$264.05–$289.83
43761 keeps and repositions the existing tube under fluoroscopy. 43762 is for replacing the tube without revising the gastrostomy tract.
On this page
CMS RVU26D · Effective 2026-10-01
43761 G-tube repositioning Medicare reimbursement rates in Florida
Report this service when a clinician uses fluoroscopy to move an existing gastrostomy tube back into position without replacing the tube. Compare 43761 office and facility rates across CMS payment localities in Florida.
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.
What does Medicare pay for 43761 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$125.50–$139.19
3 of 3 localities have a supported rate.
Facility setting
$92.61–$103.37
3 of 3 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 43761 pays more and less in Florida
3 payment localities
$125.50 to $139.19
Gastrostomy procedures
About 43761: Fluoroscopic repositioning of gastrostomy tube
Report this service when a clinician uses fluoroscopy to move an existing gastrostomy tube back into position without replacing the tube.
This procedure corrects the position of a gastrostomy tube that remains in place but has shifted from its intended location. A physician, often an interventional radiologist or surgeon, manipulates the existing tube through the gastrostomy tract under fluoroscopic guidance and confirms its final position. The service includes contrast injection, image documentation, and a report.
Report 43761 when the existing tube is repositioned rather than exchanged. The procedure note should describe the tube’s initial position, the manipulation performed, and confirmation of its final position. Contrast imaging performed as part of the repositioning is included. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the standard reduction pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery and does not permit co-surgeons or team surgery for this code.
CMS billing rules for 43761
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.96 · 53%
- Practice expense (office) RVU1.44 · 39%
- Malpractice RVU0.28 · 8%
1.1K
Medicare services in 2024 · #2916 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.
43761 compared with similar codes
Office rates for Florida, from the same CMS release.
$363.16–$399.73
Choose 43763 when tube replacement requires revision of the gastrostomy tract. Moving the existing tube back into position is 43761.
$126.19–$137.42
49465 is a contrast study to evaluate an existing tube. When fluoroscopic imaging accompanies actual repositioning of the gastrostomy tube, it is included in 43761.
Compare 43761 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$131.10
Facility
$96.25
Miami →
Office / nonfacility
$139.19
Facility
$103.37
Rest Of Florida →
Office / nonfacility
$125.50
Facility
$92.61
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43761 billing questions
When should 43761 be reported instead of 43762?
Use 43761 when the existing gastrostomy tube is moved back into position under fluoroscopy. Use 43762 when the tube is replaced without revision of the gastrostomy tract.
Does contrast imaging during repositioning need a separate code?
No. Contrast injection, image documentation, and the report are included in 43761 when performed as part of fluoroscopic repositioning.
What documentation supports 43761?
The report should identify the tube’s starting position, describe how the existing tube was repositioned, and document confirmation of its final position.
How does the global period affect same-day care?
The 0-day global period includes same-day preoperative and postoperative care associated with the repositioning.
How is 43761 paid with another procedure in the same session?
The standard multiple-procedure reduction applies: the highest-valued procedure is paid in full and other procedures at 50%.
Can modifier 50 or surgical-team billing be used?
Modifier 50 is inappropriate for gastrostomy tube repositioning. Medicare does not pay for an assistant at surgery and does not permit co-surgeons or team surgery for 43761.
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.
5,28643755,,Dx gastr intub w/asp specs,A,,0.92,5.71,,0.64,,0.09,6.72,1.65,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28743756,,Dx duod intub w/asp spec,A,,0.75,8.26,,0.59,,0.07,9.08,1.41,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28843757,,Dx duod intub w/asp specs,A,,1.23,10.84,,0.73,,0.14,12.21,2.10,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28943761,,Reposition gastrostomy tube,A,,1.96,1.44,,0.41,,0.28,3.68,2.65,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29043762,,Rplc gtube no revj trc,A,,0.73,7.27,,0.15,,0.15,8.15,1.03,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29143763,,Rplc gtube revj gstrst trc,A,,1.37,9.50,,0.84,,0.28,11.15,2.49,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,29243770,,Lap place gastr adj device,A,,17.55,9.75,NA,9.75,,4.70,32.00,32.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00