Billing code 43112: EsophagectomyMedicare rate & RVUs in Delaware
Open total esophagectomy with thoracic gastric reconstruction is reported when the esophagus is removed through thoracotomy and continuity is restored in the chest.
CMS doesn’t publish an office rate for 43112 in Delaware.
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 43112 covers
This service involves removing the esophagus through an open chest approach and connecting the remaining esophagus to the stomach in the thorax. The operation may include removal of the proximal stomach. Thoracic surgeons and surgical oncologists commonly perform it in the operating room for esophageal cancer and other conditions requiring total esophageal resection.
Report this code when the operative record supports total esophagectomy through thoracotomy and a thoracic esophagogastric connection; document the resection extent, approach, anastomosis location, and any proximal gastrectomy. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid, and co-surgeons are permitted; 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.
43112 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $3,149.44 |
How the 43112 rate is calculated
Each of 43112’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 · 43112
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 60.45Practice expense 20.08Malpractice 15.24
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 43112
43112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 43112
Esophagectomy
| 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) | 2 | Permitted. |
| 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 · 43112
Esophagectomy
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
43112 without 51 · national facility
$3,198.80
Esophagectomy
43112-51 · Second procedure: 50%
$1,599.40
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%).
43112 compared with similar codes
Compare codes
43112 vs 43113 vs 43124 vs 43117: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 43113Esophagectomy
- Choose 43112 when the esophagogastric anastomosis is in the thorax; 43113 describes a cervical anastomosis after thoracotomy.
- 43124Esophagectomy
- 43124 describes total or near-total esophagectomy without thoracotomy and with a cervical anastomosis, rather than the thoracic approach and connection in 43112.
- 43117Partial esophagectomy
- 43117 describes partial esophagectomy through thoracotomy. Report 43112 when the operative extent is total esophagectomy and the gastric connection is thoracic.
43112 billing questions
How does this differ from 43113?
Both describe total esophagectomy through thoracotomy, but 43112 has the gastric connection in the chest. 43113 is used when the connection is made in the neck.
When would 43124 be considered instead?
43124 describes total or near-total esophagectomy without thoracotomy, with a cervical esophagogastric connection. Use the operative approach and anastomosis location to distinguish it from 43112.
What operative details support reporting 43112?
The note should establish total esophageal resection, use of a thoracotomy, and a thoracic esophagogastric anastomosis. Document whether proximal gastrectomy was also performed.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this service. Team surgery is not permitted.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
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
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