No office rate
Use 43352 for the abdominal approach to esophagotomy and foreign-body removal; 43351 represents the thoracic approach.
On this page
CMS RVU26D · Effective 2026-10-01
43351 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1228.60
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.
Thoracic surgery
About 43351: Thoracic esophagotomy for foreign body
Reports open thoracic access to the esophagus to remove a foreign body when surgical extraction, rather than endoscopic retrieval, is performed.
CPT 43351 describes an open incision into the esophagus through a thoracic approach to remove a foreign body. A thoracic or general surgeon typically performs the operation in a hospital operating room when surgical access is needed to retrieve an object lodged in the esophagus. The surgeon identifies the object through the operative exposure, removes it through the esophageal opening, and closes the incision.
Select this code when the operative report documents thoracic access and removal of a foreign body; the approach distinguishes it from cervical and abdominal esophagotomy codes. The record should identify the object, its location, the surgical approach, and the extraction performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this anatomy.
CMS billing rules for 43351
- 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 RVU21.50 · 56%
- Practice expense (office) RVU11.28 · 30%
- Malpractice RVU5.41 · 14%
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.
43351 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
$433.42
43215 is flexible transoral endoscopic removal. 43351 is open removal through a thoracic esophageal incision.
The same code, a different location
How does Wyoming** compare?
43351 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 43351
Office
Unavailable
Facility
$1150.06
No comparable office rate is available.
Arkansas
Arkansas · 43351
Office
Unavailable
Facility
$1134.82
No comparable office rate is available.
Arizona
Arizona · 43351
Office
Unavailable
Facility
$1237.88
No comparable office rate is available.
Bakersfield
California · 43351
Office
Unavailable
Facility
$1254.74
No comparable office rate is available.
Chico
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
El Centro
California · 43351
Office
Unavailable
Facility
$1241.02
No comparable office rate is available.
Fresno
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Hanford-Corcoran
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Madera
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Merced
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Modesto
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Napa
California · 43351
Office
Unavailable
Facility
$1351.73
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 43351
Office
Unavailable
Facility
$1296.13
No comparable office rate is available.
Redding
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Rest Of California
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 43351
Office
Unavailable
Facility
$1298.11
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 43351
Office
Unavailable
Facility
$1279.00
No comparable office rate is available.
Salinas
California · 43351
Office
Unavailable
Facility
$1273.90
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 43351
Office
Unavailable
Facility
$1288.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 43351
Office
Unavailable
Facility
$1400.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 43351
Office
Unavailable
Facility
$1394.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 43351
Office
Unavailable
Facility
$1437.26
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 43351
Office
Unavailable
Facility
$1412.14
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 43351
Office
Unavailable
Facility
$1256.31
No comparable office rate is available.
Santa Cruz-Watsonville
California · 43351
Office
Unavailable
Facility
$1287.82
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 43351
Office
Unavailable
Facility
$1274.39
No comparable office rate is available.
Santa Rosa-Petaluma
California · 43351
Office
Unavailable
Facility
$1299.18
No comparable office rate is available.
Stockton
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Vallejo
California · 43351
Office
Unavailable
Facility
$1342.87
No comparable office rate is available.
Visalia
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Yuba City
California · 43351
Office
Unavailable
Facility
$1240.11
No comparable office rate is available.
Colorado
Colorado · 43351
Office
Unavailable
Facility
$1268.74
No comparable office rate is available.
Connecticut
Connecticut · 43351
Office
Unavailable
Facility
$1356.90
No comparable office rate is available.
Delaware
Delaware · 43351
Office
Unavailable
Facility
$1256.40
No comparable office rate is available.
Fort Lauderdale
Florida · 43351
Office
Unavailable
Facility
$1426.48
No comparable office rate is available.
Rest Of Florida
Florida · 43351
Office
Unavailable
Facility
$1349.89
No comparable office rate is available.
Atlanta
Georgia · 43351
Office
Unavailable
Facility
$1320.08
No comparable office rate is available.
Rest Of Georgia
Georgia · 43351
Office
Unavailable
Facility
$1269.58
No comparable office rate is available.
Hawaii, Guam
Hawaii · 43351
Office
Unavailable
Facility
$1251.12
No comparable office rate is available.
Iowa
Iowa · 43351
Office
Unavailable
Facility
$1134.59
No comparable office rate is available.
Idaho
Idaho · 43351
Office
Unavailable
Facility
$1150.21
No comparable office rate is available.
East St. Louis
Illinois · 43351
Office
Unavailable
Facility
$1428.67
No comparable office rate is available.
Rest Of Illinois
Illinois · 43351
Office
Unavailable
Facility
$1344.54
No comparable office rate is available.
Suburban Chicago
Illinois · 43351
Office
Unavailable
Facility
$1430.28
No comparable office rate is available.
Indiana
Indiana · 43351
Office
Unavailable
Facility
$1155.20
No comparable office rate is available.
Kansas
Kansas · 43351
Office
Unavailable
Facility
$1149.78
No comparable office rate is available.
Kentucky
Kentucky · 43351
Office
Unavailable
Facility
$1218.40
No comparable office rate is available.
New Orleans
Louisiana · 43351
Office
Unavailable
Facility
$1277.93
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 43351
Office
Unavailable
Facility
$1224.66
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 43351
Office
Unavailable
Facility
$1358.24
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 43351
Office
Unavailable
Facility
$1270.36
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 43351
Office
Unavailable
Facility
$1357.40
No comparable office rate is available.
Rest Of Maryland
Maryland · 43351
Office
Unavailable
Facility
$1272.47
No comparable office rate is available.
Rest Of Maine
Maine · 43351
Office
Unavailable
Facility
$1177.14
No comparable office rate is available.
Southern Maine
Maine · 43351
Office
Unavailable
Facility
$1205.51
No comparable office rate is available.
Detroit
Michigan · 43351
Office
Unavailable
Facility
$1386.35
No comparable office rate is available.
Rest Of Michigan
Michigan · 43351
Office
Unavailable
Facility
$1266.11
No comparable office rate is available.
Minnesota
Minnesota · 43351
Office
Unavailable
Facility
$1159.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 43351
Office
Unavailable
Facility
$1248.44
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 43351
Office
Unavailable
Facility
$1257.86
No comparable office rate is available.
Rest Of Missouri
Missouri · 43351
Office
Unavailable
Facility
$1218.89
No comparable office rate is available.
Mississippi
Mississippi · 43351
Office
Unavailable
Facility
$1176.05
No comparable office rate is available.
Montana**
Montana · 43351
Office
Unavailable
Facility
$1275.22
No comparable office rate is available.
North Carolina
North Carolina · 43351
Office
Unavailable
Facility
$1185.11
No comparable office rate is available.
North Dakota**
North Dakota · 43351
Office
Unavailable
Facility
$1168.25
No comparable office rate is available.
Nebraska
Nebraska · 43351
Office
Unavailable
Facility
$1134.17
No comparable office rate is available.
New Hampshire
New Hampshire · 43351
Office
Unavailable
Facility
$1268.44
No comparable office rate is available.
Northern Nj
New Jersey · 43351
Office
Unavailable
Facility
$1393.39
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 43351
Office
Unavailable
Facility
$1356.50
No comparable office rate is available.
New Mexico
New Mexico · 43351
Office
Unavailable
Facility
$1280.63
No comparable office rate is available.
Nevada**
Nevada · 43351
Office
Unavailable
Facility
$1245.78
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 43351
Office
Unavailable
Facility
$1547.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 43351
Office
Unavailable
Facility
$1381.63
No comparable office rate is available.
Queens
New York · 43351
Office
Unavailable
Facility
$1469.98
No comparable office rate is available.
Rest Of New York
New York · 43351
Office
Unavailable
Facility
$1203.07
No comparable office rate is available.
Ohio
Ohio · 43351
Office
Unavailable
Facility
$1244.25
No comparable office rate is available.
Oklahoma
Oklahoma · 43351
Office
Unavailable
Facility
$1194.97
No comparable office rate is available.
Portland
Oregon · 43351
Office
Unavailable
Facility
$1282.63
No comparable office rate is available.
Rest Of Oregon
Oregon · 43351
Office
Unavailable
Facility
$1220.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 43351
Office
Unavailable
Facility
$1338.83
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 43351
Office
Unavailable
Facility
$1234.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 43351
Office
Unavailable
Facility
$1277.01
No comparable office rate is available.
Rhode Island
Rhode Island · 43351
Office
Unavailable
Facility
$1282.14
No comparable office rate is available.
South Carolina
South Carolina · 43351
Office
Unavailable
Facility
$1219.84
No comparable office rate is available.
South Dakota**
South Dakota · 43351
Office
Unavailable
Facility
$1155.60
No comparable office rate is available.
Tennessee
Tennessee · 43351
Office
Unavailable
Facility
$1157.63
No comparable office rate is available.
Austin
Texas · 43351
Office
Unavailable
Facility
$1278.27
No comparable office rate is available.
Beaumont
Texas · 43351
Office
Unavailable
Facility
$1228.84
No comparable office rate is available.
Brazoria
Texas · 43351
Office
Unavailable
Facility
$1238.18
No comparable office rate is available.
Dallas
Texas · 43351
Office
Unavailable
Facility
$1254.88
No comparable office rate is available.
Fort Worth
Texas · 43351
Office
Unavailable
Facility
$1253.46
No comparable office rate is available.
Galveston
Texas · 43351
Office
Unavailable
Facility
$1247.61
No comparable office rate is available.
Houston
Texas · 43351
Office
Unavailable
Facility
$1346.63
No comparable office rate is available.
Rest Of Texas
Texas · 43351
Office
Unavailable
Facility
$1238.84
No comparable office rate is available.
Utah
Utah · 43351
Office
Unavailable
Facility
$1234.54
No comparable office rate is available.
Virginia
Virginia · 43351
Office
Unavailable
Facility
$1216.05
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 43351
Office
Unavailable
Facility
$1277.01
No comparable office rate is available.
Vermont
Vermont · 43351
Office
Unavailable
Facility
$1182.55
No comparable office rate is available.
Rest Of Washington
Washington · 43351
Office
Unavailable
Facility
$1261.70
No comparable office rate is available.
Seattle (King Cnty)
Washington · 43351
Office
Unavailable
Facility
$1363.94
No comparable office rate is available.
Wisconsin
Wisconsin · 43351
Office
Unavailable
Facility
$1134.71
No comparable office rate is available.
West Virginia
West Virginia · 43351
Office
Unavailable
Facility
$1304.11
No comparable office rate is available.
See how rates vary across the country
43351 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 43351 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1351.46
$1228.60 × 110% = $1351.46
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 43351 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,239
- Code
- 43351
- Physician work
- 21.50
- Practice expense
- 11.28
- Malpractice
- 5.41
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.50 | × 1.000 | 21.5000 |
| Practice expense | 11.28 | × 1.000 | 11.2800 |
| Malpractice | 5.41 | × 0.740 | 4.0034 |
| Total RVUs | 36.7834 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1228.60
Open 43351 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.5 | 1 |
| Practice expense | 11.28 | 1 |
| Malpractice | 5.41 | 0.74 |
(21.5 × 1 + 11.28 × 1 + 5.41 × 0.74) × $33.4009 = $1228.60
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
43351 · 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 | $1228.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $1228.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $1228.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $1228.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $1230.16 | RVU25D |
| 2025-07-01 | Not available in this setting | $1230.16 | RVU25C |
| 2025-04-01 | Not available in this setting | $1230.16 | RVU25B |
| 2025-01-01 | Not available in this setting | $1230.16 | RVU25A |
43351 billing questions
How is 43351 distinguished from 43350 and 43352?
Choose 43351 when the esophageal incision and foreign-body removal use a thoracic approach. Codes 43350 and 43352 represent cervical and abdominal approaches, respectively.
When would 43215 be reported instead?
43215 describes flexible transoral esophagoscopy with foreign-body removal. Use 43351 for open removal through a thoracic esophageal incision, not endoscopic retrieval.
What documentation supports 43351?
Document the foreign body and its esophageal location, the thoracic operative approach, and the removal through an esophageal incision.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
5,23643338,,Esoph lengthening,A,,2.15,0.42,NA,0.42,,0.53,3.10,3.10,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23743340,,Fuse esophagus & intestine,A,,22.42,10.27,NA,10.27,,6.00,38.69,38.69,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23843341,,Fuse esophagus & intestine,A,,23.62,10.47,NA,10.47,,5.96,40.05,40.05,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23943351,,Surgical opening esophagus,A,,21.50,11.28,NA,11.28,,5.41,38.19,38.19,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24043352,,Surgical opening esophagus,A,,17.36,9.24,NA,9.24,,4.36,30.96,30.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24143360,,Gastrointestinal repair,A,,39.11,14.54,NA,14.54,,9.87,63.52,63.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,24243361,,Gastrointestinal repair,A,,44.54,18.60,NA,18.60,,11.94,75.08,75.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,