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See a sample rate comparisonCPT 43753 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Therapy For Digestive Bleeding, A Tube Is Inserted Down The Throat (Intubation) Into The Stomach. The Procedure Removes Excess Blood From An Injury And May Include Therapeutic Washing Of The Internal Tissues.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.38 national non-facility rate (2026) · View Medicare rates for 43753 |
| Medicaid Fee Schedule | $15.985 median of the 8 states in the free preview · View Medicaid rates for 43753 |
National average reimbursement for CPT 43753 by major payers:
$30.40
$30.27
$32.53
$45.93
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CPT 43753
5 of 25 sample ratesHigher to lower in this preview
Performance Health Surgicenter, LLC
Performance Health Surgicenter LLC
$2,965.00Published rateMetro Surgery Center, LLC, Metro Surgery Center, Lp
Metro Surgery Center LLC
$566.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Asc Tucson 5th St
Barnet Dulaney Perkins Eye Center PLLC
$328.00Published rateSt. Charles Surgery Center
St. Charles Surgery Center, LLC
$196.00Published rateWest Shore Endoscopy Center LLC
$77.00Published rate
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See a sample payer proposalCPT 43753 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43753 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 43753 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 |
|---|---|---|
| 43752-CPT | Low | Nasal Orogastric W Tube Plmt, Naso Or Oro Gastric Tube Placement Requiring Physician S Skill And Fluoroscopic Guidance Includes Fluoroscopy Image Documentation And Report |
| 43753-CPT | Low | Therapy For Digestive Bleeding, A Tube Is Inserted Down The Throat (Intubation) Into The Stomach. The Procedure Removes Excess Blood From An Injury And May Include Therapeutic Washing Of The Internal Tissues. |
| 43754-CPT | Low | Stomach Fluid Collection, A Tube Is Inserted Down The Throat (Intubation) Into The Stomach. A Sample Of The Fluid Is Removed And Tested To Find Out What Is In It. Stomach Acid Secretion May Be Stimulated Prior To Taking The Fluid Sample. |
| 43755-CPT | Moderate | Dx Gastr Intub W Asp Specs, Gastric Intubation And Aspiration Diagnostic Collection Of Multiple Fractional Specimens With Gastric Stimulation Single Or Double Lumen Tube Gastric Secretory Study Eg Histamine Insulin Pentagastrin Calcium Secretin Includes Drug Administration |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43753. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43753 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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