No office rate
43281 reports the laparoscopic paraesophageal hernia repair. Add 43283 only when the surgeon also performs esophageal lengthening.
On this page
CMS RVU26D · Effective 2026-10-01
43283 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$134.33
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.
Gastrointestinal surgery
About 43283: Laparoscopic esophageal lengthening procedure
Reported with laparoscopic paraesophageal hernia repair when a short esophagus requires surgical lengthening, typically by a Collis gastroplasty.
This add-on represents laparoscopic surgical lengthening of the esophagus, commonly performed as a Collis gastroplasty. A foregut or general surgeon may perform it during laparoscopic repair of a paraesophageal hernia when mobilization leaves too little esophagus below the diaphragm for a tension-free repair. The surgeon creates additional esophageal length using the stomach; routine esophageal mobilization alone is not the lengthening service.
Report 43283 only with its qualifying primary laparoscopic paraesophageal hernia repair, 43281 or 43282. The operative report should establish that a short esophagus remained after mobilization and describe the lengthening actually performed. Do not report it merely because the surgeon dissected or repositioned the esophagus during hernia repair. CMS treats this as an add-on code billed with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 43283
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.88 · 68%
- Practice expense (office) RVU0.64 · 15%
- Malpractice RVU0.73 · 17%
687
Medicare services in 2024 · #3281 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.
43283 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
43282 reports laparoscopic paraesophageal hernia repair with mesh. It is a primary procedure; 43283 separately represents qualifying esophageal lengthening performed with it.
No office rate
43280 represents laparoscopic fundoplasty. It does not describe lengthening a short esophagus; 43283 is for the additional lengthening procedure.
The same code, a different location
How does Redding compare?
43283 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 · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Merced
California · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Modesto
California · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Napa
California · 43283
Office
Unavailable
Facility
$142.82
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43283
Office
Unavailable
Facility
$139.35
No comparable office rate is available.
Rest Of California
California · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43283
Office
Unavailable
Facility
$142.15
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43283
Office
Unavailable
Facility
$137.59
No comparable office rate is available.
Salinas
California · 43283
Office
Unavailable
Facility
$137.02
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43283
Office
Unavailable
Facility
$137.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43283
Office
Unavailable
Facility
$146.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43283
Office
Unavailable
Facility
$145.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43283
Office
Unavailable
Facility
$150.67
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43283
Office
Unavailable
Facility
$147.28
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43283
Office
Unavailable
Facility
$135.25
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43283
Office
Unavailable
Facility
$137.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43283
Office
Unavailable
Facility
$136.88
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43283
Office
Unavailable
Facility
$138.40
No comparable office rate is available.
Stockton
California · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Vallejo
California · 43283
Office
Unavailable
Facility
$141.62
No comparable office rate is available.
Visalia
California · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Yuba City
California · 43283
Office
Unavailable
Facility
$134.33
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 43283
Office
Unavailable
Facility
$153.71
No comparable office rate is available.
Miami
Florida · 43283
Office
Unavailable
Facility
$180.11
No comparable office rate is available.
Chicago
Illinois · 43283
Office
Unavailable
Facility
$174.31
No comparable office rate is available.
Manhattan
New York · 43283
Office
Unavailable
Facility
$165.86
No comparable office rate is available.
Alaska*
Alaska · 43283
Office
Unavailable
Facility
$180.49
No comparable office rate is available.
Alabama
Alabama · 43283
Office
Unavailable
Facility
$128.70
No comparable office rate is available.
Arkansas
Arkansas · 43283
Office
Unavailable
Facility
$127.11
No comparable office rate is available.
Arizona
Arizona · 43283
Office
Unavailable
Facility
$137.78
No comparable office rate is available.
Colorado
Colorado · 43283
Office
Unavailable
Facility
$139.14
No comparable office rate is available.
Connecticut
Connecticut · 43283
Office
Unavailable
Facility
$150.64
No comparable office rate is available.
Delaware
Delaware · 43283
Office
Unavailable
Facility
$139.72
No comparable office rate is available.
Fort Lauderdale
Florida · 43283
Office
Unavailable
Facility
$161.93
No comparable office rate is available.
Rest Of Florida
Florida · 43283
Office
Unavailable
Facility
$153.28
No comparable office rate is available.
Atlanta
Georgia · 43283
Office
Unavailable
Facility
$147.49
No comparable office rate is available.
Rest Of Georgia
Georgia · 43283
Office
Unavailable
Facility
$144.33
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43283
Office
Unavailable
Facility
$134.62
No comparable office rate is available.
Iowa
Iowa · 43283
Office
Unavailable
Facility
$125.43
No comparable office rate is available.
Idaho
Idaho · 43283
Office
Unavailable
Facility
$127.39
No comparable office rate is available.
East St. Louis
Illinois · 43283
Office
Unavailable
Facility
$164.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 43283
Office
Unavailable
Facility
$153.82
No comparable office rate is available.
Suburban Chicago
Illinois · 43283
Office
Unavailable
Facility
$162.03
No comparable office rate is available.
Indiana
Indiana · 43283
Office
Unavailable
Facility
$127.86
No comparable office rate is available.
Kansas
Kansas · 43283
Office
Unavailable
Facility
$127.81
No comparable office rate is available.
Kentucky
Kentucky · 43283
Office
Unavailable
Facility
$137.51
No comparable office rate is available.
New Orleans
Louisiana · 43283
Office
Unavailable
Facility
$144.01
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43283
Office
Unavailable
Facility
$138.47
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43283
Office
Unavailable
Facility
$147.36
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43283
Office
Unavailable
Facility
$139.68
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43283
Office
Unavailable
Facility
$150.83
No comparable office rate is available.
Rest Of Maryland
Maryland · 43283
Office
Unavailable
Facility
$141.17
No comparable office rate is available.
Rest Of Maine
Maine · 43283
Office
Unavailable
Facility
$131.03
No comparable office rate is available.
Southern Maine
Maine · 43283
Office
Unavailable
Facility
$132.76
No comparable office rate is available.
Detroit
Michigan · 43283
Office
Unavailable
Facility
$157.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 43283
Office
Unavailable
Facility
$143.24
No comparable office rate is available.
Minnesota
Minnesota · 43283
Office
Unavailable
Facility
$125.41
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43283
Office
Unavailable
Facility
$140.09
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43283
Office
Unavailable
Facility
$140.98
No comparable office rate is available.
Rest Of Missouri
Missouri · 43283
Office
Unavailable
Facility
$138.37
No comparable office rate is available.
Mississippi
Mississippi · 43283
Office
Unavailable
Facility
$132.62
No comparable office rate is available.
Montana**
Montana · 43283
Office
Unavailable
Facility
$141.91
No comparable office rate is available.
North Carolina
North Carolina · 43283
Office
Unavailable
Facility
$131.72
No comparable office rate is available.
North Dakota**
North Dakota · 43283
Office
Unavailable
Facility
$127.47
No comparable office rate is available.
Nebraska
Nebraska · 43283
Office
Unavailable
Facility
$125.14
No comparable office rate is available.
New Hampshire
New Hampshire · 43283
Office
Unavailable
Facility
$139.78
No comparable office rate is available.
Northern Nj
New Jersey · 43283
Office
Unavailable
Facility
$153.09
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43283
Office
Unavailable
Facility
$150.13
No comparable office rate is available.
New Mexico
New Mexico · 43283
Office
Unavailable
Facility
$145.08
No comparable office rate is available.
Nevada**
Nevada · 43283
Office
Unavailable
Facility
$137.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43283
Office
Unavailable
Facility
$173.05
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43283
Office
Unavailable
Facility
$153.43
No comparable office rate is available.
Queens
New York · 43283
Office
Unavailable
Facility
$162.78
No comparable office rate is available.
Rest Of New York
New York · 43283
Office
Unavailable
Facility
$133.64
No comparable office rate is available.
Ohio
Ohio · 43283
Office
Unavailable
Facility
$140.29
No comparable office rate is available.
Oklahoma
Oklahoma · 43283
Office
Unavailable
Facility
$134.23
No comparable office rate is available.
Portland
Oregon · 43283
Office
Unavailable
Facility
$139.62
No comparable office rate is available.
Rest Of Oregon
Oregon · 43283
Office
Unavailable
Facility
$134.63
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43283
Office
Unavailable
Facility
$149.27
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43283
Office
Unavailable
Facility
$138.86
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43283
Office
Unavailable
Facility
$141.82
No comparable office rate is available.
Rhode Island
Rhode Island · 43283
Office
Unavailable
Facility
$141.85
No comparable office rate is available.
South Carolina
South Carolina · 43283
Office
Unavailable
Facility
$136.67
No comparable office rate is available.
South Dakota**
South Dakota · 43283
Office
Unavailable
Facility
$125.76
No comparable office rate is available.
Tennessee
Tennessee · 43283
Office
Unavailable
Facility
$128.72
No comparable office rate is available.
Austin
Texas · 43283
Office
Unavailable
Facility
$140.61
No comparable office rate is available.
Beaumont
Texas · 43283
Office
Unavailable
Facility
$138.30
No comparable office rate is available.
Brazoria
Texas · 43283
Office
Unavailable
Facility
$137.17
No comparable office rate is available.
Dallas
Texas · 43283
Office
Unavailable
Facility
$139.27
No comparable office rate is available.
Fort Worth
Texas · 43283
Office
Unavailable
Facility
$139.37
No comparable office rate is available.
Galveston
Texas · 43283
Office
Unavailable
Facility
$138.38
No comparable office rate is available.
Houston
Texas · 43283
Office
Unavailable
Facility
$151.74
No comparable office rate is available.
Rest Of Texas
Texas · 43283
Office
Unavailable
Facility
$138.50
No comparable office rate is available.
Utah
Utah · 43283
Office
Unavailable
Facility
$138.18
No comparable office rate is available.
Virginia
Virginia · 43283
Office
Unavailable
Facility
$134.42
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43283
Office
Unavailable
Facility
$141.82
No comparable office rate is available.
Vermont
Vermont · 43283
Office
Unavailable
Facility
$129.70
No comparable office rate is available.
Rest Of Washington
Washington · 43283
Office
Unavailable
Facility
$138.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43283
Office
Unavailable
Facility
$147.15
No comparable office rate is available.
Wisconsin
Wisconsin · 43283
Office
Unavailable
Facility
$124.18
No comparable office rate is available.
West Virginia
West Virginia · 43283
Office
Unavailable
Facility
$149.66
No comparable office rate is available.
Wyoming**
Wyoming · 43283
Office
Unavailable
Facility
$135.61
No comparable office rate is available.
See how rates vary across the country
43283 · 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 43283 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$147.76
$134.33 × 110% = $147.76
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 43283 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,207
- Code
- 43283
- Physician work
- 2.88
- Practice expense
- 0.64
- Malpractice
- 0.73
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.88 | × 1.017 | 2.9290 |
| Practice expense | 0.64 | × 1.096 | 0.7014 |
| Malpractice | 0.73 | × 0.536 | 0.3913 |
| Total RVUs | 4.0217 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$134.33
Open 43283 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.88 | 1.017 |
| Practice expense | 0.64 | 1.096 |
| Malpractice | 0.73 | 0.536 |
(2.88 × 1.017 + 0.64 × 1.096 + 0.73 × 0.536) × $33.4009 = $134.33
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
43283 · 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 | $134.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $134.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $134.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $134.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $145.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $145.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $145.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $145.15 | RVU25A |
43283 billing questions
When is 43283 appropriate during paraesophageal hernia repair?
Report it when the surgeon performs an actual laparoscopic esophageal lengthening, such as a Collis gastroplasty, because mobilization alone did not provide adequate esophageal length for the repair.
Which primary codes can be paired with 43283?
Pair it with laparoscopic paraesophageal hernia repair code 43281 or 43282, as supported by the operative report.
Can 43283 be reported for esophageal mobilization alone?
No. The record should describe a lengthening procedure, not just dissection or mobilization performed as part of the hernia repair.
What documentation supports reporting 43283?
Document the inadequate esophageal length after mobilization, the lengthening technique performed, and the associated primary hernia repair.
How does CMS treat payment for this add-on code?
CMS requires it to be billed with a primary procedure and pays it within that procedure’s 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 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.
5,20443280,,Laparoscopy fundoplasty,A,,17.65,8.05,NA,8.05,,4.60,30.30,30.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20543281,,Lap paraesophag hern repair,A,,25.94,9.97,NA,9.97,,6.75,42.66,42.66,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20643282,,Lap paraesoph her rpr w/mesh,A,,29.35,10.91,NA,10.91,,7.70,47.96,47.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20743283,,Lap esoph lengthening,A,,2.88,0.64,NA,0.64,,0.73,4.25,4.25,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20843284,,Laps esophgl sphnctr agmntj,A,,9.88,6.25,NA,6.25,,2.63,18.76,18.76,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20943285,,Rmvl esophgl sphnctr dev,A,,10.21,6.33,NA,6.33,,2.73,19.27,19.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,21043286,,Esphg tot w/laps moblj,A,,53.63,20.84,NA,20.84,,13.71,88.18,88.18,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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