No office rate
Choose 43117 for stomach-based reconstruction after thoracic partial esophagectomy. Code 43118 is for reconstruction using colon interposition or a jejunal transplant.
On this page
CMS RVU26D · Effective 2026-10-01
43117 Partial esophagectomy Medicare reimbursement rates in Wyoming
Reports thoracic removal of part of the esophagus with reconstruction using the stomach, including an esophagogastric connection. Compare 43117 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 43117 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
$2905.75
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.
Gastrointestinal surgery
About 43117: Thoracic partial esophagectomy with gastric reconstruction
Reports thoracic removal of part of the esophagus with reconstruction using the stomach, including an esophagogastric connection.
A thoracic surgeon removes a substantial portion of the esophagus through a thoracic approach and reconnects the remaining esophagus to the stomach. The operation may also remove part of the upper stomach. It is typically performed in a hospital operating room for conditions such as esophageal cancer requiring resection and reconstruction.
Report 43117 when the operative record supports this extent and thoracic approach, and documents the stomach-based reconstruction. The esophagogastric connection is part of the operation described by the code. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed 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, and co-surgeons are permitted; team-surgery payment is not permitted.
CMS billing rules for 43117
- 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 RVU56.06 · 62%
- Practice expense (office) RVU20.48 · 23%
- Malpractice RVU14.13 · 16%
472
Medicare services in 2024 · #3616 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.
43117 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Both are partial esophagectomy codes, but 43116 represents a different operative approach or reconstruction configuration. Use the documented procedure rather than the general diagnosis to distinguish them.
No office rate
43112 represents thoracic removal of the whole or nearly the whole esophagus; 43117 is for partial resection with stomach-based reconstruction.
No office rate
43100 is for excising an esophageal lesion without the extensive resection and reconstruction represented by 43117.
Compare 43117 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
$2905.75
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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 43117 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,123
- Code
- 43117
- Physician work
- 56.06
- Practice expense
- 20.48
- Malpractice
- 14.13
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 56.06 | × 1.000 | 56.0600 |
| Practice expense | 20.48 | × 1.000 | 20.4800 |
| Malpractice | 14.13 | × 0.740 | 10.4562 |
| Total RVUs | 86.9962 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$2905.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 56.06 | 1 |
| Practice expense | 20.48 | 1 |
| Malpractice | 14.13 | 0.74 |
(56.06 × 1 + 20.48 × 1 + 14.13 × 0.74) × $33.4009 = $2905.75
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.
43117 billing questions
How does 43117 differ from 43118?
Both describe thoracic partial esophagectomy, but 43117 uses the stomach for reconstruction. Code 43118 is used when reconstruction uses colon interposition or a jejunal transplant.
Does 43117 include the esophagogastric connection?
Yes. The stomach-based connection between the remaining esophagus and the stomach is part of the procedure represented by 43117.
Can proximal stomach removal be included?
Yes. The code accommodates removal of part of the upper stomach along with the esophagus; the operative report should document what was resected.
When would 43100 be considered instead?
43100 represents excision of an esophageal lesion, rather than the substantial esophageal resection and gastric reconstruction represented by 43117.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeon reporting for 43117. Team-surgery payment 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.
5,12043112,,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
5,12443118,,Partial removal of esophagus,A,,65.39,18.54,NA,18.54,,16.49,100.42,100.42,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,12543121,,Partial removal of esophagus,A,,50.14,17.40,NA,17.40,,12.66,80.20,80.20,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,12643122,,Partial removal of esophagus,A,,43.08,16.00,NA,16.00,,10.87,69.95,69.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,