No office rate
Choose 43112 when the esophagogastric anastomosis is in the thorax; 43113 describes a cervical anastomosis after thoracotomy.
On this page
CMS RVU26D · Effective 2026-10-01
43112 Esophagectomy Medicare reimbursement rates in Wyoming
Open total esophagectomy with thoracic gastric reconstruction is reported when the esophagus is removed through thoracotomy and continuity is restored in the chest. Compare 43112 office and facility rates across CMS payment localities in Wyoming.
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 43112 in Wyoming?
Wyoming 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
$3066.46
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Thoracic surgery
About 43112: Open total esophagectomy with thoracic anastomosis
Open total esophagectomy with thoracic gastric reconstruction is reported when the esophagus is removed through thoracotomy and continuity is restored in the chest.
This service involves removing the esophagus through an open chest approach and connecting the remaining esophagus to the stomach in the thorax. The operation may include removal of the proximal stomach. Thoracic surgeons and surgical oncologists commonly perform it in the operating room for esophageal cancer and other conditions requiring total esophageal resection.
Report this code when the operative record supports total esophagectomy through thoracotomy and a thoracic esophagogastric connection; document the resection extent, approach, anastomosis location, and any proximal gastrectomy. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 43112
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU60.45 · 63%
- Practice expense (office) RVU20.08 · 21%
- Malpractice RVU15.24 · 16%
103
Medicare services in 2024 · #4859 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.
43112 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
43124 describes total or near-total esophagectomy without thoracotomy and with a cervical anastomosis, rather than the thoracic approach and connection in 43112.
No office rate
43117 describes partial esophagectomy through thoracotomy. Report 43112 when the operative extent is total esophagectomy and the gastric connection is thoracic.
Compare 43112 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$3066.46
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 43112 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,120
- Code
- 43112
- Physician work
- 60.45
- Practice expense
- 20.08
- Malpractice
- 15.24
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 60.45 | × 1.000 | 60.4500 |
| Practice expense | 20.08 | × 1.000 | 20.0800 |
| Malpractice | 15.24 | × 0.740 | 11.2776 |
| Total RVUs | 91.8076 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$3066.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 60.45 | 1 |
| Practice expense | 20.08 | 1 |
| Malpractice | 15.24 | 0.74 |
(60.45 × 1 + 20.08 × 1 + 15.24 × 0.74) × $33.4009 = $3066.46
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.
43112 billing questions
How does this differ from 43113?
Both describe total esophagectomy through thoracotomy, but 43112 has the gastric connection in the chest. 43113 is used when the connection is made in the neck.
When would 43124 be considered instead?
43124 describes total or near-total esophagectomy without thoracotomy, with a cervical esophagogastric connection. Use the operative approach and anastomosis location to distinguish it from 43112.
What operative details support reporting 43112?
The note should establish total esophageal resection, use of a thoracotomy, and a thoracic esophagogastric anastomosis. Document whether proximal gastrectomy was also performed.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this service. Team surgery is not permitted.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
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.
5,11743101,,Excision of esophagus lesion,A,,16.64,8.17,NA,8.17,,4.19,29.00,29.00,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,11843107,,Removal of esophagus,A,,50.75,19.03,NA,19.03,,12.82,82.60,82.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,11943108,,Removal of esophagus,A,,80.80,21.57,NA,21.57,,20.37,122.74,122.74,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,12043112,,Esphg tot w/thrcm,A,,60.45,20.08,NA,20.08,,15.24,95.77,95.77,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,12143113,,Removal of esophagus,A,,78.06,22.93,NA,22.93,,19.70,120.69,120.69,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,12243116,,Partial removal of esophagus,A,,90.67,23.52,NA,23.52,,22.88,137.07,137.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,12343117,,Partial removal of esophagus,A,,56.06,20.48,NA,20.48,,14.13,90.67,90.67,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,