CPT code 43341: Esophageal anastomosis2026 Medicare rate & RVUs in Connecticut
Reports reconstruction connecting the esophagus to intestine through an intrathoracic approach, commonly after esophageal resection when intestinal tissue is used.
CMS doesn’t publish an office rate for 43341 in Connecticut.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 43341 covers
This operation joins the esophagus to an intestinal segment through an intrathoracic approach to restore digestive continuity. A surgeon may perform it during reconstruction after esophageal resection when the stomach is not used for the connection. The operative report should make clear that intestine was joined to the esophagus and identify the thoracic route; a cervical approach is reported with 43340 instead.
Report one unit for the documented reconstruction, with the operative note supporting the anastomosis, tissues joined, and approach. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. 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.
43341 in Connecticut
| Payment locality | Office | Facility |
|---|---|---|
| Connecticut | Unavailable | $1,422.22 |
How the 43341 rate is calculated
Each of 43341’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.
How the rate is built · 43341
RVUs × geographic indexes × conversion factor
Work23.62
23.62 RVUs× 1.000 GPCI
Practice expense10.47
10.47 RVUs× 1.000 GPCI
Malpractice5.96
5.96 RVUs× 1.000 GPCI
Adjusted RVUs
40.0500
Conversion factor
$33.4009
Medicare rate
$1,337.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 43341
43341 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43341
Esophageal anastomosis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 43341
Esophageal anastomosis
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
43341 without 51 · national facility
$1,337.71
Esophageal anastomosis
43341-51 · Second procedure: 50%
$668.86
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
43341 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 43340Esophageal reconstruction
- Both codes describe esophagoenterostomy; select 43341 for the intrathoracic approach and 43340 for the cervical approach.
- 43320Esophageal reconstruction
- 43320 connects the esophagus to the stomach. Use 43341 when intestine, rather than the stomach, is joined to the esophagus.
- 43325Anastomosis revision
- 43325 describes revision involving an esophagus-to-stomach connection. It is not the code for creating an intrathoracic esophagus-to-intestine anastomosis.
43341 billing questions
How is 43341 distinguished from 43340?
43341 describes the intrathoracic approach. Use 43340 when the esophagoenteric anastomosis is performed through a cervical approach.
When would an esophagogastrostomy code be used instead?
Use an esophagogastrostomy code when the esophagus is joined to the stomach. 43341 is for a connection to intestine.
What operative documentation supports 43341?
Document the intestinal tissue joined to the esophagus, the completed anastomosis, and the intrathoracic approach. The record should distinguish this reconstruction from a cervical approach or a stomach-based connection.
Does the procedure have a global period?
Yes. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
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
Show the CMS file lines behind this rate
Fee sheets
Put 43341 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →