CPT code 43843: Gastric restriction, other than vertical-banded gastroplasty2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $1,111.89 for 43843 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43843 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 43843 covers

This code describes an operation for morbid obesity that reduces the stomach’s capacity to restrict food intake, without creating a gastric bypass and without using the vertical-banded gastroplasty technique. A bariatric or general surgeon typically performs the procedure in an operating room. The operative report should identify the procedure actually performed and the changes made to the stomach so the service can be distinguished from bypass, vertical-banded gastroplasty, and revision surgery.

Select this code from the operative technique, not simply from the patient’s obesity diagnosis or the intended weight-loss effect. Documentation should support the indication, anatomy treated, and work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. Assistant-at-surgery and co-surgeon payment may be allowed; team surgery is not permitted under this code’s CMS rules.

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 Vermont compares for 43843

Across 109 of 109 payment localities, the facility rate for 43843 runs from $1,064.72 in Wisconsin to $1,502.43 in Miami, FL. Vermont pays $1,111.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43843 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 43843 in every payment locality

How the 43843 rate is calculated

Each of 43843’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.

Payment rules and modifiers for 43843

43843 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 43843

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

How 43843 has changed in Vermont

Price 43843 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates