CPT code 43756: Duodenal aspiration, single specimen2026 Medicare rate & RVUs in Sacramento, CA
Reports diagnostic passage of a tube into the duodenum to aspirate one specimen of duodenal contents for laboratory evaluation.
In Sacramento, CA, Medicare pays $348.07 for 43756 in the office and $50.12 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 43756 nationwide
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 11 sections
What 43756 covers
A clinician passes an intubation tube into the duodenum and aspirates duodenal contents for diagnostic testing. The service may be performed when a specimen of duodenal fluid is needed for laboratory evaluation; it is distinct from collecting gastric contents or placing a tube for therapeutic use. The code is for one specimen, making specimen count a key distinction from its duodenal sibling code.
Report the service when documentation supports diagnostic duodenal intubation and aspiration of a single specimen. The record should identify the duodenal site, the diagnostic purpose, and the specimen obtained. 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. 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.
How Sacramento, CA compares for 43756
Across 109 of 109 payment localities, the office rate for 43756 runs from $263.25 in Arkansas to $426.89 in San Benito County, CA. Sacramento, CA pays $348.07. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Sacramento, CA · this page$348.07
- Bakersfield, CA · California$329.33−$18.74
- Chico, CA · California$329.11−$18.96
- El Centro, CA · California$329.12−$18.95
- Fresno, CA · California$329.11−$18.96
- Hanford, CA · California$329.11−$18.96
- Los Angeles, CA · California$354.01+$5.94
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $329.11 | $48.33 |
| Merced, CACalifornia | $329.11 | $48.33 |
| Modesto, CACalifornia | $329.11 | $48.33 |
| Napa, CACalifornia | $391.44 | $53.79 |
| Oxnard, CACalifornia | $353.31 | $50.50 |
| Redding, CACalifornia | $329.11 | $48.33 |
| Rest of CaliforniaCalifornia | $329.11 | $48.33 |
| Riverside, CACalifornia | $329.87 | $49.09 |
| Salinas, CACalifornia | $346.84 | $49.92 |
| San Diego, CACalifornia | $357.04 | $50.64 |
| Marin County, CACalifornia | $417.51 | $56.29 |
| San Francisco, CACalifornia | $417.43 | $56.21 |
| San Benito County, CACalifornia | $426.89 | $57.48 |
| Santa Clara County, CACalifornia | $426.57 | $57.15 |
| San Luis Obispo, CACalifornia | $340.97 | $49.18 |
| Santa Cruz, CACalifornia | $362.04 | $50.77 |
| Santa Maria, CACalifornia | $348.69 | $49.98 |
| Santa Rosa, CACalifornia | $365.85 | $51.26 |
| Stockton, CACalifornia | $329.11 | $48.33 |
| Vallejo, CACalifornia | $391.33 | $53.68 |
| Visalia, CACalifornia | $329.11 | $48.33 |
| Yuba City, CACalifornia | $329.11 | $48.33 |
| Washington, DC areaDistrict of Columbia | $354.01 | $52.22 |
| Miami, FLFlorida | $318.17 | $51.48 |
| Chicago, ILIllinois | $307.86 | $50.40 |
| Manhattan, NYNew York | $350.95 | $53.26 |
| AlaskaAlaska | $332.69 | $59.85 |
| AlabamaAlabama | $267.78 | $43.62 |
| ArkansasArkansas | $263.25 | $43.18 |
| ArizonaArizona | $294.39 | $46.15 |
| ColoradoColorado | $320.73 | $48.15 |
| ConnecticutConnecticut | $325.52 | $49.60 |
| DelawareDelaware | $299.86 | $46.75 |
| Fort Lauderdale, FLFlorida | $308.76 | $49.24 |
| Rest of FloridaFlorida | $292.32 | $47.40 |
| Atlanta, GAGeorgia | $308.24 | $47.96 |
| Rest of GeorgiaGeorgia | $273.93 | $45.42 |
| Hawaii, Guam, HIHawaii | $340.09 | $48.81 |
| IowaIowa | $278.42 | $44.01 |
| IdahoIdaho | $279.98 | $44.29 |
| East St. Louis, ILIllinois | $283.58 | $47.89 |
| Rest of IllinoisIllinois | $280.59 | $46.70 |
| Suburban Chicago, ILIllinois | $312.71 | $49.61 |
| IndianaIndiana | $281.94 | $44.45 |
| KansasKansas | $275.63 | $44.04 |
| KentuckyKentucky | $272.46 | $44.71 |
| New Orleans, LALouisiana | $287.32 | $46.25 |
| Rest of LouisianaLouisiana | $271.45 | $44.73 |
| Metropolitan Boston, MAMassachusetts | $357.57 | $51.69 |
| Rest of MassachusettsMassachusetts | $317.83 | $48.07 |
| Baltimore area, MDMaryland | $324.38 | $49.49 |
| Rest of MarylandMaryland | $306.65 | $47.39 |
| Rest of MaineMaine | $280.33 | $44.63 |
| Southern Maine, MEMaine | $299.93 | $46.06 |
| Detroit, MIMichigan | $295.23 | $48.01 |
| Rest of MichiganMichigan | $279.58 | $45.68 |
| MinnesotaMinnesota | $309.64 | $46.02 |
| Metropolitan Kansas City, MOMissouri | $286.40 | $45.84 |
| Metropolitan St. Louis, MOMissouri | $290.04 | $46.15 |
| Rest of MissouriMissouri | $265.15 | $44.31 |
| MississippiMississippi | $264.32 | $43.75 |
| MontanaMontana | $303.28 | $47.09 |
| North CarolinaNorth Carolina | $283.95 | $44.93 |
| North DakotaNorth Dakota | $301.89 | $45.71 |
| NebraskaNebraska | $280.58 | $44.12 |
| New HampshireNew Hampshire | $314.30 | $47.61 |
| Northern New JerseyNew Jersey | $349.16 | $51.99 |
| Rest of New JerseyNew Jersey | $329.89 | $50.14 |
| New MexicoNew Mexico | $280.85 | $45.93 |
| NevadaNevada | $303.17 | $46.72 |
| NYC suburbs and Long Island, NYNew York | $359.03 | $54.43 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $331.11 | $50.59 |
| Queens, NYNew York | $356.13 | $53.32 |
| Rest of New YorkNew York | $288.79 | $45.42 |
| OhioOhio | $279.30 | $45.40 |
| OklahomaOklahoma | $273.24 | $44.47 |
| Portland, OROregon | $333.71 | $49.08 |
| Rest of OregonOregon | $301.48 | $46.32 |
| Metropolitan Philadelphia, PAPennsylvania | $315.49 | $48.81 |
| Rest of PennsylvaniaPennsylvania | $280.53 | $45.35 |
| Puerto RicoPuerto Rico | $306.28 | $47.28 |
| Rhode IslandRhode Island | $312.61 | $47.97 |
| South CarolinaSouth Carolina | $281.96 | $45.25 |
| South DakotaSouth Dakota | $301.73 | $45.54 |
| TennesseeTennessee | $277.09 | $44.22 |
| Austin, TXTexas | $319.07 | $48.02 |
| Beaumont, TXTexas | $278.28 | $45.16 |
| Brazoria, TXTexas | $300.48 | $46.60 |
| Dallas, TXTexas | $302.07 | $46.91 |
| Fort Worth, TXTexas | $299.34 | $46.74 |
| Galveston, TXTexas | $301.15 | $46.76 |
| Houston, TXTexas | $302.43 | $48.04 |
| Rest of TexasTexas | $288.98 | $45.86 |
| UtahUtah | $286.49 | $45.67 |
| VirginiaVirginia | $297.90 | $46.07 |
| Virgin Islands, VIUnited States Virgin Islands | $306.28 | $47.28 |
| VermontVermont | $299.37 | $45.74 |
| Rest of WashingtonWashington | $317.67 | $47.91 |
| King County, WAWashington | $366.73 | $52.39 |
| WisconsinWisconsin | $290.07 | $44.65 |
| West VirginiaWest Virginia | $268.15 | $45.52 |
| WyomingWyoming | $302.67 | $46.49 |
43756 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.
$263.25
$378.00
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 | $332.69 | 1 |
| AL | $267.78 | 1 |
| AR | $263.25 | 1 |
| AZ | $294.39 | 1 |
| CA | $329.11–$426.89 | 29 |
| CO | $320.73 | 1 |
| CT | $325.52 | 1 |
| DC | $354.01 | 1 |
| DE | $299.86 | 1 |
| FL | $292.32–$318.17 | 3 |
| GA | $273.93–$308.24 | 2 |
| GU | $340.09 | 1 |
| HI | $340.09 | 1 |
| IA | $278.42 | 1 |
| ID | $279.98 | 1 |
| IL | $280.59–$312.71 | 4 |
| IN | $281.94 | 1 |
| KS | $275.63 | 1 |
| KY | $272.46 | 1 |
| LA | $271.45–$287.32 | 2 |
| MA | $317.83–$357.57 | 2 |
| MD | $306.65–$354.01 | 3 |
| ME | $280.33–$299.93 | 2 |
| MI | $279.58–$295.23 | 2 |
| MN | $309.64 | 1 |
| MO | $265.15–$290.04 | 3 |
| MS | $264.32 | 1 |
| MT | $303.28 | 1 |
| NC | $283.95 | 1 |
| ND | $301.89 | 1 |
| NE | $280.58 | 1 |
| NH | $314.30 | 1 |
| NJ | $329.89–$349.16 | 2 |
| NM | $280.85 | 1 |
| NV | $303.17 | 1 |
| NY | $288.79–$359.03 | 5 |
| OH | $279.30 | 1 |
| OK | $273.24 | 1 |
| OR | $301.48–$333.71 | 2 |
| PA | $280.53–$315.49 | 2 |
| PR | $306.28 | 1 |
| RI | $312.61 | 1 |
| SC | $281.96 | 1 |
| SD | $301.73 | 1 |
| TN | $277.09 | 1 |
| TX | $278.28–$319.07 | 8 |
| UT | $286.49 | 1 |
| VA | $297.90–$354.01 | 2 |
| VI | $306.28 | 1 |
| VT | $299.37 | 1 |
| WA | $317.67–$366.73 | 2 |
| WI | $290.07 | 1 |
| WV | $268.15 | 1 |
| WY | $302.67 | 1 |
How the 43756 rate is calculated
Each of 43756’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 · 43756
RVUs × geographic indexes × conversion factor
Work0.75
0.75 RVUs× 1.000 GPCI
Practice expense8.26
8.26 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
9.0800
Conversion factor
$33.4009
Medicare rate
$303.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Sacramento, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,287
- Code
- 43756
- Physician work
- 0.75
- Practice expense
- 8.26
- Malpractice
- 0.07
GPCI2026.csv
21
- Locality
- Sacramento, CA
- Physician work
- 1.036
- Practice expense
- 1.163
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.75 | × 1.036 | 0.7770 |
| Practice expense | 8.26 | × 1.163 | 9.6064 |
| Malpractice | 0.07 | × 0.536 | 0.0375 |
| Total RVUs | 10.4209 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Sacramento, CA$348.07
Office: (0.75 × 1.036 + 8.26 × 1.163 + 0.07 × 0.536) × $33.4009 = $348.07
Facility: (0.75 × 1.036 + 0.59 × 1.163 + 0.07 × 0.536) × $33.4009 = $50.12
Payment rules and modifiers for 43756
The CMS indicators that decide how 43756 is paid alongside other services.
CMS payment indicators · 43756
Duodenal 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
43756 without 80 · national office
$303.28
Duodenal aspiration, single specimen
43756-80 · Assistant: 16%
$48.52
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 43756 has changed in Sacramento, CA
43756 · Office / nonfacility
$348.07
Effective 2026-10-01
The base rate is $56.50 higher than on 2025-10-01, moving from $291.57 to $348.07 (19.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$291.57changed to$348.07
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.77 changed to 0.75
- Practice expense RVU 7.07 changed to 8.26
- Malpractice RVU 0.08 changed to 0.07
- Work GPCI 1.034 changed to 1.036
- Practice expense GPCI 1.156 changed to 1.163
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$312.94changed to$291.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.40 changed to 7.07
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$307.83changed to$312.94
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$313.77changed to$307.83
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.51 changed to 7.40
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.036 changed to 1.034
- Practice expense GPCI 1.119 changed to 1.156
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$321.69changed to$313.77
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.81 changed to 7.51
- Malpractice RVU 0.09 changed to 0.10
- Work GPCI 1.038 changed to 1.036
- Practice expense GPCI 1.081 changed to 1.119
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$312.08changed to$321.69
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.50 changed to 7.81
- Work GPCI 1.036 changed to 1.038
- Practice expense GPCI 1.079 changed to 1.081
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$273.74changed to$312.08
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.25 changed to 7.50
- Work GPCI 1.033 changed to 1.036
- Practice expense GPCI 1.078 changed to 1.079
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$252.88changed to$273.74
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.65 changed to 6.25
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.027 changed to 1.033
- Practice expense GPCI 1.092 changed to 1.078
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$227.48changed to$252.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.04 changed to 5.65
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.086 changed to 1.092
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$219.25changed to$227.48
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.87 changed to 5.04
- Work GPCI 1.024 changed to 1.025
- Practice expense GPCI 1.080 changed to 1.086
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$219.25
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $348.07 | $50.12 | RVU26D |
| 2026-07-01 | $348.07 | $50.12 | RVU26C |
| 2026-04-01 | $348.07 | $50.12 | RVU26B |
| 2026-01-01 | $348.07 | $50.12 | RVU26A |
| 2025-10-01 | $291.57 | $51.88 | RVU25D |
| 2025-07-01 | $291.57 | $51.88 | RVU25C |
| 2025-04-01 | $291.57 | $51.88 | RVU25B |
| 2025-01-01 | $291.57 | $51.88 | RVU25A |
| 2024-10-01 | $312.94 | $53.58 | RVU24D |
| 2024-07-01 | $312.94 | $53.58 | RVU24C |
| 2024-04-01 | $312.94 | $53.58 | RVU24B |
| 2024-03-09 | $312.94 | $53.58 | RVU24AR |
| 2024-01-01 | $307.83 | $52.70 | RVU24A |
| 2023-10-01 | $313.77 | $53.26 | RVU23D |
| 2023-07-01 | $313.77 | $53.26 | RVU23C |
| 2023-04-01 | $313.77 | $53.26 | RVU23B |
| 2023-01-01 | $313.77 | $53.26 | RVU23A |
| 2022-10-01 | $321.69 | $53.09 | RVU22D |
| 2022-07-01 | $321.69 | $53.09 | RVU22C |
| 2022-04-01 | $321.69 | $53.09 | RVU22B |
| 2022-01-01 | $321.69 | $53.09 | RVU22A |
| 2021-10-01 | $312.08 | $53.05 | RVU21D |
| 2021-07-01 | $312.08 | $53.05 | RVU21C |
| 2021-04-01 | $312.08 | $53.05 | RVU21B |
| 2021-01-01 | $312.08 | $53.05 | RVU21A |
| 2020-10-01 | $273.74 | $53.93 | RVU20D |
| 2020-07-01 | $273.74 | $53.93 | RVU20C |
| 2020-04-01 | $273.74 | $53.93 | RVU20B |
| 2020-01-01 | $273.74 | $53.93 | RVU20A |
| 2019-10-01 | $252.88 | $54.53 | RVU19D |
| 2019-07-01 | $252.88 | $54.53 | RVU19C |
| 2019-04-01 | $252.88 | $54.53 | RVU19B |
| 2019-01-01 | $252.88 | $54.53 | RVU19A |
| 2018-10-01 | $227.48 | $54.68 | RVU18D |
| 2018-07-01 | $227.48 | $54.68 | RVU18C |
| 2018-04-01 | $227.48 | $54.68 | RVU18B |
| 2018-01-01 | $227.48 | $54.68 | RVU18AR1 |
| 2017-10-01 | $219.25 | $53.74 | RVU17D |
| 2017-07-01 | $219.25 | $53.74 | RVU17C |
| 2017-04-01 | $219.25 | $53.74 | RVU17B |
| 2017-01-01 | $219.25 | $53.74 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Sacramento, CA rate applies
Sacramento, CA is a Medicare payment area, not a city. Our Census mapping connects it to 89 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Folsom
- Roseville
- Sacramento
- Alta
- Antelope
- Arden-Arcade
- Auburn
- Auburn Lake Trails
43756 billing questions
When should 43756 be chosen over 43757?
Use 43756 for aspiration of one diagnostic duodenal specimen. The related 43757 code is for multiple specimens.
How does this differ from gastric intubation codes?
43756 involves diagnostic intubation and aspiration in the duodenum. Codes 43754 and 43755 concern gastric specimens, with the specimen count distinguishing those codes.
Can tube placement be billed separately?
The intubation and aspiration are part of this diagnostic service. Do not separately report a tube-placement service for the same intubation.
What documentation supports reporting 43756?
Document that the tube reached the duodenum, that aspiration was performed for diagnostic evaluation, and that one specimen was obtained.
Can modifier 50 be used, or can co-surgeons be reported?
Modifier 50 is inappropriate for this service. CMS does not permit co-surgeons or team surgery; an assistant at surgery may be paid.
What care is included in the global period?
The service has a 0-day global period, which includes same-day preoperative and postoperative care.
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
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