No office rate
43243 is specific to injection treatment of esophageal varices. Use 43236 for other directed submucosal injections, such as lesion marking or lifting.
On this page
CMS RVU26D · Effective 2026-10-01
43236 in Austin
Office / nonfacility
$466.21
Base rate per service
Facility setting
$124.84
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gastroenterology
About 43236: Upper GI endoscopy with submucosal injection
Reports upper GI endoscopy with directed injection into the submucosa, such as tattooing a lesion or lifting it for endoscopic treatment.
During an upper GI endoscopy, the physician directs a substance into the submucosal layer of the esophagus, stomach, or duodenum. Common purposes include placing tattoo ink to help locate a lesion later or injecting a lifting solution beneath a lesion before endoscopic treatment. Gastroenterologists and other physicians who perform upper endoscopy may provide the service in an office endoscopy suite or a hospital outpatient endoscopy unit.
Select this code when the procedure documentation supports directed submucosal injection, not merely diagnostic inspection or tissue sampling. Record the injection site, substance, purpose, endoscopic findings, and any other intervention performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 43236
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.33 · 17%
- Practice expense (office) RVU10.76 · 81%
- Malpractice RVU0.27 · 2%
13.8K
Medicare services in 2024 · #1297 by national volume
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.
43236 compared with similar codes
Office rates for Austin, from the same CMS release.
$437.23
43239 reports upper GI endoscopic biopsy; 43236 reports injection into the submucosa. The services have different purposes even when performed during one EGD.
$336.17
43235 describes diagnostic upper GI endoscopy with specimen collection by brushing or washing. It does not describe directed submucosal injection.
No office rate
43244 treats esophageal varices by ligation. It is distinct from injection of a substance into the submucosa.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for 43236 is $413.25—$52.96 lower than the $466.21 rate in Austin. Both use the same code, release and participation basis.
43236 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$466.21
$413.25
$52.96 lower than Austin
$441.64
$24.57 lower than Austin
$444.22
$21.99 lower than Austin
$440.74
$25.47 lower than Austin
$442.79
$23.42 lower than Austin
$447.73
$18.48 lower than Austin
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 43236 ranges from $391.19 in Arkansas to $609.46 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 43236
Office
$427.03
Facility
$120.83
$39.18 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 43236
Office
$512.17
Facility
$130.47
$45.96 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 43236
Office
$515.43
Facility
$135.34
$49.22 higher than Austin for the office setting.
Miami
Florida · 43236
Office
$474.76
Facility
$138.88
$8.55 higher than Austin for the office setting.
Chicago
Illinois · 43236
Office
$460.26
Facility
$135.99
$5.95 lower than Austin for the office setting.
Manhattan
New York · 43236
Office
$514.72
Facility
$139.80
$48.51 higher than Austin for the office setting.
Alaska*
Alaska · 43236
Office
$504.46
Facility
$160.83
$38.25 higher than Austin for the office setting.
Alabama
Alabama · 43236
Office
$397.40
Facility
$115.08
$68.81 lower than Austin for the office setting.
Arkansas
Arkansas · 43236
Office
$391.19
Facility
$114.03
$75.02 lower than Austin for the office setting.
Arizona
Arizona · 43236
Office
$433.80
Facility
$121.15
$32.41 lower than Austin for the office setting.
Bakersfield
California · 43236
Office
$478.69
Facility
$125.06
$12.48 higher than Austin for the office setting.
Chico
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
El Centro
California · 43236
Office
$477.92
Facility
$124.29
$11.71 higher than Austin for the office setting.
Fresno
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Hanford-Corcoran
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Madera
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Merced
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Modesto
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Napa
California · 43236
Office
$560.99
Facility
$135.73
$94.78 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 43236
Office
$510.42
Facility
$129.05
$44.21 higher than Austin for the office setting.
Redding
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Rest Of California
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · 43236
Office
$480.81
Facility
$127.19
$14.60 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · 43236
Office
$503.43
Facility
$128.19
$37.22 higher than Austin for the office setting.
Salinas
California · 43236
Office
$501.61
Facility
$127.65
$35.40 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · 43236
Office
$514.88
Facility
$128.99
$48.67 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43236
Office
$596.10
Facility
$141.16
$129.89 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43236
Office
$595.80
Facility
$140.85
$129.59 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43236
Office
$609.46
Facility
$144.20
$143.25 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43236
Office
$608.21
Facility
$142.95
$142.00 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · 43236
Office
$493.33
Facility
$125.83
$27.12 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · 43236
Office
$520.96
Facility
$128.93
$54.75 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · 43236
Office
$503.89
Facility
$127.68
$37.68 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · 43236
Office
$526.33
Facility
$130.11
$60.12 higher than Austin for the office setting.
Stockton
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Vallejo
California · 43236
Office
$560.55
Facility
$135.29
$94.34 higher than Austin for the office setting.
Visalia
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Yuba City
California · 43236
Office
$477.88
Facility
$124.25
$11.67 higher than Austin for the office setting.
Colorado
Colorado · 43236
Office
$468.20
Facility
$124.89
$1.99 higher than Austin for the office setting.
Connecticut
Connecticut · 43236
Office
$477.36
Facility
$129.86
$11.15 higher than Austin for the office setting.
Delaware
Delaware · 43236
Office
$441.40
Facility
$122.62
$24.81 lower than Austin for the office setting.
Fort Lauderdale
Florida · 43236
Office
$458.19
Facility
$131.35
$8.02 lower than Austin for the office setting.
Rest Of Florida
Florida · 43236
Office
$434.96
Facility
$126.50
$31.25 lower than Austin for the office setting.
Atlanta
Georgia · 43236
Office
$454.03
Facility
$126.22
$12.18 lower than Austin for the office setting.
Rest Of Georgia
Georgia · 43236
Office
$409.15
Facility
$121.35
$57.06 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · 43236
Office
$491.68
Facility
$124.82
$25.47 higher than Austin for the office setting.
Iowa
Iowa · 43236
Office
$410.25
Facility
$115.02
$55.96 lower than Austin for the office setting.
Idaho
Idaho · 43236
Office
$412.73
Facility
$115.89
$53.48 lower than Austin for the office setting.
East St. Louis
Illinois · 43236
Office
$426.63
Facility
$129.79
$39.58 lower than Austin for the office setting.
Rest Of Illinois
Illinois · 43236
Office
$420.05
Facility
$125.46
$46.16 lower than Austin for the office setting.
Suburban Chicago
Illinois · 43236
Office
$463.45
Facility
$132.08
$2.76 lower than Austin for the office setting.
Indiana
Indiana · 43236
Office
$415.36
Facility
$116.27
$50.85 lower than Austin for the office setting.
Kansas
Kansas · 43236
Office
$407.26
Facility
$115.58
$58.95 lower than Austin for the office setting.
Kentucky
Kentucky · 43236
Office
$405.58
Facility
$118.74
$60.63 lower than Austin for the office setting.
New Orleans
Louisiana · 43236
Office
$426.26
Facility
$122.64
$39.95 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · 43236
Office
$404.53
Facility
$118.98
$61.68 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · 43236
Office
$518.16
Facility
$132.91
$51.95 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · 43236
Office
$464.70
Facility
$124.95
$1.51 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · 43236
Office
$475.85
Facility
$129.65
$9.64 higher than Austin for the office setting.
Rest Of Maryland
Maryland · 43236
Office
$450.59
Facility
$124.06
$15.62 lower than Austin for the office setting.
Rest Of Maine
Maine · 43236
Office
$414.08
Facility
$117.24
$52.13 lower than Austin for the office setting.
Southern Maine
Maine · 43236
Office
$439.67
Facility
$119.92
$26.54 lower than Austin for the office setting.
Detroit
Michigan · 43236
Office
$439.84
Facility
$128.48
$26.37 lower than Austin for the office setting.
Rest Of Michigan
Michigan · 43236
Office
$416.13
Facility
$121.55
$50.08 lower than Austin for the office setting.
Minnesota
Minnesota · 43236
Office
$450.31
Facility
$118.30
$15.90 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · 43236
Office
$424.11
Facility
$121.13
$42.10 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · 43236
Office
$429.00
Facility
$121.84
$37.21 lower than Austin for the office setting.
Rest Of Missouri
Missouri · 43236
Office
$396.41
Facility
$118.28
$69.80 lower than Austin for the office setting.
Mississippi
Mississippi · 43236
Office
$393.93
Facility
$116.12
$72.28 lower than Austin for the office setting.
Montana**
Montana · 43236
Office
$446.22
Facility
$123.57
$19.99 lower than Austin for the office setting.
North Carolina
North Carolina · 43236
Office
$418.90
Facility
$117.87
$47.31 lower than Austin for the office setting.
North Dakota**
North Dakota · 43236
Office
$440.88
Facility
$118.23
$25.33 lower than Austin for the office setting.
Nebraska
Nebraska · 43236
Office
$412.95
Facility
$115.14
$53.26 lower than Austin for the office setting.
New Hampshire
New Hampshire · 43236
Office
$459.84
Facility
$123.96
$6.37 lower than Austin for the office setting.
Northern Nj
New Jersey · 43236
Office
$509.26
Facility
$134.98
$43.05 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · 43236
Office
$483.29
Facility
$130.95
$17.08 higher than Austin for the office setting.
New Mexico
New Mexico · 43236
Office
$418.22
Facility
$122.35
$47.99 lower than Austin for the office setting.
Nevada**
Nevada · 43236
Office
$445.09
Facility
$122.11
$21.12 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · 43236
Office
$526.87
Facility
$143.24
$60.66 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 43236
Office
$485.77
Facility
$132.47
$19.56 higher than Austin for the office setting.
Queens
New York · 43236
Office
$520.61
Facility
$139.24
$54.40 higher than Austin for the office setting.
Rest Of New York
New York · 43236
Office
$425.59
Facility
$119.07
$40.62 lower than Austin for the office setting.
Ohio
Ohio · 43236
Office
$415.04
Facility
$120.46
$51.17 lower than Austin for the office setting.
Oklahoma
Oklahoma · 43236
Office
$405.77
Facility
$117.64
$60.44 lower than Austin for the office setting.
Portland
Oregon · 43236
Office
$485.07
Facility
$126.60
$18.86 higher than Austin for the office setting.
Rest Of Oregon
Oregon · 43236
Office
$442.12
Facility
$120.76
$24.09 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · 43236
Office
$464.11
Facility
$128.23
$2.10 lower than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · 43236
Office
$416.27
Facility
$120.07
$49.94 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · 43236
Office
$450.05
Facility
$123.85
$16.16 lower than Austin for the office setting.
Rhode Island
Rhode Island · 43236
Office
$458.60
Facility
$125.30
$7.61 lower than Austin for the office setting.
South Carolina
South Carolina · 43236
Office
$417.57
Facility
$119.44
$48.64 lower than Austin for the office setting.
South Dakota**
South Dakota · 43236
Office
$440.25
Facility
$117.60
$25.96 lower than Austin for the office setting.
Tennessee
Tennessee · 43236
Office
$409.36
Facility
$116.06
$56.85 lower than Austin for the office setting.
Utah
Utah · 43236
Office
$423.75
Facility
$120.46
$42.46 lower than Austin for the office setting.
Virginia
Virginia · 43236
Office
$437.47
Facility
$120.31
$28.74 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · 43236
Office
$450.05
Facility
$123.85
$16.16 lower than Austin for the office setting.
Vermont
Vermont · 43236
Office
$438.19
Facility
$118.76
$28.02 lower than Austin for the office setting.
Rest Of Washington
Washington · 43236
Office
$464.14
Facility
$124.39
$2.07 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · 43236
Office
$530.06
Facility
$134.16
$63.85 higher than Austin for the office setting.
Wisconsin
Wisconsin · 43236
Office
$424.90
Facility
$115.80
$41.31 lower than Austin for the office setting.
West Virginia
West Virginia · 43236
Office
$403.04
Facility
$122.66
$63.17 lower than Austin for the office setting.
Wyoming**
Wyoming · 43236
Office
$443.89
Facility
$121.24
$22.32 lower than Austin for the office setting.
See how rates vary across the country
43236 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$391.19
$543.67
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $504.46 | 1 |
| AL | $397.40 | 1 |
| AR | $391.19 | 1 |
| AZ | $433.80 | 1 |
| CA | $477.88–$609.46 | 29 |
| CO | $468.20 | 1 |
| CT | $477.36 | 1 |
| DC | $515.43 | 1 |
| DE | $441.40 | 1 |
| FL | $434.96–$474.76 | 3 |
| GA | $409.15–$454.03 | 2 |
| GU | $491.68 | 1 |
| HI | $491.68 | 1 |
| IA | $410.25 | 1 |
| ID | $412.73 | 1 |
| IL | $420.05–$463.45 | 4 |
| IN | $415.36 | 1 |
| KS | $407.26 | 1 |
| KY | $405.58 | 1 |
| LA | $404.53–$426.26 | 2 |
| MA | $464.70–$518.16 | 2 |
| MD | $450.59–$515.43 | 3 |
| ME | $414.08–$439.67 | 2 |
| MI | $416.13–$439.84 | 2 |
| MN | $450.31 | 1 |
| MO | $396.41–$429.00 | 3 |
| MS | $393.93 | 1 |
| MT | $446.22 | 1 |
| NC | $418.90 | 1 |
| ND | $440.88 | 1 |
| NE | $412.95 | 1 |
| NH | $459.84 | 1 |
| NJ | $483.29–$509.26 | 2 |
| NM | $418.22 | 1 |
| NV | $445.09 | 1 |
| NY | $425.59–$526.87 | 5 |
| OH | $415.04 | 1 |
| OK | $405.77 | 1 |
| OR | $442.12–$485.07 | 2 |
| PA | $416.27–$464.11 | 2 |
| PR | $450.05 | 1 |
| RI | $458.60 | 1 |
| SC | $417.57 | 1 |
| SD | $440.25 | 1 |
| TN | $409.36 | 1 |
| TX | $413.25–$466.21 | 8 |
| UT | $423.75 | 1 |
| VA | $437.47–$515.43 | 2 |
| VI | $450.05 | 1 |
| VT | $438.19 | 1 |
| WA | $464.14–$530.06 | 2 |
| WI | $424.90 | 1 |
| WV | $403.04 | 1 |
| WY | $443.89 | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 43236 in Austin
Multiple payment areas
- 43236 in Barton Creek
- 43236 in Bee Cave
- 43236 in Briarcliff
- 43236 in Cedar Park
Multiple payment areas
- 43236 in Creedmoor
Multiple payment areas
- 43236 in Elgin
Multiple payment areas
- 43236 in Garfield
Why are the office and facility amounts different?
For 43236 in Austin, the physician’s office rate is $466.21 and the facility-setting rate is $124.84: a difference of $341.37.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 43236 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$512.83
$466.21 × 110% = $512.83
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 43236 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,164
- Code
- 43236
- Physician work
- 2.33
- Practice expense
- 10.76
- Malpractice
- 0.27
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.33 | × 1.002 | 2.3347 |
| Practice expense | 10.76 | × 1.058 | 11.3841 |
| Malpractice | 0.27 | × 0.886 | 0.2392 |
| Total RVUs | 13.9580 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$466.21
Open 43236 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1.002 |
| Practice expense | 10.76 | 1.058 |
| Malpractice | 0.27 | 0.886 |
(2.33 × 1.002 + 10.76 × 1.058 + 0.27 × 0.886) × $33.4009 = $466.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1.002 |
| Practice expense | 1.1 | 1.058 |
| Malpractice | 0.27 | 0.886 |
(2.33 × 1.002 + 1.1 × 1.058 + 0.27 × 0.886) × $33.4009 = $124.84
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
43236 · Office / nonfacility
$466.21
Effective 2026-10-01
The base rate is $73.79 higher than on 2025-10-01, moving from $392.42 to $466.21 (18.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$392.42changed to$466.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.39 changed to 2.33
- Practice expense RVU 9.06 changed to 10.76
- Malpractice RVU 0.29 changed to 0.27
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $392.42
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
43236 billing questions
When should this code be chosen instead of 43243?
Use 43236 for directed submucosal injection such as lesion marking or lifting. Code 43243 describes injection treatment of esophageal varices.
Is the code reported once for each injection site?
The code describes the endoscopic injection service, including one or more injections. Documentation should identify the treated site or sites and the purpose.
Can biopsy or lesion removal also be reported?
The injection service is distinct from tissue sampling or lesion removal, but same-session reporting depends on applicable coding edits. CMS endoscopy-family pricing applies when related endoscopies are performed together.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant, co-surgeon, or surgical team be paid?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,16143232,,Esophagoscopy w/us needle bx,A,,3.50,1.42,NA,1.42,,0.39,5.31,5.31,0,000,0.00,0.00,0.00,3,0,1,2,0,9,43200,33.4009,09,0,99,0.00,0.00,0.00
5,16243233,,Egd balloon dil esoph30 mm/>,A,,3.97,1.52,NA,1.52,,0.62,6.11,6.11,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,16343235,,Egd diagnostic brush wash,A,,2.04,7.38,,1.03,,0.24,9.66,3.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,16443236,,Uppr gi scope w/submuc inj,A,,2.33,10.76,,1.10,,0.27,13.36,3.70,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,16543237,,Endoscopic us exam esoph,A,,3.38,1.42,NA,1.42,,0.38,5.18,5.18,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,16643238,,Egd us fine needle bx/aspir,A,,4.06,1.62,NA,1.62,,0.44,6.12,6.12,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,16743239,,Egd biopsy single/multiple,A,,2.33,9.94,,1.10,,0.27,12.54,3.70,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858