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CPT code 43761: G-tube repositioning, existing tube under fluoroscopy2026 Medicare rate & RVUs in Baltimore area, MD

Report this service when a clinician uses fluoroscopy to move an existing gastrostomy tube back into position without replacing the tube.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Baltimore area, MD, Medicare pays $129.69 for 43761 in the office and $92.78 when it’s performed in a hospital or facility.

$129.69Office (non-facility)
$92.78Hospital or facility
+5.5%vs the national office rate ($122.92)

Check a contract rate as a % of Medicare · 43761 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 43761 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Baltimore area, MD
  2. What 43761 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 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.

How Baltimore area, MD compares for 43761

Across 109 of 109 payment localities, the office rate for 43761 runs from $111.60 in Arkansas to $154.58 in Alaska. Baltimore area, MD pays $129.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

43761 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$129.69
  2. Rest of Maryland · Maryland$123.38−$6.31
  3. Los Angeles, CA · California$131.26+$1.57
  4. Washington, DC area · District of Columbia$136.07+$6.38
  5. Miami, FL · Florida$139.19+$9.50
  6. Chicago, IL · Illinois$135.73+$6.04
  7. Manhattan, NY · New York$140.38+$10.69

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

Every other payment area

43761 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$154.58$117.94
AlabamaAlabama$112.84$82.74
ArkansasArkansas$111.60$82.05
ArizonaArizona$120.08$86.74
Bakersfield, CACalifornia$125.12$87.41
Chico, CACalifornia$124.31$86.60
El Centro, CACalifornia$124.35$86.65
Fresno, CACalifornia$124.31$86.60

43761 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.

$111.60

$154.58

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

View every state and territory as a table
43761 office rate range by state
State / territoryOffice rate rangeLocalities
AK$154.581
AL$112.841
AR$111.601
AZ$120.081
CA$124.31–$147.0429
CO$124.731
CT$129.891
DC$136.071
DE$121.721
FL$125.50–$139.193
GA$119.52–$125.762
GU$125.571
HI$125.571
IA$113.191
ID$114.141
IL$124.00–$135.734
IN$114.601
KS$113.661
KY$116.781
LA$116.99–$121.352
MA$124.61–$133.902
MD$123.38–$136.073
ME$115.53–$119.032
MI$119.94–$127.652
MN$117.731
MO$116.03–$120.633
MS$113.791
MT$122.901
NC$116.321
ND$117.361
NE$113.391
NH$123.721
NJ$130.87–$135.372
NM$120.801
NV$121.401
NY$117.73–$144.215
OH$118.811
OK$115.681
OR$119.95–$126.912
PA$118.46–$127.872
PR$123.301
RI$124.741
SC$117.861
SD$116.711
TN$114.211
TX$117.92–$126.628
UT$119.081
VA$119.35–$136.072
VI$123.301
VT$117.811
WA$124.08–$135.402
WI$114.421
WV$120.651
WY$120.481

See 43761 in every payment locality

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

Office or facility?

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.

The exact Baltimore area, MD inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,289

Code
43761
Physician work
1.96
Practice expense
1.44
Malpractice
0.28

GPCI2026.csv

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 43761 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work1.96× 1.0161.9914
Practice expense1.44× 1.0731.5451
Malpractice0.28× 1.2370.3464
Total RVUs3.8828
Conversion factor× 33.4009

Office rate, Baltimore area, MD$129.69

Office: (1.96 × 1.016 + 1.44 × 1.073 + 0.28 × 1.237) × $33.4009 = $129.69

Facility: (1.96 × 1.016 + 0.41 × 1.073 + 0.28 × 1.237) × $33.4009 = $92.78

Open 43761 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

Codes related to 43761

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

Codes related to 43761
CodeHow it relatesOffice range, Baltimore area, MD
Used instead
43762G-tube replacement, no tract revisionReplaces the gastrostomy tube without revising the tract, rather than repositioning the existing tube.$291.52
43763G-tube replacement, with gastrostomy tract revisionReplaces the gastrostomy tube when the tract also requires revision.$398.53
49450Feeding tube replacement, gastrostomy or cecostomyReplaces a gastrostomy tube under imaging guidance rather than repositioning the existing tube.$603.61
49465Tube examination, fluoroscopic contrast studyEvaluates an existing tube with contrast imaging when no repositioning is performed.$138.60

How 43761 has changed in Baltimore area, MD

43761 · Office / nonfacility

$129.69

Effective 2026-10-01

The base rate is $2.95 higher than on 2025-10-01, moving from $126.74 to $129.69 (2.3%).

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

    $126.74changed to$129.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.01 changed to 1.96
    • Practice expense RVU 1.32 changed to 1.44
    • Malpractice RVU 0.34 changed to 0.28
    • Work GPCI 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $131.66changed to$126.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.33 changed to 1.32
    • Malpractice RVU 0.36 changed to 0.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $129.51changed to$131.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $135.02changed to$129.51

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.35 changed to 1.33
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309

  5. January 1, 2023

    RVU23A

    $137.63changed to$135.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.36 changed to 1.35
    • Malpractice RVU 0.32 changed to 0.35
    • Work GPCI 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $136.32changed to$137.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.32 changed to 1.36
    • Malpractice RVU 0.30 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $135.34changed to$136.32

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.22 changed to 1.32
    • Malpractice RVU 0.27 changed to 0.30
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $131.94changed to$135.34

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.17 changed to 1.22
    • Malpractice RVU 0.25 changed to 0.27
    • Work GPCI 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $129.36changed to$131.94

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.12 changed to 1.17
    • Malpractice RVU 0.24 changed to 0.25

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $128.02changed to$129.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.13 changed to 1.12
    • Malpractice RVU 0.22 changed to 0.24
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $126.89changed to$128.02

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.21 changed to 0.22
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $127.77changed to$126.89

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $127.13changed to$127.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $128.05changed to$127.13

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.23 changed to 0.22
    • Work GPCI 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $124.12changed to$128.05

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.18 changed to 1.13
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $124.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$129.69$92.78RVU26D
2026-07-01$129.69$92.78RVU26C
2026-04-01$129.69$92.78RVU26B
2026-01-01$129.69$92.78RVU26A
2025-10-01$126.74$106.17RVU25D
2025-07-01$126.74$106.17RVU25C
2025-04-01$126.74$106.17RVU25B
2025-01-01$126.74$106.17RVU25A
2024-10-01$131.66$109.77RVU24D
2024-07-01$131.66$109.77RVU24C
2024-04-01$131.66$109.77RVU24B
2024-03-09$131.66$109.77RVU24AR
2024-01-01$129.51$107.98RVU24A
2023-10-01$135.02$112.19RVU23D
2023-07-01$135.02$112.19RVU23C
2023-04-01$135.02$112.19RVU23B
2023-01-01$135.02$112.19RVU23A
2022-10-01$137.63$113.73RVU22D
2022-07-01$137.63$113.73RVU22C
2022-04-01$137.63$113.73RVU22B
2022-01-01$137.63$113.73RVU22A
2021-10-01$136.32$113.76RVU21D
2021-07-01$136.32$113.76RVU21C
2021-04-01$136.32$113.76RVU21B
2021-01-01$136.32$113.76RVU21A
2020-10-01$135.34$115.98RVU20D
2020-07-01$135.34$115.98RVU20C
2020-04-01$135.34$115.98RVU20B
2020-01-01$135.34$115.98RVU20A
2019-10-01$131.94$114.19RVU19D
2019-07-01$131.94$114.19RVU19C
2019-04-01$131.94$114.19RVU19B
2019-01-01$131.94$114.19RVU19A
2018-10-01$129.36$113.99RVU18D
2018-07-01$129.36$113.99RVU18C
2018-04-01$129.36$113.99RVU18B
2018-01-01$129.36$113.99RVU18AR1
2017-10-01$128.02$113.07RVU17D
2017-07-01$128.02$113.07RVU17C
2017-04-01$128.02$113.07RVU17B
2017-01-01$128.02$113.07RVU17A
2016-10-01$126.89$111.96RVU16D
2016-07-01$126.89$111.96RVU16C
2016-04-01$126.89$111.96RVU16B
2016-01-01$126.89$111.96RVU16A
2015-10-01$127.77$113.18RVU15D
2015-07-01$127.77$113.18RVU15C
2015-04-01$127.13$112.62RVU15B
2015-01-01$127.13$112.62RVU15A
2014-10-01$128.05$113.51RVU14D
2014-07-01$128.05$113.51RVU14C
2014-04-01$128.05$113.51RVU14B
2014-01-01$128.05$113.51RVU14A
2013-10-01$124.12$109.19RVU13D
2013-07-01$124.12$109.19RVU13C
2013-04-01$124.12$109.19RVU13B
2013-01-01$124.12$109.19RVU13AR

Price 43761 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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

Show the CMS file lines behind this rate
RVUs for 43761PPRRVU2026_Oct_nonQPP.csv, line 5,289 (RVU26D)
Geographic factors for Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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