CPT code 43842: Gastric restriction, vertical banded2026 Medicare rate & RVUs in Bartlett, Illinois
Bartlett, IL spans 2 Medicare payment localities (Chicago, Suburban Chicago). Compare 2026 rates and find the locality for your ZIP.
CMS doesn’t publish an office rate for 43842 in Bartlett, Illinois.
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 6 sections
Where 43842 pays more and less in Bartlett, Illinois
Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | Unavailable |
| Suburban Chicago, IL | Unavailable | Unavailable |
How payment areas work in Bartlett
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Chicago · Cook County
- Suburban Chicago · DuPage County, Kane County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 43842 rate is calculated
Each of 43842’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 · 43842
RVUs × geographic indexes × conversion factor
Work20.50
20.50 RVUs× 1.000 GPCI
Practice expense7.80
7.80 RVUs× 1.000 GPCI
Malpractice2.19
2.19 RVUs× 1.000 GPCI
Adjusted RVUs
30.4900
Conversion factor
$33.4009
Medicare rate
$1,018.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43842
43842 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43842
Gastric restriction, vertical banded
| 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 | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 9 | The concept doesn’t apply. |
| 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 · 43842
Gastric restriction, vertical banded
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
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
Fee sheets · Coming soon
Put 43842 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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