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See a sample rate comparisonCPT 43330 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgical Repair Of Esophagus, Surgery To Repair The Esophagus Through An Incision Into Chest (Thoracic Approach) Or Abdomen.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $1,252.20 national non-facility rate (2026) · View Medicare rates for 43330 |
| Medicaid Fee Schedule | $975.705 median of the 8 states in the free preview · View Medicaid rates for 43330 |
National average reimbursement for CPT 43330 by major payers:
$1,595.37
$1,772.64
$1,822.73
$2,117.56
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CPT 43330
5 of 25 sample ratesHigher to lower in this preview
Centracare Surgery Center, LLC
$3,418.00Published rateUchealth Ambulatory Surgery Centers, Uchealth Eastview Surgery Center
Uchealth Ambulatory Surgery Centers
$842.00Published rateEye Surgery Center Of Knoxville, LLC
Eye Surgery Center Of Knoxville LLC
$503.00Published rateSpecialty Surgery Center Of Florida, LLC, Alliance Specialty Surgical Center
Specialty Surgery Center Of Florida LLC
$452.00Published rateSurgical Center Of Ponte Vedra Beach LLC, Ponte Vedra Beach Surgery Center
Surgical Center Of Ponte Vedra B
$330.00Published rate
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See a sample payer proposalCPT 43330 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43330 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 43330 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 43313-CPT | High | Esophagoplasty Congenital, Esophagoplasty For Congenital Defect Plastic Repair Or Reconstruction Thoracic Approach Without Repair Of Congenital Tracheoesophageal Fistula |
| 43320-CPT | High | Esophagogastrostomy (Cardiopla, Esophagogastrostomy (Cardioplasty) With Or Without Vagotomyand Pyloroplasty Transabdominal Or Transthoracic Approach |
| 43325-CPT | High | Esophagus Surgery For Reflux, Surgery To Repair A Weakened Valve Or Muscle Between The Esophagus And The Stomach. The Procedure Relieves Acid Reflux. |
| 43330-CPT | High | Surgical Repair Of Esophagus, Surgery To Repair The Esophagus Through An Incision Into Chest (Thoracic Approach) Or Abdomen. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43330. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43330 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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