CPT code 43762: G-tube replacement, no tract revision2026 Medicare rate & RVUs in Montana
Reports percutaneous exchange of a gastrostomy tube through an established tract when the tract is not revised and imaging or endoscopic guidance is not used.
In Montana, Medicare pays $272.21 for 43762 in the office and $34.39 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 43762 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 43762 covers
This service covers replacing a gastrostomy tube through an established tract without revising that tract and without imaging or endoscopic guidance. It may be performed when a tube is damaged, clogged, or dislodged and needs exchange. Physicians and other qualified practitioners may perform the replacement in settings such as an office, hospital, or skilled nursing facility. Removal of the existing tube, when performed as part of the exchange, is included.
Report the code when documentation supports replacement through the existing tract and confirms that tract revision and imaging or endoscopic guidance were not required. A replacement requiring tract revision is distinguished from this service; fluoroscopic replacement is represented by a different code. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
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 Montana compares for 43762
Across 109 of 109 payment localities, the office rate for 43762 runs from $235.55 in Arkansas to $379.90 in San Benito County, CA. Montana pays $272.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$272.21
- Los Angeles, CA · California$315.97+$43.76
- Washington, DC area · District of Columbia$317.32+$45.11
- Miami, FL · Florida$289.83+$17.62
- Chicago, IL · Illinois$280.09+$7.88
- Manhattan, NY · New York$316.05+$43.84
- Alaska · Alaska$297.94+$25.73
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $239.69 | $31.60 |
| ArkansasArkansas | $235.55 | $31.27 |
| ArizonaArizona | $263.97 | $33.53 |
| Bakersfield, CACalifornia | $294.03 | $33.39 |
| Chico, CACalifornia | $293.62 | $32.97 |
| El Centro, CACalifornia | $293.64 | $33.00 |
| Fresno, CACalifornia | $293.62 | $32.97 |
| Hanford, CACalifornia | $293.62 | $32.97 |
| Madera, CACalifornia | $293.62 | $32.97 |
| Merced, CACalifornia | $293.62 | $32.97 |
| Modesto, CACalifornia | $293.62 | $32.97 |
| Napa, CACalifornia | $348.51 | $35.07 |
| Oxnard, CACalifornia | $315.21 | $34.11 |
| Redding, CACalifornia | $293.62 | $32.97 |
| Rest of CaliforniaCalifornia | $293.62 | $32.97 |
| Riverside, CACalifornia | $295.23 | $34.59 |
| Sacramento, CACalifornia | $310.35 | $33.77 |
| Salinas, CACalifornia | $309.26 | $33.63 |
| San Diego, CACalifornia | $318.25 | $33.82 |
| Marin County, CACalifornia | $371.38 | $36.06 |
| San Francisco, CACalifornia | $371.21 | $35.89 |
| San Benito County, CACalifornia | $379.90 | $36.97 |
| Santa Clara County, CACalifornia | $379.21 | $36.28 |
| San Luis Obispo, CACalifornia | $304.06 | $33.19 |
| Santa Cruz, CACalifornia | $322.61 | $33.67 |
| Santa Maria, CACalifornia | $310.88 | $33.59 |
| Santa Rosa, CACalifornia | $325.99 | $33.95 |
| Stockton, CACalifornia | $293.62 | $32.97 |
| Vallejo, CACalifornia | $348.26 | $34.82 |
| Visalia, CACalifornia | $293.62 | $32.97 |
| Yuba City, CACalifornia | $293.62 | $32.97 |
| ColoradoColorado | $286.95 | $33.92 |
| ConnecticutConnecticut | $292.45 | $36.33 |
| DelawareDelaware | $268.92 | $33.96 |
| Fort Lauderdale, FLFlorida | $279.42 | $38.52 |
| Rest of FloridaFlorida | $264.05 | $36.70 |
| Atlanta, GAGeorgia | $277.18 | $35.56 |
| Rest of GeorgiaGeorgia | $246.95 | $34.82 |
| Hawaii, Guam, HIHawaii | $303.38 | $32.98 |
| IowaIowa | $248.56 | $30.96 |
| IdahoIdaho | $250.15 | $31.36 |
| East St. Louis, ILIllinois | $257.87 | $39.08 |
| Rest of IllinoisIllinois | $253.91 | $36.79 |
| Suburban Chicago, ILIllinois | $282.81 | $38.58 |
| IndianaIndiana | $251.92 | $31.46 |
| KansasKansas | $246.42 | $31.44 |
| KentuckyKentucky | $244.84 | $33.42 |
| New Orleans, LALouisiana | $258.57 | $34.79 |
| Rest of LouisianaLouisiana | $244.08 | $33.62 |
| Metropolitan Boston, MAMassachusetts | $319.77 | $35.82 |
| Rest of MassachusettsMassachusetts | $284.46 | $34.04 |
| Baltimore area, MDMaryland | $291.52 | $36.35 |
| Rest of MarylandMaryland | $274.96 | $34.30 |
| Rest of MaineMaine | $250.90 | $32.11 |
| Southern Maine, MEMaine | $268.18 | $32.51 |
| Detroit, MIMichigan | $267.16 | $37.66 |
| Rest of MichiganMichigan | $251.74 | $34.61 |
| MinnesotaMinnesota | $275.73 | $31.02 |
| Metropolitan Kansas City, MOMissouri | $257.29 | $33.98 |
| Metropolitan St. Louis, MOMissouri | $260.57 | $34.17 |
| Rest of MissouriMissouri | $238.58 | $33.58 |
| MississippiMississippi | $237.16 | $32.40 |
| North CarolinaNorth Carolina | $254.14 | $32.26 |
| North DakotaNorth Dakota | $269.24 | $31.43 |
| NebraskaNebraska | $250.40 | $30.90 |
| New HampshireNew Hampshire | $281.55 | $33.98 |
| Northern New JerseyNew Jersey | $312.95 | $37.08 |
| Rest of New JerseyNew Jersey | $296.02 | $36.33 |
| New MexicoNew Mexico | $253.07 | $34.99 |
| NevadaNevada | $271.62 | $33.57 |
| NYC suburbs and Long Island, NYNew York | $323.97 | $41.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $297.44 | $37.03 |
| Queens, NYNew York | $320.19 | $39.09 |
| Rest of New YorkNew York | $258.59 | $32.66 |
| OhioOhio | $251.13 | $34.01 |
| OklahomaOklahoma | $245.12 | $32.75 |
| Portland, OROregon | $298.28 | $34.07 |
| Rest of OregonOregon | $269.76 | $32.89 |
| Metropolitan Philadelphia, PAPennsylvania | $283.58 | $36.01 |
| Rest of PennsylvaniaPennsylvania | $252.03 | $33.72 |
| Puerto RicoPuerto Rico | $274.81 | $34.38 |
| Rhode IslandRhode Island | $280.15 | $34.49 |
| South CarolinaSouth Carolina | $253.01 | $33.27 |
| South DakotaSouth Dakota | $268.89 | $31.08 |
| TennesseeTennessee | $247.80 | $31.63 |
| Austin, TXTexas | $285.78 | $34.17 |
| Beaumont, TXTexas | $250.01 | $33.60 |
| Brazoria, TXTexas | $269.12 | $33.45 |
| Dallas, TXTexas | $270.75 | $33.89 |
| Fort Worth, TXTexas | $268.39 | $33.91 |
| Galveston, TXTexas | $269.85 | $33.70 |
| Houston, TXTexas | $272.60 | $36.45 |
| Rest of TexasTexas | $259.35 | $33.66 |
| UtahUtah | $257.14 | $33.59 |
| VirginiaVirginia | $266.62 | $32.84 |
| Virgin Islands, VIUnited States Virgin Islands | $274.81 | $34.38 |
| VermontVermont | $267.31 | $31.88 |
| Rest of WashingtonWashington | $284.21 | $33.79 |
| King County, WAWashington | $327.64 | $35.84 |
| WisconsinWisconsin | $258.55 | $30.73 |
| West VirginiaWest Virginia | $242.57 | $35.91 |
| WyomingWyoming | $270.91 | $33.10 |
43762 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.
$235.55
$336.76
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 | $297.94 | 1 |
| AL | $239.69 | 1 |
| AR | $235.55 | 1 |
| AZ | $263.97 | 1 |
| CA | $293.62–$379.90 | 29 |
| CO | $286.95 | 1 |
| CT | $292.45 | 1 |
| DC | $317.32 | 1 |
| DE | $268.92 | 1 |
| FL | $264.05–$289.83 | 3 |
| GA | $246.95–$277.18 | 2 |
| GU | $303.38 | 1 |
| HI | $303.38 | 1 |
| IA | $248.56 | 1 |
| ID | $250.15 | 1 |
| IL | $253.91–$282.81 | 4 |
| IN | $251.92 | 1 |
| KS | $246.42 | 1 |
| KY | $244.84 | 1 |
| LA | $244.08–$258.57 | 2 |
| MA | $284.46–$319.77 | 2 |
| MD | $274.96–$317.32 | 3 |
| ME | $250.90–$268.18 | 2 |
| MI | $251.74–$267.16 | 2 |
| MN | $275.73 | 1 |
| MO | $238.58–$260.57 | 3 |
| MS | $237.16 | 1 |
| MT | $272.21 | 1 |
| NC | $254.14 | 1 |
| ND | $269.24 | 1 |
| NE | $250.40 | 1 |
| NH | $281.55 | 1 |
| NJ | $296.02–$312.95 | 2 |
| NM | $253.07 | 1 |
| NV | $271.62 | 1 |
| NY | $258.59–$323.97 | 5 |
| OH | $251.13 | 1 |
| OK | $245.12 | 1 |
| OR | $269.76–$298.28 | 2 |
| PA | $252.03–$283.58 | 2 |
| PR | $274.81 | 1 |
| RI | $280.15 | 1 |
| SC | $253.01 | 1 |
| SD | $268.89 | 1 |
| TN | $247.80 | 1 |
| TX | $250.01–$285.78 | 8 |
| UT | $257.14 | 1 |
| VA | $266.62–$317.32 | 2 |
| VI | $274.81 | 1 |
| VT | $267.31 | 1 |
| WA | $284.21–$327.64 | 2 |
| WI | $258.55 | 1 |
| WV | $242.57 | 1 |
| WY | $270.91 | 1 |
How the 43762 rate is calculated
Each of 43762’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 · 43762
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense7.27
7.27 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
8.1500
Conversion factor
$33.4009
Medicare rate
$272.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,290
- Code
- 43762
- Physician work
- 0.73
- Practice expense
- 7.27
- Malpractice
- 0.15
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 7.27 | × 1.000 | 7.2700 |
| Malpractice | 0.15 | × 0.998 | 0.1497 |
| Total RVUs | 8.1497 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$272.21
Office: (0.73 × 1 + 7.27 × 1 + 0.15 × 0.998) × $33.4009 = $272.21
Facility: (0.73 × 1 + 0.15 × 1 + 0.15 × 0.998) × $33.4009 = $34.39
Payment rules and modifiers for 43762
The CMS indicators that decide how 43762 is paid alongside other services.
CMS payment indicators · 43762
G-tube replacement, no tract revision
| 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
43762 without 51 · national office
$272.22
G-tube replacement, no tract revision
43762-51 · Second procedure: 50%
$136.11
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%).
How 43762 has changed in Montana
43762 · Office / nonfacility
$272.21
Effective 2026-10-01
The base rate is $59.80 higher than on 2025-10-01, moving from $212.41 to $272.21 (28.2%).
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
$212.41changed to$272.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.75 changed to 0.73
- Practice expense RVU 5.67 changed to 7.27
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$224.92changed to$212.41
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.87 changed to 5.67
- Malpractice RVU 0.14 changed to 0.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$221.25changed to$224.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$232.04changed to$221.25
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.98 changed to 5.87
- Malpractice RVU 0.12 changed to 0.14
January 1, 2023
RVU23A
$242.49changed to$232.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.14 changed to 5.98
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$247.99changed to$242.49
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.23 changed to 6.14
- Malpractice RVU 0.13 changed to 0.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$234.09changed to$247.99
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.58 changed to 6.23
- Malpractice RVU 0.12 changed to 0.13
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$229.91changed to$234.09
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.45 changed to 5.58
- Malpractice RVU 0.11 changed to 0.12
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$229.91
Held through RVU19B, RVU19C, RVU19D.
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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $272.21 | $34.39 | RVU26D |
| 2026-07-01 | $272.21 | $34.39 | RVU26C |
| 2026-04-01 | $272.21 | $34.39 | RVU26B |
| 2026-01-01 | $272.21 | $34.39 | RVU26A |
| 2025-10-01 | $212.41 | $36.12 | RVU25D |
| 2025-07-01 | $212.41 | $36.12 | RVU25C |
| 2025-04-01 | $212.41 | $36.12 | RVU25B |
| 2025-01-01 | $212.41 | $36.12 | RVU25A |
| 2024-10-01 | $224.92 | $36.85 | RVU24D |
| 2024-07-01 | $224.92 | $36.85 | RVU24C |
| 2024-04-01 | $224.92 | $36.85 | RVU24B |
| 2024-03-09 | $224.92 | $36.85 | RVU24AR |
| 2024-01-01 | $221.25 | $36.25 | RVU24A |
| 2023-10-01 | $232.04 | $36.85 | RVU23D |
| 2023-07-01 | $232.04 | $36.85 | RVU23C |
| 2023-04-01 | $232.04 | $36.85 | RVU23B |
| 2023-01-01 | $232.04 | $36.85 | RVU23A |
| 2022-10-01 | $242.49 | $37.63 | RVU22D |
| 2022-07-01 | $242.49 | $37.63 | RVU22C |
| 2022-04-01 | $242.49 | $37.63 | RVU22B |
| 2022-01-01 | $242.49 | $37.63 | RVU22A |
| 2021-10-01 | $247.99 | $38.63 | RVU21D |
| 2021-07-01 | $247.99 | $38.63 | RVU21C |
| 2021-04-01 | $247.99 | $38.63 | RVU21B |
| 2021-01-01 | $247.99 | $38.63 | RVU21A |
| 2020-10-01 | $234.09 | $41.02 | RVU20D |
| 2020-07-01 | $234.09 | $41.02 | RVU20C |
| 2020-04-01 | $234.09 | $41.02 | RVU20B |
| 2020-01-01 | $234.09 | $41.02 | RVU20A |
| 2019-10-01 | $229.91 | $41.78 | RVU19D |
| 2019-07-01 | $229.91 | $41.78 | RVU19C |
| 2019-04-01 | $229.91 | $41.78 | RVU19B |
| 2019-01-01 | $229.91 | $41.78 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
43762 billing questions
How does this differ from repositioning a gastrostomy tube?
Use 43762 when the tube is replaced through the established tract. Code 43761 describes repositioning the existing tube rather than exchanging it.
Is removal of the old tube separately reported?
No. Removal is included when performed as part of the replacement.
Can 43762 be used when the tract needs revision?
No. A replacement that requires revision of the gastrostomy tract is reported with 43763.
What if fluoroscopic guidance is used?
43762 describes replacement without imaging or endoscopic guidance. Fluoroscopic replacement is represented by 49450.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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 43762 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist