No office rate
Use 43886 for open revision of the port component. Use 43887 when the port is removed without being revised or replaced.
On this page
CMS RVU26D · Effective 2026-10-01
43887 Gastric band port Medicare reimbursement rates in Wisconsin
Open surgery to remove only the subcutaneous port of a gastric restrictive device, without reporting removal of the device’s other components. Compare 43887 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 43887 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
No supported rate
Facility setting
$302.63
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.
Bariatric surgery
About 43887: Open gastric band port removal
Open surgery to remove only the subcutaneous port of a gastric restrictive device, without reporting removal of the device’s other components.
This service covers open removal of the subcutaneous port connected to a gastric restrictive device, such as an adjustable gastric band. The port sits beneath the skin and provides access for adjusting the band; the procedure addressed here is limited to removing that port component. A bariatric or general surgeon typically performs it in an operating room when the port is being removed but the work does not include removing the other device components under this code.
Report this code when the operative documentation supports an open approach and removal of the port component only. The note should identify the component removed and describe the procedure performed; do not use it for port revision or removal and replacement. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 43887
- 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 RVU4.21 · 42%
- Practice expense (office) RVU4.70 · 47%
- Malpractice RVU1.13 · 11%
28
Medicare services in 2024 · #5708 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.
43887 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
43888 includes removal and replacement of the port component; 43887 reports removal only.
No office rate
43772 is for laparoscopic removal of an adjustable gastric restrictive device component. This code describes open removal of the subcutaneous port component only.
No office rate
43774 describes laparoscopic removal of both the adjustable device and port components. This code is limited to open removal of the port component.
Compare 43887 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
Unavailable
Facility
$302.63
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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 43887 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
5,319
- Code
- 43887
- Physician work
- 4.21
- Practice expense
- 4.70
- Malpractice
- 1.13
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.21 | × 1.000 | 4.2100 |
| Practice expense | 4.70 | × 0.958 | 4.5026 |
| Malpractice | 1.13 | × 0.308 | 0.3480 |
| Total RVUs | 9.0606 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$302.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.21 | 1 |
| Practice expense | 4.7 | 0.958 |
| Malpractice | 1.13 | 0.308 |
(4.21 × 1 + 4.7 × 0.958 + 1.13 × 0.308) × $33.4009 = $302.63
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.
43887 billing questions
How is this different from 43886?
43887 reports removal of the subcutaneous port only. Use 43886 when the port component is revised rather than removed.
When would 43888 be reported instead?
43888 describes removal and replacement of the port component. This code is for removal only.
Can this code be used when the entire gastric band system is removed?
No. The service represented here is limited to the port component; complete device removal is a different service, such as laparoscopic removal of the device and port under 43774 when that approach and extent are performed.
What should the operative note document?
Document the open approach and identify the subcutaneous port as the component removed. The operative description should distinguish removal from revision or removal with replacement.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Medicare applies the standard multiple-procedure reduction when other procedures are performed in the same session.
Can 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.
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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
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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
5,32243999,,Unlisted procedure stomach,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,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,,,,,,