No office rate
43752 covers nasal or oral gastric tube placement for purposes such as decompression or feeding. Choose 43753 for therapeutic gastric intubation and aspiration requiring fluoroscopic guidance.
On this page
CMS RVU26D · Effective 2026-10-01
43752 Gastric tube placement Medicare reimbursement rates in Pennsylvania
Reports placement of a tube through the nose or mouth into the stomach, with aspiration, for purposes such as decompression, lavage, or feeding. Compare 43752 office and facility rates across CMS payment localities in Pennsylvania.
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 43752 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$33.83–$35.66
2 of 2 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.
Gastrointestinal procedure
About 43752: Nasogastric or orogastric tube placement
Reports placement of a tube through the nose or mouth into the stomach, with aspiration, for purposes such as decompression, lavage, or feeding.
A clinician passes a tube through the nose or mouth into the stomach and may aspirate gastric contents. Common situations include relieving gastric distention by decompression, performing lavage, or establishing temporary access for feeding. The service is most often performed in a hospital or emergency department, though it can occur in an office setting. The key distinction is placement of a nasal or oral gastric tube, rather than sampling through a tube for a specified diagnostic test or repositioning an existing gastrostomy tube.
Report the service when the tube is placed and the documented purpose and route support gastric intubation. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted. Documentation should identify the route, placement, clinical purpose, and any aspiration performed.
CMS billing rules for 43752
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU0.79 · 77%
- Practice expense (office) RVU0.15 · 15%
- Malpractice RVU0.09 · 9%
7.6K
Medicare services in 2024 · #1618 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.
43752 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$312.83–$353.49
43754 is for diagnostic gastric aspiration with a single specimen. Use 43752 when the service is gastric tube placement rather than a single-specimen diagnostic intubation.
$208.65–$233.41
43755 is for diagnostic gastric aspiration involving multiple specimens. It is distinct from placement for decompression, lavage, or feeding reported with 43752.
$118.46–$127.87
43761 repositions an existing gastrostomy tube. Code 43752 concerns placement of a tube through the nose or mouth into the stomach.
Compare 43752 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$35.66
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$33.83
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.
43752 billing questions
When should this code be used instead of 43753?
Use 43752 for nasal or oral gastric tube placement for purposes such as decompression, lavage, or feeding. Code 43753 describes therapeutic gastric intubation and aspiration requiring fluoroscopic guidance.
Is tube insertion separately billable?
No. Insertion of the nasal or oral tube is part of this service; do not report a separate charge for that insertion.
What should the procedure note include?
Document the nasal or oral route, that the tube was placed into the stomach, the clinical purpose, and whether gastric contents were aspirated.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate for this service.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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.
5,28043652,,Laparoscopy vagus nerve,A,,11.83,6.94,NA,6.94,,3.16,21.93,21.93,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28143653,,Laparoscopy gastrostomy,A,,8.27,6.49,NA,6.49,,2.16,16.92,16.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28243659,,Unlisted laps px stomach,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28343752,,Nasal/orogastric w/tube plmt,A,,0.79,0.15,NA,0.15,,0.09,1.03,1.03,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28443753,,Tx gastro intub w/asp,A,,0.44,0.09,NA,0.09,,0.08,0.61,0.61,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28543754,,Dx gastr intub w/asp spec,A,,0.44,9.61,,0.88,,0.11,10.16,1.43,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28643755,,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