield, CACalifornia$242.17$56.57
Chico, CACalifornia$241.89$56.29
El Centro, CACalifornia$241.91$56.31
Fresno, CACalifornia$241.89$56.29
Hanford, CACalifornia$241.89$56.29

43755 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.

$196.10

$276.32

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

View every state and territory as a table
43755 office rate range by state
State / territoryOffice rate rangeLocalities
AK$250.871
AL$199.311
AR$196.101
AZ$218.111
CA$241.89–$310.7429
CO$236.371
CT$240.391
DC$260.401
DE$222.021
FL$217.57–$236.873
GA$204.43–$228.202
GU$249.321
HI$249.321
IA$206.431
ID$207.611
IL$209.55–$232.144
IN$208.991
KS$204.651
KY$203.031
LA$202.40–$213.612
MA$234.44–$262.382
MD$226.80–$260.403
ME$208.06–$221.632
MI$208.25–$219.842
MN$227.871
MO$198.06–$215.313
MS$197.161
MT$224.451
NC$210.591
ND$222.671
NE$207.901
NH$231.901
NJ$243.52–$257.112
NM$209.231
NV$224.141
NY$214.03–$265.045
OH$207.891
OK$203.381
OR$222.80–$245.352
PA$208.65–$233.412
PR$226.511
RI$231.011
SC$209.511
SD$222.461
TN$205.711
TX$207.08–$235.238
UT$212.701
VA$220.33–$260.402
VI$226.511
VT$221.061
WA$234.24–$268.732
WI$214.361
WV$200.771
WY$223.671

See 43755 in every payment locality

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

Office or facility?

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.

The exact Virgin Islands, VI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,286

Code
43755
Physician work
0.92
Practice expense
5.71
Malpractice
0.09

GPCI2026.csv

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 43755 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work0.92× 1.0000.9200
Practice expense5.71× 1.0115.7728
Malpractice0.09× 0.9850.0886
Total RVUs6.7815
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$226.51

Office: (0.92 × 1 + 5.71 × 1.011 + 0.09 × 0.985) × $33.4009 = $226.51

Facility: (0.92 × 1 + 0.64 × 1.011 + 0.09 × 0.985) × $33.4009 = $55.30

Open 43755 in the RVU calculator

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

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

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.

When to use modifier 80

Codes related to 43755

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

Codes related to 43755
CodeHow it relatesOffice range, Virgin Islands, VI
Same family
43754Gastric aspiration, single specimenDiagnostic gastric intubation and aspiration for a single specimen.$342.83
Used instead
43753Gastric aspiration, therapeutic decompressionGastric intubation and aspiration for treatment rather than diagnostic specimen collection.No office rate
43756Duodenal aspiration, single specimenDiagnostic aspiration for a single specimen from the duodenum, not the stomach.$306.28
43757Duodenal aspiration, multiple specimensDiagnostic aspiration for multiple specimens from the duodenum, not the stomach.$411.74

How 43755 has changed in Virgin Islands, VI

43755 · Office / nonfacility

$226.51

Effective 2026-10-01

The base rate is $33.66 higher than on 2025-10-01, moving from $192.85 to $226.51 (17.5%).

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

    $192.85changed to$226.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.94 changed to 0.92
    • Practice expense RVU 4.87 changed to 5.71
    • Malpractice RVU 0.12 changed to 0.09
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $203.83changed to$192.85

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.04 changed to 4.87
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $200.50changed to$203.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $208.02changed to$200.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.05 changed to 5.04
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $206.71changed to$208.02

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $216.99changed to$206.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.19 changed to 5.05
    • Malpractice RVU 0.10 changed to 0.11
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $205.77changed to$216.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.82 changed to 5.19

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $177.55changed to$205.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.86 changed to 4.82
    • Malpractice RVU 0.09 changed to 0.10
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $160.46changed to$177.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.37 changed to 3.86
    • Malpractice RVU 0.12 changed to 0.09
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $141.80changed to$160.46

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.86 changed to 3.37

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $141.26changed to$141.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.83 changed to 2.86
    • Malpractice RVU 0.15 changed to 0.12
    • Practice expense GPCI 1.006 changed to 1.007
    • Malpractice GPCI 0.993 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $139.09changed to$141.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.86 changed to 2.83
    • Malpractice RVU 0.20 changed to 0.15
    • Practice expense GPCI 0.960 changed to 1.006
    • Malpractice GPCI 0.996 changed to 0.993

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $138.94changed to$139.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.81 changed to 2.86
    • Malpractice RVU 0.23 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $138.25changed to$138.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $140.13changed to$138.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.88 changed to 2.81
    • Malpractice RVU 0.08 changed to 0.23
    • Practice expense GPCI 1.004 changed to 0.960
    • Malpractice GPCI 1.003 changed to 0.996

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $150.64changed to$140.13

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.40 changed to 2.88
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 1.010 changed to 1.003

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $150.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$226.51$55.30RVU26D
2026-07-01$226.51$55.30RVU26C
2026-04-01$226.51$55.30RVU26B
2026-01-01$226.51$55.30RVU26A
2025-10-01$192.85$58.32RVU25D
2025-07-01$192.85$58.32RVU25C
2025-04-01$192.85$58.32RVU25B
2025-01-01$192.85$58.32RVU25A
2024-10-01$203.83$59.36RVU24D
2024-07-01$203.83$59.36RVU24C
2024-04-01$203.83$59.36RVU24B
2024-03-09$203.83$59.36RVU24AR
2024-01-01$200.50$58.39RVU24A
2023-10-01$208.02$59.77RVU23D
2023-07-01$206.71$59.64RVU23C
2023-04-01$206.71$59.64RVU23B
2023-01-01$206.71$59.64RVU23A
2022-10-01$216.99$60.36RVU22D
2022-07-01$216.99$60.36RVU22C
2022-04-01$216.99$60.36RVU22B
2022-01-01$216.99$60.36RVU22A
2021-10-01$205.77$60.51RVU21D
2021-07-01$205.77$60.51RVU21C
2021-04-01$205.77$60.51RVU21B
2021-01-01$205.77$60.51RVU21A
2020-10-01$177.55$61.51RVU20D
2020-07-01$177.55$61.51RVU20C
2020-04-01$177.55$61.51RVU20B
2020-01-01$177.55$61.51RVU20A
2019-10-01$160.46$62.84RVU19D
2019-07-01$160.46$62.84RVU19C
2019-04-01$160.46$62.84RVU19B
2019-01-01$160.46$62.84RVU19A
2018-10-01$141.80$63.49RVU18D
2018-07-01$141.80$63.49RVU18C
2018-04-01$141.80$63.49RVU18B
2018-01-01$141.80$63.49RVU18AR1
2017-10-01$141.26$62.55RVU17D
2017-07-01$141.26$62.55RVU17C
2017-04-01$141.26$62.55RVU17B
2017-01-01$141.26$62.55RVU17A
2016-10-01$139.09$62.79RVU16D
2016-07-01$139.09$62.79RVU16C
2016-04-01$139.09$62.79RVU16B
2016-01-01$139.09$62.79RVU16A
2015-10-01$138.94$63.74RVU15D
2015-07-01$138.94$63.74RVU15C
2015-04-01$138.25$63.42RVU15B
2015-01-01$138.25$63.42RVU15A
2014-10-01$140.13$59.57RVU14D
2014-07-01$140.13$59.57RVU14C
2014-04-01$140.13$59.57RVU14B
2014-01-01$140.13$59.57RVU14A
2013-10-01$150.64$59.28RVU13D
2013-07-01$150.64$59.28RVU13C
2013-04-01$150.64$59.28RVU13B
2013-01-01$150.64$59.28RVU13AR

Price 43755 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

43755 billing questions

When should 43755 be chosen instead of 43754?

Use 43755 when multiple diagnostic gastric specimens are collected. Use 43754 when the documented service obtains a single specimen.

Does this code include placement of the tube?

Yes. The service includes gastric intubation and aspiration to obtain the specimens; do not treat those steps as separate services within the same procedure.

Does 43755 include laboratory analysis of the specimens?

No. It describes obtaining the gastric specimens, not performing their laboratory analysis.

What documentation supports reporting multiple specimens?

The procedure note should identify the diagnostic purpose, confirm gastric intubation and aspiration, and document that multiple specimens were obtained.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this single-organ gastric service.

How is same-day care handled?

The code has a 0-day global period, so same-day preoperative and postoperative care is included. Medicare may pay an assistant at surgery, but co-surgeon and team-surgery billing 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 43755PPRRVU2026_Oct_nonQPP.csv, line 5,286 (RVU26D)
Geographic factors for Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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