CPT code 43761: G-tube repositioning, existing tube under fluoroscopy2026 Medicare rate & RVUs
Report this service when a clinician uses fluoroscopy to move an existing gastrostomy tube back into position without replacing the tube.
Medicare pays $122.92 for 43761 nationally in the office and $88.51 in a hospital or facility. Local office rates run $111.60–$154.58.
Medicare rate · 43761
G-tube repositioning, existing tube under fluoroscopy
- Work RVUs
- 1.96
- Total RVUs
- 3.68
- Global days
- 000
National rate · 2026
$122.92
Office setting, before claim adjustments.
See every locality for 43761 →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 43761 covers
This procedure corrects the position of a gastrostomy tube that remains in place but has shifted from its intended location. A physician, often an interventional radiologist or surgeon, manipulates the existing tube through the gastrostomy tract under fluoroscopic guidance and confirms its final position. The service includes contrast injection, image documentation, and a report.
Report 43761 when the existing tube is repositioned rather than exchanged. The procedure note should describe the tube’s initial position, the manipulation performed, and confirmation of its final position. Contrast imaging performed as part of the repositioning is included. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the standard reduction pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery and does not permit co-surgeons or team surgery 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.
Where 43761 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
$111.60 to $154.58
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $112.84 | $82.74 |
| Alaska | $154.58 | $117.94 |
| Arizona | $120.08 | $86.74 |
| Arkansas | $111.60 | $82.05 |
| Atlanta, GA | $125.76 | $90.81 |
| Austin, TX | $124.77 | $88.37 |
| Bakersfield, CA | $125.12 | $87.41 |
| Baltimore area, MD | $129.69 | $92.78 |
| Beaumont, TX | $117.92 | $86.62 |
| Brazoria, TX | $120.95 | $86.86 |
| Chicago, IL | $135.73 | $101.15 |
| Chico, CA | $124.31 | $86.60 |
| Colorado | $124.73 | $88.13 |
| Connecticut | $129.89 | $92.84 |
| Dallas, TX | $121.98 | $87.72 |
| Delaware | $121.72 | $87.73 |
| Detroit, MI | $127.65 | $94.45 |
| East St. Louis, IL | $128.55 | $96.90 |
| El Centro, CA | $124.35 | $86.65 |
| Fort Lauderdale, FL | $131.10 | $96.25 |
| Fort Worth, TX | $121.62 | $87.70 |
| Fresno, CA | $124.31 | $86.60 |
| Galveston, TX | $121.49 | $87.33 |
| Hanford, CA | $124.31 | $86.60 |
| Hawaii, Guam, HI | $125.57 | $86.45 |
| Houston, TX | $126.62 | $92.46 |
| Idaho | $114.14 | $82.49 |
| Indiana | $114.60 | $82.71 |
| Iowa | $113.19 | $81.71 |
| Kansas | $113.66 | $82.56 |
| Kentucky | $116.78 | $86.20 |
| King County, WA | $135.40 | $93.18 |
| Los Angeles, CA | $131.26 | $90.56 |
| Madera, CA | $124.31 | $86.60 |
| Manhattan, NY | $140.38 | $100.40 |
| Marin County, CA | $143.79 | $95.29 |
| Merced, CA | $124.31 | $86.60 |
| Metropolitan Boston, MA | $133.90 | $92.82 |
| Metropolitan Kansas City, MO | $119.77 | $87.46 |
| Metropolitan Philadelphia, PA | $127.87 | $92.06 |
| Metropolitan St. Louis, MO | $120.63 | $87.87 |
| Miami, FL | $139.19 | $103.37 |
| Minnesota | $117.73 | $82.33 |
| Mississippi | $113.79 | $84.17 |
| Modesto, CA | $124.31 | $86.60 |
| Montana | $122.90 | $88.49 |
| Napa, CA | $137.73 | $92.39 |
| Nebraska | $113.39 | $81.64 |
| Nevada | $121.40 | $86.96 |
| New Hampshire | $123.72 | $87.90 |
| New Mexico | $120.80 | $89.26 |
| New Orleans, LA | $121.35 | $88.98 |
| North Carolina | $116.32 | $84.22 |
| North Dakota | $117.36 | $82.96 |
| Northern New Jersey | $135.37 | $95.46 |
| NYC suburbs and Long Island, NY | $144.21 | $103.31 |
| Ohio | $118.81 | $87.40 |
| Oklahoma | $115.68 | $84.96 |
| Oxnard, CA | $129.98 | $89.31 |
| Portland, OR | $126.91 | $88.69 |
| Poughkeepsie and northern NYC suburbs, NY | $132.39 | $94.72 |
| Puerto Rico | $123.30 | $88.52 |
| Queens, NY | $139.99 | $99.33 |
| Redding, CA | $124.31 | $86.60 |
| Rest of California | $124.31 | $86.60 |
| Rest of Florida | $125.50 | $92.61 |
| Rest of Georgia | $119.52 | $88.83 |
| Rest of Illinois | $124.00 | $92.59 |
| Rest of Louisiana | $116.99 | $86.54 |
| Rest of Maine | $115.53 | $83.88 |
| Rest of Maryland | $123.38 | $88.56 |
| Rest of Massachusetts | $124.61 | $88.39 |
| Rest of Michigan | $119.94 | $88.53 |
| Rest of Missouri | $116.03 | $86.38 |
| Rest of New Jersey | $130.87 | $93.30 |
| Rest of New York | $117.73 | $85.05 |
| Rest of Oregon | $119.95 | $85.68 |
| Rest of Pennsylvania | $118.46 | $86.88 |
| Rest of Texas | $119.56 | $86.91 |
| Rest of Washington | $124.08 | $87.85 |
| Rhode Island | $124.74 | $89.20 |
| Riverside, CA | $127.34 | $89.63 |
| Sacramento, CA | $128.77 | $88.76 |
| Salinas, CA | $128.25 | $88.38 |
| San Benito County, CA | $147.04 | $97.43 |
| San Diego, CA | $130.02 | $88.88 |
| San Francisco, CA | $143.48 | $94.97 |
| San Luis Obispo, CA | $126.37 | $87.19 |
| Santa Clara County, CA | $145.74 | $96.13 |
| Santa Cruz, CA | $130.29 | $88.49 |
| Santa Maria, CA | $128.39 | $88.28 |
| Santa Rosa, CA | $131.51 | $89.26 |
| South Carolina | $117.86 | $86.07 |
| South Dakota | $116.71 | $82.30 |
| Southern Maine, ME | $119.03 | $84.94 |
| Stockton, CA | $124.31 | $86.60 |
| Suburban Chicago, IL | $131.89 | $96.56 |
| Tennessee | $114.21 | $82.94 |
| Utah | $119.08 | $86.74 |
| Vallejo, CA | $137.28 | $91.93 |
| Vermont | $117.81 | $83.76 |
| Virgin Islands, VI | $123.30 | $88.52 |
| Virginia | $119.35 | $85.53 |
| Visalia, CA | $124.31 | $86.60 |
| Washington, DC area | $136.07 | $95.54 |
| West Virginia | $120.65 | $90.75 |
| Wisconsin | $114.42 | $81.47 |
| Wyoming | $120.48 | $86.08 |
| Yuba City, CA | $124.31 | $86.60 |
43761 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.
$111.60
$154.58
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 | $154.58 | 1 |
| AL | $112.84 | 1 |
| AR | $111.60 | 1 |
| AZ | $120.08 | 1 |
| CA | $124.31–$147.04 | 29 |
| CO | $124.73 | 1 |
| CT | $129.89 | 1 |
| DC | $136.07 | 1 |
| DE | $121.72 | 1 |
| FL | $125.50–$139.19 | 3 |
| GA | $119.52–$125.76 | 2 |
| GU | $125.57 | 1 |
| HI | $125.57 | 1 |
| IA | $113.19 | 1 |
| ID | $114.14 | 1 |
| IL | $124.00–$135.73 | 4 |
| IN | $114.60 | 1 |
| KS | $113.66 | 1 |
| KY | $116.78 | 1 |
| LA | $116.99–$121.35 | 2 |
| MA | $124.61–$133.90 | 2 |
| MD | $123.38–$136.07 | 3 |
| ME | $115.53–$119.03 | 2 |
| MI | $119.94–$127.65 | 2 |
| MN | $117.73 | 1 |
| MO | $116.03–$120.63 | 3 |
| MS | $113.79 | 1 |
| MT | $122.90 | 1 |
| NC | $116.32 | 1 |
| ND | $117.36 | 1 |
| NE | $113.39 | 1 |
| NH | $123.72 | 1 |
| NJ | $130.87–$135.37 | 2 |
| NM | $120.80 | 1 |
| NV | $121.40 | 1 |
| NY | $117.73–$144.21 | 5 |
| OH | $118.81 | 1 |
| OK | $115.68 | 1 |
| OR | $119.95–$126.91 | 2 |
| PA | $118.46–$127.87 | 2 |
| PR | $123.30 | 1 |
| RI | $124.74 | 1 |
| SC | $117.86 | 1 |
| SD | $116.71 | 1 |
| TN | $114.21 | 1 |
| TX | $117.92–$126.62 | 8 |
| UT | $119.08 | 1 |
| VA | $119.35–$136.07 | 2 |
| VI | $123.30 | 1 |
| VT | $117.81 | 1 |
| WA | $124.08–$135.40 | 2 |
| WI | $114.42 | 1 |
| WV | $120.65 | 1 |
| WY | $120.48 | 1 |
How the 43761 rate is calculated
Each of 43761’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 · 43761
RVUs × geographic indexes × conversion factor
Work1.96
1.96 RVUs× 1.000 GPCI
Practice expense1.44
1.44 RVUs× 1.000 GPCI
Malpractice0.28
0.28 RVUs× 1.000 GPCI
Adjusted RVUs
3.6800
Conversion factor
$33.4009
Medicare rate
$122.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43761
The CMS indicators that decide how 43761 is paid alongside other services.
CMS payment indicators · 43761
G-tube repositioning, existing tube under fluoroscopy
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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 51 · payment effect
With and without the modifier
43761 without 51 · national office
$122.92
G-tube repositioning, existing tube under fluoroscopy
43761-51 · Second procedure: 50%
$61.46
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
43761 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 43762G-tube replacementNo tract revision
- 43761 keeps and repositions the existing tube under fluoroscopy. 43762 is for replacing the tube without revising the gastrostomy tract.
- 43763G-tube replacementWith gastrostomy tract revision
- Choose 43763 when tube replacement requires revision of the gastrostomy tract. Moving the existing tube back into position is 43761.
- 49465Tube examinationFluoroscopic contrast study
- 49465 is a contrast study to evaluate an existing tube. When fluoroscopic imaging accompanies actual repositioning of the gastrostomy tube, it is included in 43761.
43761 billing questions
When should 43761 be reported instead of 43762?
Use 43761 when the existing gastrostomy tube is moved back into position under fluoroscopy. Use 43762 when the tube is replaced without revision of the gastrostomy tract.
Does contrast imaging during repositioning need a separate code?
No. Contrast injection, image documentation, and the report are included in 43761 when performed as part of fluoroscopic repositioning.
What documentation supports 43761?
The report should identify the tube’s starting position, describe how the existing tube was repositioned, and document confirmation of its final position.
How does the global period affect same-day care?
The 0-day global period includes same-day preoperative and postoperative care associated with the repositioning.
How is 43761 paid with another procedure in the same session?
The standard multiple-procedure reduction applies: the highest-valued procedure is paid in full and other procedures at 50%.
Can modifier 50 or surgical-team billing be used?
Modifier 50 is inappropriate for gastrostomy tube repositioning. Medicare does not pay for an assistant at surgery and does not permit co-surgeons or team surgery for 43761.
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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