No office rate
43231 covers esophageal EUS examination without needle sampling. Choose 43232 when the endoscopist also performs ultrasound-guided needle aspiration or biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
43232 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$192.76
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 43232: Esophagoscopy with EUS-guided needle biopsy
Reports flexible esophagoscopy with ultrasound-guided needle sampling of tissue or a lesion in the esophageal wall or nearby structures.
A gastroenterologist passes a flexible endoscope through the mouth to examine the esophagus and uses endoscopic ultrasound to guide a needle into tissue for aspiration or biopsy. Typical targets include an esophageal subepithelial lesion or a mediastinal lymph node or mass accessible from the esophagus. The service is generally performed in a procedural endoscopy setting; it is distinct from sampling performed during an examination that continues into the stomach or duodenum.
Report this code when the record supports both esophagoscopy and ultrasound-guided intramural or transmural needle sampling. Document the examination extent, ultrasound findings, target, and needle sampling performed; multiple needle passes are part of the sampling service, not separate units per pass. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate. CMS permits co-surgeons, does not permit team surgery, and does not pay an assistant at surgery.
CMS billing rules for 43232
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.50 · 66%
- Practice expense (office) RVU1.42 · 27%
- Malpractice RVU0.39 · 7%
325
Medicare services in 2024 · #3934 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.
43232 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
43238 is the EGD-route code for EUS-guided needle sampling. Use 43232 for sampling performed through an esophagoscopy focused on the esophagus.
$524.45
43239 reports EGD with mucosal biopsy. 43232 applies when a needle is guided by endoscopic ultrasound to sample tissue within or beyond the esophageal wall.
The same code, a different location
How does Vallejo compare?
43232 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Merced
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Modesto
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Napa
California · 43232
Office
Unavailable
Facility
$193.40
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43232
Office
Unavailable
Facility
$184.35
No comparable office rate is available.
Redding
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Rest Of California
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43232
Office
Unavailable
Facility
$182.10
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43232
Office
Unavailable
Facility
$183.25
No comparable office rate is available.
Salinas
California · 43232
Office
Unavailable
Facility
$182.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43232
Office
Unavailable
Facility
$184.20
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43232
Office
Unavailable
Facility
$200.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43232
Office
Unavailable
Facility
$200.42
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43232
Office
Unavailable
Facility
$205.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43232
Office
Unavailable
Facility
$203.33
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43232
Office
Unavailable
Facility
$179.89
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43232
Office
Unavailable
Facility
$183.97
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43232
Office
Unavailable
Facility
$182.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43232
Office
Unavailable
Facility
$185.64
No comparable office rate is available.
Stockton
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Visalia
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Yuba City
California · 43232
Office
Unavailable
Facility
$177.86
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 43232
Office
Unavailable
Facility
$193.59
No comparable office rate is available.
Miami
Florida · 43232
Office
Unavailable
Facility
$199.22
No comparable office rate is available.
Chicago
Illinois · 43232
Office
Unavailable
Facility
$195.28
No comparable office rate is available.
Manhattan
New York · 43232
Office
Unavailable
Facility
$200.16
No comparable office rate is available.
Alaska*
Alaska · 43232
Office
Unavailable
Facility
$233.04
No comparable office rate is available.
Alabama
Alabama · 43232
Office
Unavailable
Facility
$165.78
No comparable office rate is available.
Arkansas
Arkansas · 43232
Office
Unavailable
Facility
$164.35
No comparable office rate is available.
Arizona
Arizona · 43232
Office
Unavailable
Facility
$174.01
No comparable office rate is available.
Colorado
Colorado · 43232
Office
Unavailable
Facility
$178.94
No comparable office rate is available.
Connecticut
Connecticut · 43232
Office
Unavailable
Facility
$186.08
No comparable office rate is available.
Delaware
Delaware · 43232
Office
Unavailable
Facility
$176.06
No comparable office rate is available.
Fort Lauderdale
Florida · 43232
Office
Unavailable
Facility
$188.50
No comparable office rate is available.
Rest Of Florida
Florida · 43232
Office
Unavailable
Facility
$181.82
No comparable office rate is available.
Atlanta
Georgia · 43232
Office
Unavailable
Facility
$181.09
No comparable office rate is available.
Rest Of Georgia
Georgia · 43232
Office
Unavailable
Facility
$174.74
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43232
Office
Unavailable
Facility
$178.37
No comparable office rate is available.
Iowa
Iowa · 43232
Office
Unavailable
Facility
$165.47
No comparable office rate is available.
Idaho
Idaho · 43232
Office
Unavailable
Facility
$166.70
No comparable office rate is available.
East St. Louis
Illinois · 43232
Office
Unavailable
Facility
$186.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 43232
Office
Unavailable
Facility
$180.57
No comparable office rate is available.
Suburban Chicago
Illinois · 43232
Office
Unavailable
Facility
$189.51
No comparable office rate is available.
Indiana
Indiana · 43232
Office
Unavailable
Facility
$167.20
No comparable office rate is available.
Kansas
Kansas · 43232
Office
Unavailable
Facility
$166.34
No comparable office rate is available.
Kentucky
Kentucky · 43232
Office
Unavailable
Facility
$170.99
No comparable office rate is available.
New Orleans
Louisiana · 43232
Office
Unavailable
Facility
$176.33
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43232
Office
Unavailable
Facility
$171.36
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43232
Office
Unavailable
Facility
$189.92
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43232
Office
Unavailable
Facility
$179.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43232
Office
Unavailable
Facility
$185.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 43232
Office
Unavailable
Facility
$178.03
No comparable office rate is available.
Rest Of Maine
Maine · 43232
Office
Unavailable
Facility
$168.64
No comparable office rate is available.
Southern Maine
Maine · 43232
Office
Unavailable
Facility
$172.13
No comparable office rate is available.
Detroit
Michigan · 43232
Office
Unavailable
Facility
$184.63
No comparable office rate is available.
Rest Of Michigan
Michigan · 43232
Office
Unavailable
Facility
$174.91
No comparable office rate is available.
Minnesota
Minnesota · 43232
Office
Unavailable
Facility
$169.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43232
Office
Unavailable
Facility
$174.17
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43232
Office
Unavailable
Facility
$175.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 43232
Office
Unavailable
Facility
$170.47
No comparable office rate is available.
Mississippi
Mississippi · 43232
Office
Unavailable
Facility
$167.37
No comparable office rate is available.
Montana**
Montana · 43232
Office
Unavailable
Facility
$177.33
No comparable office rate is available.
North Carolina
North Carolina · 43232
Office
Unavailable
Facility
$169.48
No comparable office rate is available.
North Dakota**
North Dakota · 43232
Office
Unavailable
Facility
$169.62
No comparable office rate is available.
Nebraska
Nebraska · 43232
Office
Unavailable
Facility
$165.60
No comparable office rate is available.
New Hampshire
New Hampshire · 43232
Office
Unavailable
Facility
$177.68
No comparable office rate is available.
Northern Nj
New Jersey · 43232
Office
Unavailable
Facility
$193.20
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43232
Office
Unavailable
Facility
$187.66
No comparable office rate is available.
New Mexico
New Mexico · 43232
Office
Unavailable
Facility
$176.04
No comparable office rate is available.
Nevada**
Nevada · 43232
Office
Unavailable
Facility
$175.23
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43232
Office
Unavailable
Facility
$204.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43232
Office
Unavailable
Facility
$189.86
No comparable office rate is available.
Queens
New York · 43232
Office
Unavailable
Facility
$199.23
No comparable office rate is available.
Rest Of New York
New York · 43232
Office
Unavailable
Facility
$171.12
No comparable office rate is available.
Ohio
Ohio · 43232
Office
Unavailable
Facility
$173.34
No comparable office rate is available.
Oklahoma
Oklahoma · 43232
Office
Unavailable
Facility
$169.38
No comparable office rate is available.
Portland
Oregon · 43232
Office
Unavailable
Facility
$181.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 43232
Office
Unavailable
Facility
$173.30
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43232
Office
Unavailable
Facility
$183.92
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43232
Office
Unavailable
Facility
$172.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43232
Office
Unavailable
Facility
$177.69
No comparable office rate is available.
Rhode Island
Rhode Island · 43232
Office
Unavailable
Facility
$179.74
No comparable office rate is available.
South Carolina
South Carolina · 43232
Office
Unavailable
Facility
$171.80
No comparable office rate is available.
South Dakota**
South Dakota · 43232
Office
Unavailable
Facility
$168.71
No comparable office rate is available.
Tennessee
Tennessee · 43232
Office
Unavailable
Facility
$167.01
No comparable office rate is available.
Austin
Texas · 43232
Office
Unavailable
Facility
$178.86
No comparable office rate is available.
Beaumont
Texas · 43232
Office
Unavailable
Facility
$172.17
No comparable office rate is available.
Brazoria
Texas · 43232
Office
Unavailable
Facility
$175.00
No comparable office rate is available.
Dallas
Texas · 43232
Office
Unavailable
Facility
$176.37
No comparable office rate is available.
Fort Worth
Texas · 43232
Office
Unavailable
Facility
$176.07
No comparable office rate is available.
Galveston
Texas · 43232
Office
Unavailable
Facility
$175.72
No comparable office rate is available.
Houston
Texas · 43232
Office
Unavailable
Facility
$182.86
No comparable office rate is available.
Rest Of Texas
Texas · 43232
Office
Unavailable
Facility
$173.68
No comparable office rate is available.
Utah
Utah · 43232
Office
Unavailable
Facility
$173.18
No comparable office rate is available.
Virginia
Virginia · 43232
Office
Unavailable
Facility
$172.72
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43232
Office
Unavailable
Facility
$177.69
No comparable office rate is available.
Vermont
Vermont · 43232
Office
Unavailable
Facility
$170.45
No comparable office rate is available.
Rest Of Washington
Washington · 43232
Office
Unavailable
Facility
$178.28
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43232
Office
Unavailable
Facility
$191.59
No comparable office rate is available.
Wisconsin
Wisconsin · 43232
Office
Unavailable
Facility
$166.35
No comparable office rate is available.
West Virginia
West Virginia · 43232
Office
Unavailable
Facility
$176.76
No comparable office rate is available.
Wyoming**
Wyoming · 43232
Office
Unavailable
Facility
$173.97
No comparable office rate is available.
See how rates vary across the country
43232 · 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?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 43232 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$212.04
$192.76 × 110% = $212.04
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 43232 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
5,161
- Code
- 43232
- Physician work
- 3.50
- Practice expense
- 1.42
- Malpractice
- 0.39
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.50 | × 1.063 | 3.7205 |
| Practice expense | 1.42 | × 1.318 | 1.8716 |
| Malpractice | 0.39 | × 0.459 | 0.1790 |
| Total RVUs | 5.7711 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$192.76
Open 43232 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.5 | 1.063 |
| Practice expense | 1.42 | 1.318 |
| Malpractice | 0.39 | 0.459 |
(3.5 × 1.063 + 1.42 × 1.318 + 0.39 × 0.459) × $33.4009 = $192.76
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
43232 · 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 | $192.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $192.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $192.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $192.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $208.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $208.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $208.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $208.45 | RVU25A |
43232 billing questions
When should this be chosen instead of 43231?
Use 43232 when ultrasound-guided needle aspiration or biopsy is performed. 43231 describes esophagoscopy with ultrasound examination without needle sampling.
How does this differ from an EGD with EUS-guided sampling?
43232 describes an esophagoscopy service focused on the esophagus and targets accessible from it. When the endoscopic examination and sampling are performed through an EGD route, consider the applicable EGD sampling code, such as 43238.
Are multiple needle passes reported as separate units?
No. The needle sampling is reported as the procedure, not as a separate unit for each pass. Document the target and sampling performed.
Can modifier 50 be used for bilateral sampling?
No. CMS identifies bilateral adjustment as inappropriate for this code, even when targets are sampled on both sides.
How does CMS handle related endoscopies performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together. The code also has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or another surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons are permitted, while team surgery is 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.
5,15843229,,Esophagoscopy lesion ablate,A,,3.40,19.60,,1.42,,0.41,23.41,5.23,0,000,0.00,0.00,0.00,3,0,1,0,0,9,43200,33.4009,09,0,99,0.00,0.00,0.00
5,1594322F,,Crgvr prov w/ ed addl rsrcs,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,16043231,,Esophagoscop ultrasound exam,A,,2.73,1.13,NA,1.13,,0.27,4.13,4.13,0,000,0.00,0.00,0.00,3,0,1,2,0,9,43200,33.4009,09,0,99,0.00,0.00,0.00
5,16143232,,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
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536