$214.36
Both describe diagnostic gastric sampling; choose 43754 for one specimen and 43755 when multiple specimens are collected.
On this page
CMS RVU26D · Effective 2026-10-01
43754 Gastric aspiration Medicare reimbursement rates in Wisconsin
Reports diagnostic gastric intubation with aspiration and collection of one specimen for analysis, rather than tube placement alone or therapeutic aspiration. Compare 43754 office and facility rates across CMS payment localities in Wisconsin.
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 43754 in Wisconsin?
Wisconsin 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
$323.33
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$43.99
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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.
Gastrointestinal procedure
About 43754: Diagnostic gastric aspiration, one specimen
Reports diagnostic gastric intubation with aspiration and collection of one specimen for analysis, rather than tube placement alone or therapeutic aspiration.
A clinician passes a tube into the stomach and aspirates gastric contents to obtain one specimen for diagnostic analysis. The service may be performed in a hospital or another setting where gastric sampling is clinically indicated. It is distinct from placing a gastric tube without diagnostic aspiration and from using intubation and aspiration for treatment.
Report this code when the documented service includes diagnostic gastric aspiration and collection of a single specimen. Documentation should identify the gastric sampling and the specimen collected; when multiple specimens are obtained, the corresponding multiple-specimen code is the relevant comparison. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 43754
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.44 · 4%
- Practice expense (office) RVU9.61 · 95%
- Malpractice RVU0.11 · 1%
34
Medicare services in 2024 · #5583 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.
43754 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
43752 represents gastric tube placement. This code requires diagnostic aspiration and collection of a gastric specimen.
No office rate
43753 is therapeutic gastric intubation and aspiration; this code is for diagnostic sampling of one specimen.
$290.07
43756 is diagnostic sampling from the duodenum. This code is for a single gastric specimen.
Compare 43754 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
Wisconsin →
Office / nonfacility
$323.33
Facility
$43.99
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.
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 43754 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
5,285
- Code
- 43754
- Physician work
- 0.44
- Practice expense
- 9.61
- Malpractice
- 0.11
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.000 | 0.4400 |
| Practice expense | 9.61 | × 0.958 | 9.2064 |
| Malpractice | 0.11 | × 0.308 | 0.0339 |
| Total RVUs | 9.6803 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$323.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 9.61 | 0.958 |
| Malpractice | 0.11 | 0.308 |
(0.44 × 1 + 9.61 × 0.958 + 0.11 × 0.308) × $33.4009 = $323.33
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 0.88 | 0.958 |
| Malpractice | 0.11 | 0.308 |
(0.44 × 1 + 0.88 × 0.958 + 0.11 × 0.308) × $33.4009 = $43.99
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.
43754 billing questions
When should this code be chosen over 43755?
Use this code for diagnostic gastric aspiration with one specimen. Code 43755 is the multiple-specimen counterpart.
Is gastric tube placement by itself enough to report this code?
No. The service includes diagnostic aspiration and collection of a specimen; tube placement alone is represented by 43752.
How does this differ from 43753?
This code describes diagnostic sampling of one gastric specimen. Code 43753 is for therapeutic gastric intubation and aspiration.
Can modifier 50 be used for aspiration from both sides?
No. Bilateral adjustment is inappropriate for this gastric procedure.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant or another surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are 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.
5,28243659,,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
5,28743756,,Dx duod intub w/asp spec,A,,0.75,8.26,,0.59,,0.07,9.08,1.41,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,28843757,,Dx duod intub w/asp specs,A,,1.23,10.84,,0.73,,0.14,12.21,2.10,0,000,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,