No office rate
Both codes describe esophagoenterostomy; select 43341 for the intrathoracic approach and 43340 for the cervical approach.
On this page
CMS RVU26D · Effective 2026-10-01
43341 Esophageal anastomosis Medicare reimbursement rates in Tennessee
Reports reconstruction connecting the esophagus to intestine through an intrathoracic approach, commonly after esophageal resection when intestinal tissue is used. Compare 43341 office and facility rates across CMS payment localities in Tennessee.
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 43341 in Tennessee?
Tennessee 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
$1213.71
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 43341: Intrathoracic esophagoenterostomy
Reports reconstruction connecting the esophagus to intestine through an intrathoracic approach, commonly after esophageal resection when intestinal tissue is used.
This operation joins the esophagus to an intestinal segment through an intrathoracic approach to restore digestive continuity. A surgeon may perform it during reconstruction after esophageal resection when the stomach is not used for the connection. The operative report should make clear that intestine was joined to the esophagus and identify the thoracic route; a cervical approach is reported with 43340 instead.
Report one unit for the documented reconstruction, with the operative note supporting the anastomosis, tissues joined, and approach. CMS assigns 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, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43341
- 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 RVU23.62 · 59%
- Practice expense (office) RVU10.47 · 26%
- Malpractice RVU5.96 · 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.
43341 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
43320 connects the esophagus to the stomach. Use 43341 when intestine, rather than the stomach, is joined to the esophagus.
No office rate
43325 describes revision involving an esophagus-to-stomach connection. It is not the code for creating an intrathoracic esophagus-to-intestine anastomosis.
Compare 43341 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1213.71
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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 43341 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
5,238
- Code
- 43341
- Physician work
- 23.62
- Practice expense
- 10.47
- Malpractice
- 5.96
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.62 | × 1.000 | 23.6200 |
| Practice expense | 10.47 | × 0.909 | 9.5172 |
| Malpractice | 5.96 | × 0.537 | 3.2005 |
| Total RVUs | 36.3377 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1213.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.62 | 1 |
| Practice expense | 10.47 | 0.909 |
| Malpractice | 5.96 | 0.537 |
(23.62 × 1 + 10.47 × 0.909 + 5.96 × 0.537) × $33.4009 = $1213.71
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.
43341 billing questions
How is 43341 distinguished from 43340?
43341 describes the intrathoracic approach. Use 43340 when the esophagoenteric anastomosis is performed through a cervical approach.
When would an esophagogastrostomy code be used instead?
Use an esophagogastrostomy code when the esophagus is joined to the stomach. 43341 is for a connection to intestine.
What operative documentation supports 43341?
Document the intestinal tissue joined to the esophagus, the completed anastomosis, and the intrathoracic approach. The record should distinguish this reconstruction from a cervical approach or a stomach-based connection.
Does the procedure have a global period?
Yes. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
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.
5,23543337,,Thorabd diaphr hern repair,A,,26.96,9.70,NA,9.70,,6.78,43.44,43.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,23643338,,Esoph lengthening,A,,2.15,0.42,NA,0.42,,0.53,3.10,3.10,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780