CPT code 43882: Electrode revision/removal, open approach2026 Medicare rate & RVUs in California

Open surgery to revise or remove gastric electrical-stimulation electrodes at the stomach antrum when an implanted lead needs operative correction or removal.

CMS RVU26DEffective Oct 1, 202629 payment localities

CMS doesn’t publish an office rate for 43882 in California.

—Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 43882 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 43882 covers

Code 43882 describes open surgery to revise or remove electrodes used for gastric electrical stimulation, positioned at the stomach’s antrum. A surgeon performs the procedure when an existing gastric stimulator electrode requires operative correction or removal; the service concerns the electrodes, not the pulse generator. Gastric electrical stimulation is used for selected patients with severe, persistent gastroparesis, including diabetic gastroparesis. The procedure is typically performed in a hospital operating room.

For Medicare physician fee schedule purposes, status C means CMS publishes no national payment and the Medicare Administrative Contractor sets payment for each claim. The contractor also sets the global period. For multiple procedures performed in one session, the highest-valued procedure is paid in full and other procedures are reduced. A separate code describes revision or removal of the pulse generator or receiver when that component is treated.

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.

Where 43882 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

43882 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 43882 rate is calculated

Each of 43882’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 · 43882

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 43882

The CMS indicators that decide how 43882 is paid alongside other services.

CMS payment indicators · 43882

Electrode revision/removal, open approach

RuleCMS valueWhat it means
Global periodYYYThe Medicare contractor sets the global period.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

43882 without 51 · national facility

$0.00

Electrode revision/removal, open approach

43882-51 · Second procedure: 50%

$0.00

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%).

When to use modifier 51

43882 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 43882

    Electrode revision/removal, open approach0 wRVU

    Not priced

  • 43881

    Gastric electrodes, open antral procedure0 wRVU

    Not priced

  • 43648

    Electrode revision, gastric neurostimulator0 wRVU

    Not priced

  • 64595

    Generator revision, sacral or gastric system3.7 wRVU

    $348.04

How to choose

43881Gastric electrodesOpen antral procedure
Choose 43881 for open implantation or replacement of the gastric electrodes. Choose 43882 for revision or removal of existing electrodes.
43648Electrode revisionGastric neurostimulator
Both codes describe electrode revision or removal; 43648 is laparoscopic, while 43882 is open.
64595Generator revisionSacral or gastric system
64595 describes revision or removal of the neurostimulator pulse generator or receiver. Code 43882 describes the gastric electrode leads.

43882 billing questions

How does 43882 differ from 43881?

43882 is for open revision or removal of existing gastric electrodes. 43881 is for open implantation or replacement of the electrodes.

Which code describes laparoscopic electrode revision or removal?

Use 43648 for laparoscopic revision or removal of gastric neurostimulator electrodes; 43882 describes the open approach.

Does 43882 include work on the pulse generator?

No. It describes work on the gastric electrode leads. Code 64595 describes revision or removal of a neurostimulator pulse generator or receiver when that component is treated.

Does a modifier identify the laparoscopic approach?

No. The approach is represented by the procedure code: 43882 for open revision or removal and 43648 for laparoscopic revision or removal.

How does Medicare price 43882?

Its physician fee schedule status is C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The contractor also sets the global 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

Open CMS sourceHow we calculate rates

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