No office rate
Both describe esophagogastric fundoplasty. Code 43327 is selected for the laparoscopic approach; code 43320 is the related nonlaparoscopic service.
On this page
CMS RVU26D · Effective 2026-10-01
43327 Fundoplasty Medicare reimbursement rates in Nebraska
Reports laparoscopic wrapping of the stomach fundus around the distal esophagus as an antireflux operation, such as a Nissen or Toupet procedure. Compare 43327 office and facility rates across CMS payment localities in Nebraska.
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 43327 in Nebraska?
Nebraska 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
$700.66
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
General surgery
About 43327: Laparoscopic esophagogastric fundoplasty
Reports laparoscopic wrapping of the stomach fundus around the distal esophagus as an antireflux operation, such as a Nissen or Toupet procedure.
The surgeon uses laparoscopic access to mobilize the stomach fundus and wrap it around the lower esophagus, reinforcing the barrier against reflux. A complete Nissen wrap and a partial Toupet wrap are familiar examples. General or foregut surgeons typically perform the operation in a hospital operating room for patients undergoing surgical treatment of gastroesophageal reflux; it may also be part of an operation addressing a hiatal hernia.
Select this code when the operative report supports laparoscopic fundoplasty, rather than an open or thoracic approach. Documentation should describe the approach and the fundal wrap performed; record any associated hernia work so the applicable code selection can be evaluated. Medicare assigns 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% multiple procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43327
- 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 RVU13.02 · 55%
- Practice expense (office) RVU7.20 · 30%
- Malpractice RVU3.47 · 15%
57
Medicare services in 2024 · #5271 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.
43327 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
This related fundoplasty code identifies a service involving hiatal hernia repair. Use the code whose descriptor matches the operative work, rather than choosing by the wrap alone.
No office rate
Both are fundoplasty procedures, but 43328 uses a thoracic approach; 43327 identifies laparoscopic access.
Compare 43327 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$700.66
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 43327 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
5,226
- Code
- 43327
- Physician work
- 13.02
- Practice expense
- 7.20
- Malpractice
- 3.47
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.02 | × 1.000 | 13.0200 |
| Practice expense | 7.20 | × 0.923 | 6.6456 |
| Malpractice | 3.47 | × 0.378 | 1.3117 |
| Total RVUs | 20.9773 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$700.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.02 | 1 |
| Practice expense | 7.2 | 0.923 |
| Malpractice | 3.47 | 0.378 |
(13.02 × 1 + 7.2 × 0.923 + 3.47 × 0.378) × $33.4009 = $700.66
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.
43327 billing questions
How does this differ from code 43328?
Code 43327 describes the laparoscopic approach. Code 43328 is the thoracic-approach fundoplasty; the operative report should establish which route the surgeon used.
When should I compare this with code 43320?
Both describe esophagogastric fundoplasty, but 43327 identifies laparoscopic access. Review the documented approach before selecting between them.
Does a hiatal hernia repair change code selection?
Document the hernia repair and the fundoplasty performed. Compare the operative service with the applicable fundoplasty code, including 43325 when its descriptor fits the documented work.
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 made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction when performed in the same session.
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.
5,22343314,,Tracheo-esophagoplasty cong,A,,52.09,19.92,NA,19.92,,13.96,85.97,85.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,22443320,,Fuse esophagus & stomach,A,,22.73,10.35,NA,10.35,,6.08,39.16,39.16,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,22543325,,Revise esophagus & stomach,A,,22.04,10.18,NA,10.18,,5.89,38.11,38.11,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,22643327,,Esoph fundoplasty lap,A,,13.02,7.20,NA,7.20,,3.47,23.69,23.69,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,22743328,,Esoph fundoplasty thor,A,,19.41,7.48,NA,7.48,,4.88,31.77,31.77,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,22843330,,Esophagomyotomy abdominal,A,,21.64,10.08,NA,10.08,,5.77,37.49,37.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,22943331,,Esophagomyotomy thoracic,A,,22.48,10.25,NA,10.25,,5.66,38.39,38.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068