No office rate
Choose 43832 when the open operation includes construction of a gastric tube. Choose 43830 when that construction is not performed.
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CMS RVU26D · Effective 2026-10-01
43832 Open gastrostomy Medicare reimbursement rates in Kentucky
Reports open abdominal gastrostomy in which the surgeon constructs a gastric tube, commonly to establish durable access for feeding or drainage. Compare 43832 office and facility rates across CMS payment localities in Kentucky.
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 43832 in Kentucky?
Kentucky 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
$943.05
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Gastrointestinal surgery
About 43832: Open gastrostomy with gastric tube construction
Reports open abdominal gastrostomy in which the surgeon constructs a gastric tube, commonly to establish durable access for feeding or drainage.
A surgeon performs this operation through an abdominal incision, bringing part of the stomach to the abdominal wall and constructing a tube-like channel from gastric tissue. It may be chosen when a patient needs durable access for enteral feeding or gastric drainage and an open approach is performed. General surgeons and pediatric surgeons typically perform the procedure in an operating room; the neonatal service has a separate code.
Report this code when the operative note supports both an open approach and construction of the gastric tube. The construction is part of the reported operation, not a separate service. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43832
- 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 RVU16.91 · 57%
- Practice expense (office) RVU8.23 · 28%
- Malpractice RVU4.38 · 15%
340
Medicare services in 2024 · #3885 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.
43832 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
43831 is the neonatal open gastrostomy code. This code is for the non-neonatal service when a gastric tube is constructed.
No office rate
43653 describes laparoscopic gastrostomy. This code describes an open operation with gastric tube construction.
$715.34
49440 describes percutaneous, image-guided gastrostomy tube placement; this code represents an open surgical approach with gastric tube construction.
Compare 43832 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$943.05
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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 43832 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,304
- Code
- 43832
- Physician work
- 16.91
- Practice expense
- 8.23
- Malpractice
- 4.38
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.91 | × 1.000 | 16.9100 |
| Practice expense | 8.23 | × 0.889 | 7.3165 |
| Malpractice | 4.38 | × 0.915 | 4.0077 |
| Total RVUs | 28.2342 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$943.05
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.91 | 1 |
| Practice expense | 8.23 | 0.889 |
| Malpractice | 4.38 | 0.915 |
(16.91 × 1 + 8.23 × 0.889 + 4.38 × 0.915) × $33.4009 = $943.05
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.
43832 billing questions
How does this differ from 43830?
Both describe open gastrostomy, but 43832 requires construction of a gastric tube. Use 43830 when the open procedure is performed without that construction.
What operative documentation supports 43832?
The operative report should establish the open approach and describe construction of the gastric tube, along with the clinical purpose, such as feeding access or drainage.
Can the gastric tube construction be billed separately?
No. The construction is included in this gastrostomy service; it is not a separately reported component.
Does modifier 50 apply to this code?
No. CMS identifies bilateral adjustment as inappropriate for this procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided.
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.
5,30143825,,Gastrojejunostomy w/vagotomy,A,,21.22,9.94,NA,9.94,,5.68,36.84,36.84,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,30243830,,Gstrst open wo constj tube,A,,10.58,6.98,NA,6.98,,2.68,20.24,20.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,30343831,,Gastrostomy open neonatal,A,,8.28,7.45,NA,7.45,,2.20,17.93,17.93,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,30443832,,Gstrst open w/constj tube,A,,16.91,8.23,NA,8.23,,4.38,29.52,29.52,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,30543840,,Gstrrphy sutr duol/gstr ulcr,A,,22.26,10.11,NA,10.11,,5.73,38.10,38.10,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,30643842,,Gstr rstcv px v-banded gstp,N,+,20.50,7.80,NA,7.80,,2.19,30.49,30.49,9,090,0.09,0.81,0.10,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,30743843,,Gstr rstcv oth/thn v-band,A,,20.68,9.91,NA,9.91,,5.53,36.12,36.12,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631