Billing code 63043Medicare rate & RVUs in Texas

Compare 63043 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20268 payment localities67 Medicare services in 2024

CMS doesn’t publish an office rate for 63043 in Texas.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 63043 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Texas
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

Where 63043 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

63043 office and facility rates by payment locality
Payment localityOfficeFacility
AustinUnavailableUnavailable
BeaumontUnavailableUnavailable
BrazoriaUnavailableUnavailable
DallasUnavailableUnavailable
Fort WorthUnavailableUnavailable
GalvestonUnavailableUnavailable
HoustonUnavailableUnavailable
Rest Of TexasUnavailableUnavailable

How the 63043 rate is calculated

Each of 63043’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 63043

RVUs × geographic indexes × conversion factor

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 63043

The CMS indicators that decide how 63043 is paid alongside other services.

CMS payment indicators · 63043

Code 63043

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

63043 without 50 · national facility

$0.00

63043-50 · Bilateral: 150%

$0.00

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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