CPT code 43848: Bariatric revision, open approach2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,810.67 for 43848 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43848 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 43848 covers

A bariatric surgeon uses an open approach to revise a prior gastric restrictive operation, such as a gastric bypass. The work may involve changing the existing gastric anatomy or revising its gastrojejunal connection as part of the bariatric revision. These operations are typically performed in a hospital operating room for patients whose existing bariatric anatomy requires surgical revision.

Report this code for revision of the prior restrictive procedure, not for creating a new bypass or revising only an access port. The operative report should identify the prior procedure, the anatomy revised, and the work performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the major-surgery global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Report one service for the single operative anatomy rather than a bilateral service.

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 New Mexico compares for 43848

Across 109 of 109 payment localities, the facility rate for 43848 runs from $1,580.86 in Wisconsin to $2,235.21 in Miami, FL. New Mexico pays $1,810.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43848 rates by state

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

See 43848 in every payment locality

How the 43848 rate is calculated

Each of 43848’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 43848

43848 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 43848

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

How 43848 has changed in New Mexico

Price 43848 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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