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See a sample rate comparisonCPT 43340 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.
Esophagojejunostomy (W/O Total Gastrectomy); Abdomi Approa, Esophagojejunostomy (Without Total Gastrectomy); Abdominal Approach
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 51 - Multiple procedures XS - Separate Structure 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | $1,292.28 national non-facility rate (2026) · View Medicare rates for 43340 |
| Medicaid Fee Schedule | $1,006.205 median of the 8 states in the free preview · View Medicaid rates for 43340 |
National average reimbursement for CPT 43340 by major payers:
$1,700.28
$1,831.36
$1,896.18
$2,235.68
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CPT 43340
5 of 25 sample ratesHigher to lower in this preview
Surgical Park Center Ltd
$2,732.00Published rateEndoscopy Center Of Hackensack, LLC, Hackensack Endoscopy Center
$1,674.00Published rateMontpelier Surgery Center
$886.00Published rateVirginia Cardiovascular Specialists, Vcs Heart And Vascular Center
Virginia Cardiovascular Specialists PC
$431.00Published rateAnderson Endoscopy Center LLC
$99.00Published rate
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See a sample payer proposalCPT 43340 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43340 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 43340 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 |
|---|---|---|
| 43333-CPT | High | Repair Of A Stomach Hernia, Surgery To Repair A Stomach Hernia. The Protruding Stomach Is Moved Back Into Place And The Opening In The Diaphragm Is Stitched Smaller. Mesh May Be Implanted To Hold The Tissue In Place. |
| 43335-CPT | High | Repair Of A Stomach Hernia, Surgery To Repair A Stomach Hernia. The Protruding Stomach Is Moved Back Into Place And The Opening In The Diaphragm Is Stitched Smaller. Mesh May Be Implanted To Hold The Tissue In Place. |
| 43340-CPT | High | Esophagojejunostomy (W/O Total Gastrectomy); Abdomi Approa, Esophagojejunostomy (Without Total Gastrectomy); Abdominal Approach |
| 43341-CPT | High | Esophagojejunostomy (W/O Total Gastrectomy); Thoracic Approa, Esophagojejunostomy (Without Total Gastrectomy); Thoracic Approach |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43340 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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