No office rate
Choose 43886 for revision of the existing port component; choose 43887 when the port component is removed without replacement.
On this page
CMS RVU26D · Effective 2026-10-01
43886 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$418.08
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.
Bariatric surgery
About 43886: Open gastric band port revision
Reports open revision confined to the implanted subcutaneous port of a gastric restrictive procedure, without revising the band or stomach.
This service addresses a problem with the subcutaneous access port used for an adjustable gastric band, such as a port that has shifted or cannot be accessed as intended. The surgeon exposes the port through an open incision and revises the port component; the work is limited to that component rather than revision of the band or gastric anatomy. It may be performed in a hospital or other surgical setting by a surgeon managing the patient’s bariatric procedure.
Report this code when the operative documentation supports an open approach and revision limited to the subcutaneous port. Distinguish it from removal alone, removal with replacement, and a broader revision of the gastric restrictive procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43886
- 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 RVU4.52 · 41%
- Practice expense (office) RVU5.43 · 49%
- Malpractice RVU1.21 · 11%
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.
43886 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
43888 covers removal and replacement of the port component. 43886 describes revision of the port component, not that removal-and-replacement service.
No office rate
43848 describes a broader open revision of a gastric restrictive procedure. Use 43886 when the operative work is confined to the subcutaneous port.
No office rate
Both concern revision of an adjustable gastric band component, but 43771 is laparoscopic; 43886 is for open revision limited to the subcutaneous port.
The same code, a different location
How does Vallejo compare?
43886 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 · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Merced
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Modesto
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Napa
California · 43886
Office
Unavailable
Facility
$420.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43886
Office
Unavailable
Facility
$394.75
No comparable office rate is available.
Redding
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Rest Of California
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43886
Office
Unavailable
Facility
$386.94
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43886
Office
Unavailable
Facility
$389.00
No comparable office rate is available.
Salinas
California · 43886
Office
Unavailable
Facility
$387.52
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43886
Office
Unavailable
Facility
$394.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43886
Office
Unavailable
Facility
$439.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43886
Office
Unavailable
Facility
$438.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43886
Office
Unavailable
Facility
$450.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43886
Office
Unavailable
Facility
$445.15
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43886
Office
Unavailable
Facility
$381.78
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43886
Office
Unavailable
Facility
$396.17
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43886
Office
Unavailable
Facility
$388.34
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43886
Office
Unavailable
Facility
$399.88
No comparable office rate is available.
Stockton
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Visalia
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Yuba City
California · 43886
Office
Unavailable
Facility
$373.98
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 43886
Office
Unavailable
Facility
$417.76
No comparable office rate is available.
Miami
Florida · 43886
Office
Unavailable
Facility
$441.98
No comparable office rate is available.
Chicago
Illinois · 43886
Office
Unavailable
Facility
$427.06
No comparable office rate is available.
Manhattan
New York · 43886
Office
Unavailable
Facility
$435.48
No comparable office rate is available.
Alaska*
Alaska · 43886
Office
Unavailable
Facility
$441.88
No comparable office rate is available.
Alabama
Alabama · 43886
Office
Unavailable
Facility
$332.54
No comparable office rate is available.
Arkansas
Arkansas · 43886
Office
Unavailable
Facility
$327.58
No comparable office rate is available.
Arizona
Arizona · 43886
Office
Unavailable
Facility
$361.31
No comparable office rate is available.
Colorado
Colorado · 43886
Office
Unavailable
Facility
$377.32
No comparable office rate is available.
Connecticut
Connecticut · 43886
Office
Unavailable
Facility
$398.23
No comparable office rate is available.
Delaware
Delaware · 43886
Office
Unavailable
Facility
$367.25
No comparable office rate is available.
Fort Lauderdale
Florida · 43886
Office
Unavailable
Facility
$407.77
No comparable office rate is available.
Rest Of Florida
Florida · 43886
Office
Unavailable
Facility
$385.10
No comparable office rate is available.
Atlanta
Georgia · 43886
Office
Unavailable
Facility
$384.23
No comparable office rate is available.
Rest Of Georgia
Georgia · 43886
Office
Unavailable
Facility
$360.93
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43886
Office
Unavailable
Facility
$380.59
No comparable office rate is available.
Iowa
Iowa · 43886
Office
Unavailable
Facility
$332.97
No comparable office rate is available.
Idaho
Idaho · 43886
Office
Unavailable
Facility
$336.95
No comparable office rate is available.
East St. Louis
Illinois · 43886
Office
Unavailable
Facility
$399.23
No comparable office rate is available.
Rest Of Illinois
Illinois · 43886
Office
Unavailable
Facility
$379.73
No comparable office rate is available.
Suburban Chicago
Illinois · 43886
Office
Unavailable
Facility
$409.91
No comparable office rate is available.
Indiana
Indiana · 43886
Office
Unavailable
Facility
$338.74
No comparable office rate is available.
Kansas
Kansas · 43886
Office
Unavailable
Facility
$335.30
No comparable office rate is available.
Kentucky
Kentucky · 43886
Office
Unavailable
Facility
$349.19
No comparable office rate is available.
New Orleans
Louisiana · 43886
Office
Unavailable
Facility
$367.55
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43886
Office
Unavailable
Facility
$350.20
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43886
Office
Unavailable
Facility
$409.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43886
Office
Unavailable
Facility
$376.58
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43886
Office
Unavailable
Facility
$397.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 43886
Office
Unavailable
Facility
$373.13
No comparable office rate is available.
Rest Of Maine
Maine · 43886
Office
Unavailable
Facility
$342.97
No comparable office rate is available.
Southern Maine
Maine · 43886
Office
Unavailable
Facility
$356.21
No comparable office rate is available.
Detroit
Michigan · 43886
Office
Unavailable
Facility
$394.13
No comparable office rate is available.
Rest Of Michigan
Michigan · 43886
Office
Unavailable
Facility
$362.19
No comparable office rate is available.
Minnesota
Minnesota · 43886
Office
Unavailable
Facility
$349.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43886
Office
Unavailable
Facility
$360.76
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43886
Office
Unavailable
Facility
$364.13
No comparable office rate is available.
Rest Of Missouri
Missouri · 43886
Office
Unavailable
Facility
$346.67
No comparable office rate is available.
Mississippi
Mississippi · 43886
Office
Unavailable
Facility
$337.00
No comparable office rate is available.
Montana**
Montana · 43886
Office
Unavailable
Facility
$372.67
No comparable office rate is available.
North Carolina
North Carolina · 43886
Office
Unavailable
Facility
$346.01
No comparable office rate is available.
North Dakota**
North Dakota · 43886
Office
Unavailable
Facility
$348.75
No comparable office rate is available.
Nebraska
Nebraska · 43886
Office
Unavailable
Facility
$333.65
No comparable office rate is available.
New Hampshire
New Hampshire · 43886
Office
Unavailable
Facility
$375.14
No comparable office rate is available.
Northern Nj
New Jersey · 43886
Office
Unavailable
Facility
$414.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43886
Office
Unavailable
Facility
$399.40
No comparable office rate is available.
New Mexico
New Mexico · 43886
Office
Unavailable
Facility
$365.82
No comparable office rate is available.
Nevada**
Nevada · 43886
Office
Unavailable
Facility
$366.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43886
Office
Unavailable
Facility
$451.33
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43886
Office
Unavailable
Facility
$405.26
No comparable office rate is available.
Queens
New York · 43886
Office
Unavailable
Facility
$433.29
No comparable office rate is available.
Rest Of New York
New York · 43886
Office
Unavailable
Facility
$351.68
No comparable office rate is available.
Ohio
Ohio · 43886
Office
Unavailable
Facility
$357.30
No comparable office rate is available.
Oklahoma
Oklahoma · 43886
Office
Unavailable
Facility
$344.34
No comparable office rate is available.
Portland
Oregon · 43886
Office
Unavailable
Facility
$384.96
No comparable office rate is available.
Rest Of Oregon
Oregon · 43886
Office
Unavailable
Facility
$360.03
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43886
Office
Unavailable
Facility
$390.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43886
Office
Unavailable
Facility
$355.66
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43886
Office
Unavailable
Facility
$374.14
No comparable office rate is available.
Rhode Island
Rhode Island · 43886
Office
Unavailable
Facility
$377.24
No comparable office rate is available.
South Carolina
South Carolina · 43886
Office
Unavailable
Facility
$352.91
No comparable office rate is available.
South Dakota**
South Dakota · 43886
Office
Unavailable
Facility
$345.92
No comparable office rate is available.
Tennessee
Tennessee · 43886
Office
Unavailable
Facility
$337.54
No comparable office rate is available.
Austin
Texas · 43886
Office
Unavailable
Facility
$378.97
No comparable office rate is available.
Beaumont
Texas · 43886
Office
Unavailable
Facility
$353.56
No comparable office rate is available.
Brazoria
Texas · 43886
Office
Unavailable
Facility
$363.44
No comparable office rate is available.
Dallas
Texas · 43886
Office
Unavailable
Facility
$367.65
No comparable office rate is available.
Fort Worth
Texas · 43886
Office
Unavailable
Facility
$366.36
No comparable office rate is available.
Galveston
Texas · 43886
Office
Unavailable
Facility
$365.74
No comparable office rate is available.
Houston
Texas · 43886
Office
Unavailable
Facility
$387.89
No comparable office rate is available.
Rest Of Texas
Texas · 43886
Office
Unavailable
Facility
$359.58
No comparable office rate is available.
Utah
Utah · 43886
Office
Unavailable
Facility
$357.75
No comparable office rate is available.
Virginia
Virginia · 43886
Office
Unavailable
Facility
$357.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43886
Office
Unavailable
Facility
$374.14
No comparable office rate is available.
Vermont
Vermont · 43886
Office
Unavailable
Facility
$350.98
No comparable office rate is available.
Rest Of Washington
Washington · 43886
Office
Unavailable
Facility
$374.67
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43886
Office
Unavailable
Facility
$414.08
No comparable office rate is available.
Wisconsin
Wisconsin · 43886
Office
Unavailable
Facility
$337.17
No comparable office rate is available.
West Virginia
West Virginia · 43886
Office
Unavailable
Facility
$366.41
No comparable office rate is available.
Wyoming**
Wyoming · 43886
Office
Unavailable
Facility
$362.25
No comparable office rate is available.
See how rates vary across the country
43886 · 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 43886 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$459.89
$418.08 × 110% = $459.89
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 43886 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
5,318
- Code
- 43886
- Physician work
- 4.52
- Practice expense
- 5.43
- Malpractice
- 1.21
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.52 | × 1.063 | 4.8048 |
| Practice expense | 5.43 | × 1.318 | 7.1567 |
| Malpractice | 1.21 | × 0.459 | 0.5554 |
| Total RVUs | 12.5169 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$418.08
Open 43886 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.52 | 1.063 |
| Practice expense | 5.43 | 1.318 |
| Malpractice | 1.21 | 0.459 |
(4.52 × 1.063 + 5.43 × 1.318 + 1.21 × 0.459) × $33.4009 = $418.08
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
43886 · 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 | $418.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $418.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $418.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $418.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $407.09 | RVU25D |
| 2025-07-01 | Not available in this setting | $407.09 | RVU25C |
| 2025-04-01 | Not available in this setting | $407.09 | RVU25B |
| 2025-01-01 | Not available in this setting | $407.09 | RVU25A |
43886 billing questions
When should I report 43886 instead of 43887?
Use 43886 when the surgeon revises the port component. Code 43887 describes removal of the port component without replacement.
How does 43886 differ from 43888?
43886 is for revision of the existing port component. Report 43888 when the port is removed and replaced.
Can I report 43886 when the surgeon revises the band or stomach?
No. This code is limited to revision of the subcutaneous port component; documentation of work on the band or gastric anatomy calls for code selection based on that broader service.
What documentation supports 43886?
The operative report should establish the open approach, identify the port component, and describe the revision performed. It should make clear whether the port was removed or replaced, which may point to a different code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. When other procedures are performed in the same session, Medicare applies its standard multiple-procedure reduction.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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.
5,31543880,,Closure gastrocolic fistula,A,,26.50,11.22,NA,11.22,,7.09,44.81,44.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31643881,,Impl/rplcmt gstr nstim eltrd,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31743882,,Rev/rmvl gstr nstim eltrd,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31843886,,Gstr rstcv px opn revj port,A,,4.52,5.43,NA,5.43,,1.21,11.16,11.16,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31943887,,Gstr rstcv px opn rmvl port,A,,4.21,4.70,NA,4.70,,1.13,10.04,10.04,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32043888,,Gstr rstcv px opn rmvl&rplc,A,,6.28,5.86,NA,5.86,,1.67,13.81,13.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32143889,,Gstr rstcv px trnsorl esg,A,,12.56,7.00,NA,7.00,,1.99,21.55,21.55,0,090,0.09,0.84,0.07,3,0,0,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00
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