CPT code 43773: Gastric band surgery, component replacement2026 Medicare rate & RVUs in Montana
Reports laparoscopic exchange of an adjustable gastric band component when a device problem requires removal and replacement rather than revision alone.
In Montana, Medicare pays $1,205.74 for 43773 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 43773 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 43773 covers
A bariatric surgeon performs this laparoscopically to remove and replace an adjustable gastric restrictive device component. It is used when a component has failed or been damaged and the operative plan is an exchange, rather than a revision that leaves the component in place or removal without replacement. The service is typically performed in a hospital or ambulatory surgery center. The operative report should identify the indication, the component removed, the replacement performed, and any relevant findings such as device damage.
Report this code for the laparoscopic component exchange, not for placement of a new device or removal alone. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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% multiple-procedure reduction. Modifier 50 is inappropriate for this procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 43773
Across 109 of 109 payment localities, the facility rate for 43773 runs from $1,066.21 in Wisconsin to $1,497.18 in Miami, FL. Montana pays $1,205.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,205.74
- Los Angeles, CA · California$1,236.73+$30.99
- Washington, DC area · District of Columbia$1,325.07+$119.33
- Miami, FL · Florida$1,497.18+$291.44
- Chicago, IL · Illinois$1,447.02+$241.28
- Manhattan, NY · New York$1,411.90+$206.16
- Alaska · Alaska$1,485.96+$280.22
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,084.03 |
| ArkansasArkansas | — | $1,069.23 |
| ArizonaArizona | — | $1,169.25 |
| Bakersfield, CACalifornia | — | $1,181.60 |
| Chico, CACalifornia | — | $1,167.03 |
| El Centro, CACalifornia | — | $1,167.93 |
| Fresno, CACalifornia | — | $1,167.03 |
| Hanford, CACalifornia | — | $1,167.03 |
| Madera, CACalifornia | — | $1,167.03 |
| Merced, CACalifornia | — | $1,167.03 |
| Modesto, CACalifornia | — | $1,167.03 |
| Napa, CACalifornia | — | $1,270.37 |
| Oxnard, CACalifornia | — | $1,220.16 |
| Redding, CACalifornia | — | $1,167.03 |
| Rest of CaliforniaCalifornia | — | $1,167.03 |
| Riverside, CACalifornia | — | $1,225.09 |
| Sacramento, CACalifornia | — | $1,203.21 |
| Salinas, CACalifornia | — | $1,198.43 |
| San Diego, CACalifornia | — | $1,211.72 |
| Marin County, CACalifornia | — | $1,315.18 |
| San Francisco, CACalifornia | — | $1,309.03 |
| San Benito County, CACalifornia | — | $1,350.41 |
| Santa Clara County, CACalifornia | — | $1,325.25 |
| San Luis Obispo, CACalifornia | — | $1,181.99 |
| Santa Cruz, CACalifornia | — | $1,211.15 |
| Santa Maria, CACalifornia | — | $1,198.84 |
| Santa Rosa, CACalifornia | — | $1,221.77 |
| Stockton, CACalifornia | — | $1,167.03 |
| Vallejo, CACalifornia | — | $1,261.50 |
| Visalia, CACalifornia | — | $1,167.03 |
| Yuba City, CACalifornia | — | $1,167.03 |
| ColoradoColorado | — | $1,196.86 |
| ConnecticutConnecticut | — | $1,284.46 |
| DelawareDelaware | — | $1,187.03 |
| Fort Lauderdale, FLFlorida | — | $1,356.91 |
| Rest of FloridaFlorida | — | $1,281.85 |
| Atlanta, GAGeorgia | — | $1,250.09 |
| Rest of GeorgiaGeorgia | — | $1,203.28 |
| Hawaii, Guam, HIHawaii | — | $1,177.57 |
| IowaIowa | — | $1,067.36 |
| IdahoIdaho | — | $1,082.86 |
| East St. Louis, ILIllinois | — | $1,361.83 |
| Rest of IllinoisIllinois | — | $1,277.75 |
| Suburban Chicago, ILIllinois | — | $1,360.00 |
| IndianaIndiana | — | $1,087.65 |
| KansasKansas | — | $1,082.90 |
| KentuckyKentucky | — | $1,152.09 |
| New Orleans, LALouisiana | — | $1,210.19 |
| Rest of LouisianaLouisiana | — | $1,158.48 |
| Metropolitan Boston, MAMassachusetts | — | $1,281.47 |
| Rest of MassachusettsMassachusetts | — | $1,198.64 |
| Baltimore area, MDMaryland | — | $1,285.25 |
| Rest of MarylandMaryland | — | $1,202.21 |
| Rest of MaineMaine | — | $1,109.83 |
| Southern Maine, MEMaine | — | $1,136.17 |
| Detroit, MIMichigan | — | $1,318.11 |
| Rest of MichiganMichigan | — | $1,199.18 |
| MinnesotaMinnesota | — | $1,088.75 |
| Metropolitan Kansas City, MOMissouri | — | $1,180.71 |
| Metropolitan St. Louis, MOMissouri | — | $1,189.76 |
| Rest of MissouriMissouri | — | $1,153.37 |
| MississippiMississippi | — | $1,110.48 |
| North CarolinaNorth Carolina | — | $1,117.44 |
| North DakotaNorth Dakota | — | $1,098.57 |
| NebraskaNebraska | — | $1,066.71 |
| New HampshireNew Hampshire | — | $1,197.75 |
| Northern New JerseyNew Jersey | — | $1,316.76 |
| Rest of New JerseyNew Jersey | — | $1,282.77 |
| New MexicoNew Mexico | — | $1,213.61 |
| NevadaNevada | — | $1,176.22 |
| NYC suburbs and Long Island, NYNew York | — | $1,470.36 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,307.65 |
| Queens, NYNew York | — | $1,392.80 |
| Rest of New YorkNew York | — | $1,134.94 |
| OhioOhio | — | $1,177.28 |
| OklahomaOklahoma | — | $1,128.50 |
| Portland, OROregon | — | $1,209.23 |
| Rest of OregonOregon | — | $1,150.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,267.50 |
| Rest of PennsylvaniaPennsylvania | — | $1,167.61 |
| Puerto RicoPuerto Rico | — | $1,207.22 |
| Rhode IslandRhode Island | — | $1,210.90 |
| South CarolinaSouth Carolina | — | $1,152.50 |
| South DakotaSouth Dakota | — | $1,085.90 |
| TennesseeTennessee | — | $1,090.62 |
| Austin, TXTexas | — | $1,207.01 |
| Beaumont, TXTexas | — | $1,161.93 |
| Brazoria, TXTexas | — | $1,168.56 |
| Dallas, TXTexas | — | $1,185.10 |
| Fort Worth, TXTexas | — | $1,183.97 |
| Galveston, TXTexas | — | $1,177.95 |
| Houston, TXTexas | — | $1,277.15 |
| Rest of TexasTexas | — | $1,170.80 |
| UtahUtah | — | $1,166.76 |
| VirginiaVirginia | — | $1,146.97 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,207.22 |
| VermontVermont | — | $1,113.20 |
| Rest of WashingtonWashington | — | $1,190.09 |
| King County, WAWashington | — | $1,285.83 |
| WisconsinWisconsin | — | $1,066.21 |
| West VirginiaWest Virginia | — | $1,238.54 |
| WyomingWyoming | — | $1,159.04 |
43773 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 43773 rate is calculated
Each of 43773’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 · 43773
RVUs × geographic indexes × conversion factor
Work20.27
20.27 RVUs× 1.000 GPCI
Practice expense10.42
10.42 RVUs× 1.000 GPCI
Malpractice5.42
5.42 RVUs× 1.000 GPCI
Adjusted RVUs
36.1100
Conversion factor
$33.4009
Medicare rate
$1,206.11
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
5,295
- Code
- 43773
- Physician work
- 20.27
- Practice expense
- 10.42
- Malpractice
- 5.42
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.27 | × 1.000 | 20.2700 |
| Practice expense | 10.42 | × 1.000 | 10.4200 |
| Malpractice | 5.42 | × 0.998 | 5.4092 |
| Total RVUs | 36.0992 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1205.74
Facility: (20.27 × 1 + 10.42 × 1 + 5.42 × 0.998) × $33.4009 = $1205.74
Payment rules and modifiers for 43773
43773 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43773
Gastric band surgery, component replacement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 43773
Gastric band surgery, component replacement
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
43773 without 51 · national facility
$1,206.11
Gastric band surgery, component replacement
43773-51 · Second procedure: 50%
$603.06
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 43773 has changed in Montana
43773 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,205.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,205.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,205.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,205.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,245.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,245.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,245.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,245.77 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,274.99 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,274.99 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,274.99 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,274.99 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,254.18 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,292.29 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,292.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,292.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,292.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,319.50 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,319.50 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,319.50 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,319.50 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,318.72 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,318.72 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,318.72 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,318.72 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,400.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,400.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,400.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,400.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,452.61 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,452.61 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,435.57 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,435.57 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,446.64 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,446.64 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,446.64 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,446.64 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,400.25 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,400.25 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,400.25 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,400.25 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,356.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,356.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,356.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,356.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,371.42 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,371.42 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,364.60 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,364.60 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,320.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,320.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,320.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,320.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,294.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,294.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,294.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,294.14 | 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
43773 billing questions
How is this different from code 43771?
Use 43773 when a component is removed and replaced. Code 43771 describes revision of a component without that removal-and-replacement exchange.
Can this be reported when the band is only removed?
No. When the laparoscopic service removes a component without replacing it, compare code 43772. Code 43774 describes removal of the adjustable device and subcutaneous port components.
Should modifier 50 be appended?
No. The abdominal procedure is not bilateral, and modifier 50 is inappropriate.
What postoperative care is included?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction to 50%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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
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