No office rate
Both codes describe esophagotomy services. Use the code matching the operative approach documented in the full descriptor; 43352 represents the thoracic approach.
On this page
CMS RVU26D · Effective 2026-10-01
43352 Esophagotomy Medicare reimbursement rates in Kansas
Reports an operative thoracic opening of the esophagus, commonly to reach and remove an obstructing foreign body through a chest approach. Compare 43352 office and facility rates across CMS payment localities in Kansas.
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 43352 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$932.23
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Esophageal surgery
About 43352: Thoracic esophageal incision
Reports an operative thoracic opening of the esophagus, commonly to reach and remove an obstructing foreign body through a chest approach.
This service involves opening the esophagus through a thoracic operative approach to access its lumen, commonly for removal of a foreign body. A surgeon performs it in an operating room, typically when endoscopic retrieval is unsuitable or unsuccessful, or when the clinical situation requires direct operative access. The operative report should establish the thoracic approach and describe the esophageal incision and the work performed through it.
Report 43352 for the thoracic esophagotomy rather than a code for esophageal repair or reconstruction. The code has 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, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 43352
- 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 RVU17.36 · 56%
- Practice expense (office) RVU9.24 · 30%
- Malpractice RVU4.36 · 14%
37
Medicare services in 2024 · #5538 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.
43352 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
43300 is an esophageal repair service. Choose it when the operative work is repair, not the thoracic esophageal opening reported with 43352.
No office rate
43310 describes another esophageal repair service. The operative objective distinguishes it from the esophagotomy represented by 43352.
Compare 43352 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$932.23
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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 43352 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,240
- Code
- 43352
- Physician work
- 17.36
- Practice expense
- 9.24
- Malpractice
- 4.36
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.36 | × 1.000 | 17.3600 |
| Practice expense | 9.24 | × 0.904 | 8.3530 |
| Malpractice | 4.36 | × 0.504 | 2.1974 |
| Total RVUs | 27.9104 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$932.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.36 | 1 |
| Practice expense | 9.24 | 0.904 |
| Malpractice | 4.36 | 0.504 |
(17.36 × 1 + 9.24 × 0.904 + 4.36 × 0.504) × $33.4009 = $932.23
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.
43352 billing questions
How is 43352 distinguished from 43351?
These are neighboring esophagotomy codes; select based on the operative approach documented in the full code descriptors. The operative report should make clear that the esophagus was opened through a thoracic approach for 43352.
When should a repair code be used instead?
Use an esophageal repair code when the procedure repairs an esophageal defect or injury rather than performing the thoracic esophagotomy represented by 43352. The operative report should support the actual work performed.
Is modifier 50 appropriate?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
5,23743340,,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
5,24343400,,Ligate esophagus veins,A,,24.96,10.89,NA,10.89,,6.67,42.52,42.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958