No office rate
43242 is for EUS-guided fine-needle sampling. Choose 43253 when the needle delivers an injection or places a marker instead of obtaining a specimen.
On this page
CMS RVU26D · Effective 2026-10-01
43253 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$230.71
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.
Upper GI endoscopy
About 43253: EUS-guided transmural injection or marking
Report this service when an endoscopist uses endoscopic ultrasound to guide an injection or marker placement through the gastrointestinal wall.
An upper endoscopist uses an endoscope with ultrasound imaging to guide a needle through the gastrointestinal wall to inject a substance or place a marker. Typical uses include injecting around the celiac plexus to address pancreatic cancer pain and placing fiducial markers near a lesion to guide radiation treatment. The procedure is generally performed by a gastroenterologist in a hospital or ambulatory endoscopy setting.
Choose this code when the EUS-guided service is injection or marking, rather than tissue sampling or diagnostic imaging alone. The report should identify the target, purpose, and substance or marker used. 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 for an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 43253
- 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 RVU4.61 · 67%
- Practice expense (office) RVU1.78 · 26%
- Malpractice RVU0.50 · 7%
1.9K
Medicare services in 2024 · #2518 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.
43253 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
43259 represents an EUS examination. Choose 43253 when the documented service includes EUS-guided injection or marking.
No office rate
43240 is used for transmural drainage of a cyst. It is not the code for EUS-guided injection or marker placement.
No office rate
43266 covers endoscopic stent placement. Choose 43253 for EUS-guided injection or marking, not stent deployment.
The same code, a different location
How does Redding compare?
43253 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Merced
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Modesto
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Napa
California · 43253
Office
Unavailable
Facility
$250.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43253
Office
Unavailable
Facility
$238.97
No comparable office rate is available.
Rest Of California
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43253
Office
Unavailable
Facility
$236.16
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43253
Office
Unavailable
Facility
$237.62
No comparable office rate is available.
Salinas
California · 43253
Office
Unavailable
Facility
$236.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43253
Office
Unavailable
Facility
$238.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43253
Office
Unavailable
Facility
$260.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43253
Office
Unavailable
Facility
$259.53
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43253
Office
Unavailable
Facility
$265.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43253
Office
Unavailable
Facility
$263.28
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43253
Office
Unavailable
Facility
$233.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43253
Office
Unavailable
Facility
$238.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43253
Office
Unavailable
Facility
$236.56
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43253
Office
Unavailable
Facility
$240.56
No comparable office rate is available.
Stockton
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Vallejo
California · 43253
Office
Unavailable
Facility
$249.70
No comparable office rate is available.
Visalia
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Yuba City
California · 43253
Office
Unavailable
Facility
$230.71
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 43253
Office
Unavailable
Facility
$250.92
No comparable office rate is available.
Miami
Florida · 43253
Office
Unavailable
Facility
$258.10
No comparable office rate is available.
Chicago
Illinois · 43253
Office
Unavailable
Facility
$253.13
No comparable office rate is available.
Manhattan
New York · 43253
Office
Unavailable
Facility
$259.40
No comparable office rate is available.
Alaska*
Alaska · 43253
Office
Unavailable
Facility
$303.49
No comparable office rate is available.
Alabama
Alabama · 43253
Office
Unavailable
Facility
$215.45
No comparable office rate is available.
Arkansas
Arkansas · 43253
Office
Unavailable
Facility
$213.65
No comparable office rate is available.
Arizona
Arizona · 43253
Office
Unavailable
Facility
$225.88
No comparable office rate is available.
Colorado
Colorado · 43253
Office
Unavailable
Facility
$232.13
No comparable office rate is available.
Connecticut
Connecticut · 43253
Office
Unavailable
Facility
$241.30
No comparable office rate is available.
Delaware
Delaware · 43253
Office
Unavailable
Facility
$228.50
No comparable office rate is available.
Fort Lauderdale
Florida · 43253
Office
Unavailable
Facility
$244.40
No comparable office rate is available.
Rest Of Florida
Florida · 43253
Office
Unavailable
Facility
$235.92
No comparable office rate is available.
Atlanta
Georgia · 43253
Office
Unavailable
Facility
$234.90
No comparable office rate is available.
Rest Of Georgia
Georgia · 43253
Office
Unavailable
Facility
$226.92
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43253
Office
Unavailable
Facility
$231.25
No comparable office rate is available.
Iowa
Iowa · 43253
Office
Unavailable
Facility
$215.01
No comparable office rate is available.
Idaho
Idaho · 43253
Office
Unavailable
Facility
$216.57
No comparable office rate is available.
East St. Louis
Illinois · 43253
Office
Unavailable
Facility
$242.31
No comparable office rate is available.
Rest Of Illinois
Illinois · 43253
Office
Unavailable
Facility
$234.36
No comparable office rate is available.
Suburban Chicago
Illinois · 43253
Office
Unavailable
Facility
$245.71
No comparable office rate is available.
Indiana
Indiana · 43253
Office
Unavailable
Facility
$217.21
No comparable office rate is available.
Kansas
Kansas · 43253
Office
Unavailable
Facility
$216.14
No comparable office rate is available.
Kentucky
Kentucky · 43253
Office
Unavailable
Facility
$222.11
No comparable office rate is available.
New Orleans
Louisiana · 43253
Office
Unavailable
Facility
$228.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43253
Office
Unavailable
Facility
$222.59
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43253
Office
Unavailable
Facility
$246.14
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43253
Office
Unavailable
Facility
$232.36
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43253
Office
Unavailable
Facility
$240.89
No comparable office rate is available.
Rest Of Maryland
Maryland · 43253
Office
Unavailable
Facility
$231.02
No comparable office rate is available.
Rest Of Maine
Maine · 43253
Office
Unavailable
Facility
$219.06
No comparable office rate is available.
Southern Maine
Maine · 43253
Office
Unavailable
Facility
$223.43
No comparable office rate is available.
Detroit
Michigan · 43253
Office
Unavailable
Facility
$239.51
No comparable office rate is available.
Rest Of Michigan
Michigan · 43253
Office
Unavailable
Facility
$227.11
No comparable office rate is available.
Minnesota
Minnesota · 43253
Office
Unavailable
Facility
$220.10
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43253
Office
Unavailable
Facility
$226.12
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43253
Office
Unavailable
Facility
$227.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 43253
Office
Unavailable
Facility
$221.49
No comparable office rate is available.
Mississippi
Mississippi · 43253
Office
Unavailable
Facility
$217.51
No comparable office rate is available.
Montana**
Montana · 43253
Office
Unavailable
Facility
$230.10
No comparable office rate is available.
North Carolina
North Carolina · 43253
Office
Unavailable
Facility
$220.12
No comparable office rate is available.
North Dakota**
North Dakota · 43253
Office
Unavailable
Facility
$220.21
No comparable office rate is available.
Nebraska
Nebraska · 43253
Office
Unavailable
Facility
$215.17
No comparable office rate is available.
New Hampshire
New Hampshire · 43253
Office
Unavailable
Facility
$230.48
No comparable office rate is available.
Northern Nj
New Jersey · 43253
Office
Unavailable
Facility
$250.48
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43253
Office
Unavailable
Facility
$243.38
No comparable office rate is available.
New Mexico
New Mexico · 43253
Office
Unavailable
Facility
$228.55
No comparable office rate is available.
Nevada**
Nevada · 43253
Office
Unavailable
Facility
$227.40
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43253
Office
Unavailable
Facility
$265.54
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43253
Office
Unavailable
Facility
$246.22
No comparable office rate is available.
Queens
New York · 43253
Office
Unavailable
Facility
$258.19
No comparable office rate is available.
Rest Of New York
New York · 43253
Office
Unavailable
Facility
$222.20
No comparable office rate is available.
Ohio
Ohio · 43253
Office
Unavailable
Facility
$225.09
No comparable office rate is available.
Oklahoma
Oklahoma · 43253
Office
Unavailable
Facility
$220.05
No comparable office rate is available.
Portland
Oregon · 43253
Office
Unavailable
Facility
$234.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 43253
Office
Unavailable
Facility
$224.93
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43253
Office
Unavailable
Facility
$238.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43253
Office
Unavailable
Facility
$224.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43253
Office
Unavailable
Facility
$230.54
No comparable office rate is available.
Rhode Island
Rhode Island · 43253
Office
Unavailable
Facility
$233.22
No comparable office rate is available.
South Carolina
South Carolina · 43253
Office
Unavailable
Facility
$223.11
No comparable office rate is available.
South Dakota**
South Dakota · 43253
Office
Unavailable
Facility
$219.04
No comparable office rate is available.
Tennessee
Tennessee · 43253
Office
Unavailable
Facility
$216.99
No comparable office rate is available.
Austin
Texas · 43253
Office
Unavailable
Facility
$231.98
No comparable office rate is available.
Beaumont
Texas · 43253
Office
Unavailable
Facility
$223.60
No comparable office rate is available.
Brazoria
Texas · 43253
Office
Unavailable
Facility
$227.15
No comparable office rate is available.
Dallas
Texas · 43253
Office
Unavailable
Facility
$228.91
No comparable office rate is available.
Fort Worth
Texas · 43253
Office
Unavailable
Facility
$228.53
No comparable office rate is available.
Galveston
Texas · 43253
Office
Unavailable
Facility
$228.08
No comparable office rate is available.
Houston
Texas · 43253
Office
Unavailable
Facility
$237.23
No comparable office rate is available.
Rest Of Texas
Texas · 43253
Office
Unavailable
Facility
$225.48
No comparable office rate is available.
Utah
Utah · 43253
Office
Unavailable
Facility
$224.86
No comparable office rate is available.
Virginia
Virginia · 43253
Office
Unavailable
Facility
$224.21
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43253
Office
Unavailable
Facility
$230.54
No comparable office rate is available.
Vermont
Vermont · 43253
Office
Unavailable
Facility
$221.29
No comparable office rate is available.
Rest Of Washington
Washington · 43253
Office
Unavailable
Facility
$231.29
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43253
Office
Unavailable
Facility
$248.27
No comparable office rate is available.
Wisconsin
Wisconsin · 43253
Office
Unavailable
Facility
$216.08
No comparable office rate is available.
West Virginia
West Virginia · 43253
Office
Unavailable
Facility
$229.54
No comparable office rate is available.
Wyoming**
Wyoming · 43253
Office
Unavailable
Facility
$225.79
No comparable office rate is available.
See how rates vary across the country
43253 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 43253 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$253.78
$230.71 × 110% = $253.78
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 43253 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,182
- Code
- 43253
- Physician work
- 4.61
- Practice expense
- 1.78
- Malpractice
- 0.50
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.61 | × 1.017 | 4.6884 |
| Practice expense | 1.78 | × 1.096 | 1.9509 |
| Malpractice | 0.50 | × 0.536 | 0.2680 |
| Total RVUs | 6.9073 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$230.71
Open 43253 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.61 | 1.017 |
| Practice expense | 1.78 | 1.096 |
| Malpractice | 0.5 | 0.536 |
(4.61 × 1.017 + 1.78 × 1.096 + 0.5 × 0.536) × $33.4009 = $230.71
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
43253 · 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 | $230.71 | RVU26D |
| 2026-07-01 | Not available in this setting | $230.71 | RVU26C |
| 2026-04-01 | Not available in this setting | $230.71 | RVU26B |
| 2026-01-01 | Not available in this setting | $230.71 | RVU26A |
| 2025-10-01 | Not available in this setting | $252.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $252.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $252.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $252.61 | RVU25A |
43253 billing questions
How does this differ from EUS-guided biopsy or aspiration?
Use 43253 for EUS-guided injection or marker placement. Use 43242 when the EUS-guided service obtains tissue or fluid for sampling.
Can diagnostic EUS be reported instead?
43259 describes an EUS examination. When the documented service includes EUS-guided injection or marking, 43253 represents that therapeutic action rather than diagnostic imaging alone.
What documentation supports this code?
Document the EUS guidance, the target and route, the clinical purpose, and what was injected or placed. For example, identify celiac plexus injection or fiducial marker placement when performed.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
How are other endoscopies in the same session priced?
CMS endoscopy family pricing applies when related endoscopies are performed together, so they are not priced as unrelated procedures.
Can an assistant or co-surgeon be paid?
Medicare does not pay an assistant at surgery for this code. 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.
5,17943250,,Egd cautery tumor polyp,A,,2.90,11.61,,1.25,,0.42,14.93,4.57,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,18043251,,Egd remove lesion snare,A,,3.38,12.57,,1.41,,0.39,16.34,5.18,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,18143252,,Egd optical endomicroscopy,A,,2.89,8.05,,1.25,,0.35,11.29,4.49,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,18243253,,Egd us transmural injxn/mark,A,,4.61,1.78,NA,1.78,,0.50,6.89,6.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,18343254,,Egd endo mucosal resection,A,,4.75,1.81,NA,1.81,,0.53,7.09,7.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,18443255,,Egd control bleeding any,A,,3.47,16.77,,1.44,,0.39,20.63,5.30,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
5,18543257,,Egd w/thrml txmnt gerd,A,,4.05,1.62,NA,1.62,,0.45,6.12,6.12,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536