$1,457.06
Use G0341 for the percutaneous route; G0343 identifies transplantation performed through an open laparotomy.
On this page
CMS RVU26D · Effective 2026-10-01
G0343 Islet transplant Medicare reimbursement rates in Nebraska
Reports transplantation of prepared pancreatic islet cells performed through an open laparotomy, rather than through a percutaneous or laparoscopic approach. Compare G0343 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 G0343 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
$1031.33
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.
Transplant surgery
About G0343: Open laparotomy islet cell transplant
Reports transplantation of prepared pancreatic islet cells performed through an open laparotomy, rather than through a percutaneous or laparoscopic approach.
G0343 represents transplantation of prepared pancreatic islet cells performed through an open abdominal incision. It is used when the surgeon accesses the abdomen by laparotomy to carry out the transplant, including in settings where islet transplantation accompanies surgery for chronic pancreatitis. The procedure is performed by a surgeon involved in pancreatic or transplant surgery, typically in an operating room. The operative report should establish that islet cells were transplanted and that the approach was open, rather than percutaneous or laparoscopic.
Select this code by the transplant approach, not by the number of cells or the underlying diagnosis. Document the operative route and the transplant work; when pancreatectomy is also performed, make clear whether the reported service represents the transplant alone or a combined procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for G0343
- 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 RVU19.35 · 55%
- Practice expense (office) RVU10.38 · 30%
- Malpractice RVU5.15 · 15%
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.
G0343 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Use G0342 when the transplant is performed laparoscopically. G0343 is for open abdominal access.
48160
No office ratePancreas removal/transplant
Consider 48160 for pancreatectomy performed with autologous islet transplantation as a combined procedure; G0343 identifies the open transplant service.
Compare G0343 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
$1031.33
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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 G0343 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
15,210
- Code
- G0343
- Physician work
- 19.35
- Practice expense
- 10.38
- Malpractice
- 5.15
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.35 | × 1.000 | 19.3500 |
| Practice expense | 10.38 | × 0.923 | 9.5807 |
| Malpractice | 5.15 | × 0.378 | 1.9467 |
| Total RVUs | 30.8774 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1031.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.35 | 1 |
| Practice expense | 10.38 | 0.923 |
| Malpractice | 5.15 | 0.378 |
(19.35 × 1 + 10.38 × 0.923 + 5.15 × 0.378) × $33.4009 = $1031.33
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.
G0343 billing questions
How is G0343 distinguished from G0342?
G0343 is for islet transplantation through an open laparotomy. G0342 identifies the laparoscopic approach.
When should G0341 be considered instead?
G0341 is the percutaneous approach in this islet-transplant code family. Choose based on the documented access route.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction. The operative record should support each separately reported service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this service.
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.
15,207G0340,,Robt lin-radsurg fractx 2-5,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,208G0341,,Percutaneous islet celltrans,A,,6.81,39.52,,0.80,,0.89,47.22,8.50,0,000,0.00,0.00,0.00,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,209G0342,,Laparoscopy islet cell trans,A,,11.62,6.79,NA,6.79,,3.10,21.51,21.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,210G0343,,Laparotomy islet cell transp,A,,19.35,10.38,NA,10.38,,5.15,34.88,34.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,211G0372,,Md service required for pmd,A,,0.17,0.10,,0.05,,0.01,0.28,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,212G0378,,Hospital observation per hr,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,213G0379,,Direct refer hospital observ,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,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