CPT code 43335: Hiatal hernia repair2026 Medicare rate & RVUs in Redding

In Redding, Medicare pays $1,201.49 for 43335 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 43335 nationwide

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

What 43335 covers

This code describes repair of a paraesophageal hiatal hernia through a thoracic approach with mesh reinforcement; fundoplication is included when performed as part of the repair. A thoracic or general surgeon typically performs the operation in a hospital operating room, often for a large or complex hernia requiring access through the chest. The operative report should establish the hernia being repaired, the transthoracic route, and mesh use.

Select this code for the thoracic approach with mesh, rather than the corresponding thoracic repair without mesh or an abdominal approach. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, CMS pays the highest-valued procedure in full and others at 50%. Report this as a single repair, not with modifier 50. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

How Redding compares for 43335

Across 109 of 109 payment localities, the facility rate for 43335 runs from $1,105.37 in Wisconsin to $1,572.91 in Alaska*. Redding pays $1,201.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

43335 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 43335 in every payment locality

How the 43335 rate is calculated

Each of 43335’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 43335

43335 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 43335

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 43335 has changed in Redding

Price 43335 for an earlier date of service

Where the Redding rate applies

Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• 43335 in Redding
• 43335 in Anderson
• 43335 in Bella Vista
• 43335 in Big Bend
• 43335 in Burney
• 43335 in Cassel
• 43335 in Castella
• 43335 in Centerville

Browse all communities in California

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates