No office rate
Use 43340 when the esophagus is joined to intestine; use 43320 when the receiving organ is the stomach.
On this page
CMS RVU26D · Effective 2026-10-01
43340 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1247.18
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.
Digestive surgery
About 43340: Esophagus-to-intestine reconstruction
Reports surgical reconstruction that connects the esophagus to intestine, commonly when the stomach cannot serve as the route for restoring digestive continuity.
The surgeon creates a connection between the esophagus and intestine to restore passage of swallowed food. This reconstruction may be needed after esophageal or gastric resection when the stomach is unavailable or unsuitable as the receiving organ; a small-intestinal segment, commonly jejunum, may provide the connection. It is performed by a surgeon in an operative setting, rather than as an endoscopic repair or diagnostic procedure.
Report the code when the operative record supports an esophagus-to-intestine reconstruction, distinguishing it from a connection to the stomach and from revision of an existing connection. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is not appropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43340
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.42 · 58%
- Practice expense (office) RVU10.27 · 27%
- Malpractice RVU6.00 · 16%
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.
43340 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
This is a related esophagus-to-intestine reconstruction code. Choose between the codes by matching the operative circumstances to each code's descriptor.
No office rate
43325 concerns revision of an esophagus-to-stomach connection. It is not the code for creating a new esophagus-to-intestine connection.
The same code, a different location
How does Beaumont compare?
43340 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 43340
Office
Unavailable
Facility
$1255.35
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 43340
Office
Unavailable
Facility
$1318.42
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 43340
Office
Unavailable
Facility
$1416.42
No comparable office rate is available.
Miami
Florida · 43340
Office
Unavailable
Facility
$1612.76
No comparable office rate is available.
Chicago
Illinois · 43340
Office
Unavailable
Facility
$1558.76
No comparable office rate is available.
Manhattan
New York · 43340
Office
Unavailable
Facility
$1513.22
No comparable office rate is available.
Alaska*
Alaska · 43340
Office
Unavailable
Facility
$1599.02
No comparable office rate is available.
Alabama
Alabama · 43340
Office
Unavailable
Facility
$1162.43
No comparable office rate is available.
Arkansas
Arkansas · 43340
Office
Unavailable
Facility
$1146.72
No comparable office rate is available.
Arizona
Arizona · 43340
Office
Unavailable
Facility
$1252.79
No comparable office rate is available.
Bakersfield
California · 43340
Office
Unavailable
Facility
$1261.08
No comparable office rate is available.
Chico
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
El Centro
California · 43340
Office
Unavailable
Facility
$1245.96
No comparable office rate is available.
Fresno
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Hanford-Corcoran
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Madera
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Merced
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Modesto
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Napa
California · 43340
Office
Unavailable
Facility
$1349.94
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43340
Office
Unavailable
Facility
$1300.13
No comparable office rate is available.
Redding
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Rest Of California
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43340
Office
Unavailable
Facility
$1309.23
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43340
Office
Unavailable
Facility
$1282.16
No comparable office rate is available.
Salinas
California · 43340
Office
Unavailable
Facility
$1277.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43340
Office
Unavailable
Facility
$1290.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43340
Office
Unavailable
Facility
$1395.64
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43340
Office
Unavailable
Facility
$1388.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43340
Office
Unavailable
Facility
$1433.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43340
Office
Unavailable
Facility
$1405.43
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43340
Office
Unavailable
Facility
$1259.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43340
Office
Unavailable
Facility
$1288.77
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43340
Office
Unavailable
Facility
$1277.20
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43340
Office
Unavailable
Facility
$1299.97
No comparable office rate is available.
Stockton
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Vallejo
California · 43340
Office
Unavailable
Facility
$1340.12
No comparable office rate is available.
Visalia
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Yuba City
California · 43340
Office
Unavailable
Facility
$1244.95
No comparable office rate is available.
Colorado
Colorado · 43340
Office
Unavailable
Facility
$1279.33
No comparable office rate is available.
Connecticut
Connecticut · 43340
Office
Unavailable
Facility
$1375.76
No comparable office rate is available.
Delaware
Delaware · 43340
Office
Unavailable
Facility
$1271.67
No comparable office rate is available.
Fort Lauderdale
Florida · 43340
Office
Unavailable
Facility
$1458.67
No comparable office rate is available.
Rest Of Florida
Florida · 43340
Office
Unavailable
Facility
$1377.99
No comparable office rate is available.
Atlanta
Georgia · 43340
Office
Unavailable
Facility
$1340.30
No comparable office rate is available.
Rest Of Georgia
Georgia · 43340
Office
Unavailable
Facility
$1293.71
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43340
Office
Unavailable
Facility
$1254.90
No comparable office rate is available.
Iowa
Iowa · 43340
Office
Unavailable
Facility
$1142.28
No comparable office rate is available.
Idaho
Idaho · 43340
Office
Unavailable
Facility
$1159.22
No comparable office rate is available.
East St. Louis
Illinois · 43340
Office
Unavailable
Facility
$1468.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 43340
Office
Unavailable
Facility
$1375.27
No comparable office rate is available.
Suburban Chicago
Illinois · 43340
Office
Unavailable
Facility
$1461.50
No comparable office rate is available.
Indiana
Indiana · 43340
Office
Unavailable
Facility
$1164.23
No comparable office rate is available.
Kansas
Kansas · 43340
Office
Unavailable
Facility
$1159.95
No comparable office rate is available.
Kentucky
Kentucky · 43340
Office
Unavailable
Facility
$1237.17
No comparable office rate is available.
New Orleans
Louisiana · 43340
Office
Unavailable
Facility
$1299.30
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43340
Office
Unavailable
Facility
$1244.42
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43340
Office
Unavailable
Facility
$1367.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43340
Office
Unavailable
Facility
$1281.76
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43340
Office
Unavailable
Facility
$1376.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 43340
Office
Unavailable
Facility
$1287.45
No comparable office rate is available.
Rest Of Maine
Maine · 43340
Office
Unavailable
Facility
$1189.09
No comparable office rate is available.
Southern Maine
Maine · 43340
Office
Unavailable
Facility
$1215.24
No comparable office rate is available.
Detroit
Michigan · 43340
Office
Unavailable
Facility
$1417.75
No comparable office rate is available.
Rest Of Michigan
Michigan · 43340
Office
Unavailable
Facility
$1288.29
No comparable office rate is available.
Minnesota
Minnesota · 43340
Office
Unavailable
Facility
$1161.14
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43340
Office
Unavailable
Facility
$1266.75
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43340
Office
Unavailable
Facility
$1276.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 43340
Office
Unavailable
Facility
$1239.73
No comparable office rate is available.
Mississippi
Mississippi · 43340
Office
Unavailable
Facility
$1192.29
No comparable office rate is available.
Montana**
Montana · 43340
Office
Unavailable
Facility
$1291.88
No comparable office rate is available.
North Carolina
North Carolina · 43340
Office
Unavailable
Facility
$1196.95
No comparable office rate is available.
North Dakota**
North Dakota · 43340
Office
Unavailable
Facility
$1173.24
No comparable office rate is available.
Nebraska
Nebraska · 43340
Office
Unavailable
Facility
$1141.22
No comparable office rate is available.
New Hampshire
New Hampshire · 43340
Office
Unavailable
Facility
$1281.29
No comparable office rate is available.
Northern Nj
New Jersey · 43340
Office
Unavailable
Facility
$1407.97
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43340
Office
Unavailable
Facility
$1373.23
No comparable office rate is available.
New Mexico
New Mexico · 43340
Office
Unavailable
Facility
$1304.09
No comparable office rate is available.
Nevada**
Nevada · 43340
Office
Unavailable
Facility
$1259.16
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43340
Office
Unavailable
Facility
$1576.79
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43340
Office
Unavailable
Facility
$1400.65
No comparable office rate is available.
Queens
New York · 43340
Office
Unavailable
Facility
$1491.22
No comparable office rate is available.
Rest Of New York
New York · 43340
Office
Unavailable
Facility
$1215.61
No comparable office rate is available.
Ohio
Ohio · 43340
Office
Unavailable
Facility
$1264.04
No comparable office rate is available.
Oklahoma
Oklahoma · 43340
Office
Unavailable
Facility
$1210.89
No comparable office rate is available.
Portland
Oregon · 43340
Office
Unavailable
Facility
$1291.03
No comparable office rate is available.
Rest Of Oregon
Oregon · 43340
Office
Unavailable
Facility
$1231.39
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43340
Office
Unavailable
Facility
$1358.50
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43340
Office
Unavailable
Facility
$1253.13
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43340
Office
Unavailable
Facility
$1293.05
No comparable office rate is available.
Rhode Island
Rhode Island · 43340
Office
Unavailable
Facility
$1296.19
No comparable office rate is available.
South Carolina
South Carolina · 43340
Office
Unavailable
Facility
$1236.15
No comparable office rate is available.
South Dakota**
South Dakota · 43340
Office
Unavailable
Facility
$1159.21
No comparable office rate is available.
Tennessee
Tennessee · 43340
Office
Unavailable
Facility
$1168.28
No comparable office rate is available.
Utah
Utah · 43340
Office
Unavailable
Facility
$1251.26
No comparable office rate is available.
Virginia
Virginia · 43340
Office
Unavailable
Facility
$1227.53
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43340
Office
Unavailable
Facility
$1293.05
No comparable office rate is available.
Vermont
Vermont · 43340
Office
Unavailable
Facility
$1189.85
No comparable office rate is available.
Rest Of Washington
Washington · 43340
Office
Unavailable
Facility
$1272.30
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43340
Office
Unavailable
Facility
$1370.92
No comparable office rate is available.
Wisconsin
Wisconsin · 43340
Office
Unavailable
Facility
$1139.19
No comparable office rate is available.
West Virginia
West Virginia · 43340
Office
Unavailable
Facility
$1333.72
No comparable office rate is available.
Wyoming**
Wyoming · 43340
Office
Unavailable
Facility
$1240.18
No comparable office rate is available.
See how rates vary across the country
43340 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 43340 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1371.90
$1247.18 × 110% = $1371.90
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 43340 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
5,237
- Code
- 43340
- Physician work
- 22.42
- Practice expense
- 10.27
- Malpractice
- 6.00
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.42 | × 1.000 | 22.4200 |
| Practice expense | 10.27 | × 0.910 | 9.3457 |
| Malpractice | 6.00 | × 0.929 | 5.5740 |
| Total RVUs | 37.3397 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$1247.18
Open 43340 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.42 | 1 |
| Practice expense | 10.27 | 0.91 |
| Malpractice | 6 | 0.929 |
(22.42 × 1 + 10.27 × 0.91 + 6 × 0.929) × $33.4009 = $1247.18
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
43340 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1247.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $1247.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $1247.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $1247.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $1296.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $1296.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $1296.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $1296.73 | RVU25A |
43340 billing questions
How is this distinguished from 43320?
This code describes a connection from the esophagus to intestine. 43320 is for a connection to the stomach, so the receiving organ documented in the operative report is the key distinction.
What documentation supports reporting it?
The operative report should identify the esophagus and intestinal segment joined and describe creation of the reconstruction. A note describing only esophageal repair or revision of an existing connection does not establish this service.
Can modifier 50 be reported?
No. Modifier 50 is not appropriate for this esophagus-to-intestine reconstruction.
How does the global period affect postoperative care?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
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.
5,23443336,,Thorabd diaphr hern repair,A,,25.16,9.34,NA,9.34,,6.34,40.84,40.84,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23543337,,Thorabd diaphr hern repair,A,,26.96,9.70,NA,9.70,,6.78,43.44,43.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23643338,,Esoph lengthening,A,,2.15,0.42,NA,0.42,,0.53,3.10,3.10,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23743340,,Fuse esophagus & intestine,A,,22.42,10.27,NA,10.27,,6.00,38.69,38.69,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23843341,,Fuse esophagus & intestine,A,,23.62,10.47,NA,10.47,,5.96,40.05,40.05,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23943351,,Surgical opening esophagus,A,,21.50,11.28,NA,11.28,,5.41,38.19,38.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24043352,,Surgical opening esophagus,A,,17.36,9.24,NA,9.24,,4.36,30.96,30.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10004412,TX,28,FORT WORTH,1.009,0.986,0.871