No office rate
Choose 43886 for revision of the existing port component; choose 43887 when the port component is removed without replacement.
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CMS RVU26D · Effective 2026-10-01
43886 Port revision Medicare reimbursement rates in Texas
Reports open revision confined to the implanted subcutaneous port of a gastric restrictive procedure, without revising the band or stomach. Compare 43886 office and facility rates across CMS payment localities in Texas.
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 43886 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 43886 pays more and less in Texas
Bariatric surgery
About 43886: Open gastric band port revision
Reports open revision confined to the implanted subcutaneous port of a gastric restrictive procedure, without revising the band or stomach.
This service addresses a problem with the subcutaneous access port used for an adjustable gastric band, such as a port that has shifted or cannot be accessed as intended. The surgeon exposes the port through an open incision and revises the port component; the work is limited to that component rather than revision of the band or gastric anatomy. It may be performed in a hospital or other surgical setting by a surgeon managing the patient’s bariatric procedure.
Report this code when the operative documentation supports an open approach and revision limited to the subcutaneous port. Distinguish it from removal alone, removal with replacement, and a broader revision of the gastric restrictive procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur 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 43886
- 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 RVU4.52 · 41%
- Practice expense (office) RVU5.43 · 49%
- Malpractice RVU1.21 · 11%
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.
43886 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
43888 covers removal and replacement of the port component. 43886 describes revision of the port component, not that removal-and-replacement service.
No office rate
43848 describes a broader open revision of a gastric restrictive procedure. Use 43886 when the operative work is confined to the subcutaneous port.
No office rate
Both concern revision of an adjustable gastric band component, but 43771 is laparoscopic; 43886 is for open revision limited to the subcutaneous port.
Compare 43886 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $378.97 |
| Beaumont | Office Unavailable | Facility $353.56 |
| Brazoria | Office Unavailable | Facility $363.44 |
| Dallas | Office Unavailable | Facility $367.65 |
| Fort Worth | Office Unavailable | Facility $366.36 |
| Galveston | Office Unavailable | Facility $365.74 |
| Houston | Office Unavailable | Facility $387.89 |
| Rest Of Texas | Office Unavailable | Facility $359.58 |
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43886 billing questions
When should I report 43886 instead of 43887?
Use 43886 when the surgeon revises the port component. Code 43887 describes removal of the port component without replacement.
How does 43886 differ from 43888?
43886 is for revision of the existing port component. Report 43888 when the port is removed and replaced.
Can I report 43886 when the surgeon revises the band or stomach?
No. This code is limited to revision of the subcutaneous port component; documentation of work on the band or gastric anatomy calls for code selection based on that broader service.
What documentation supports 43886?
The operative report should establish the open approach, identify the port component, and describe the revision performed. It should make clear whether the port was removed or replaced, which may point to a different code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. When other procedures are performed in the same session, Medicare applies its standard multiple-procedure reduction.
May 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.
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.
5,31543880,,Closure gastrocolic fistula,A,,26.50,11.22,NA,11.22,,7.09,44.81,44.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31643881,,Impl/rplcmt gstr nstim eltrd,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31743882,,Rev/rmvl gstr nstim eltrd,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31843886,,Gstr rstcv px opn revj port,A,,4.52,5.43,NA,5.43,,1.21,11.16,11.16,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,31943887,,Gstr rstcv px opn rmvl port,A,,4.21,4.70,NA,4.70,,1.13,10.04,10.04,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32043888,,Gstr rstcv px opn rmvl&rplc,A,,6.28,5.86,NA,5.86,,1.67,13.81,13.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32143889,,Gstr rstcv px trnsorl esg,A,,12.56,7.00,NA,7.00,,1.99,21.55,21.55,0,090,0.09,0.84,0.07,3,0,0,0,0,9,43235,33.4009,09,0,99,0.00,0.00,0.00