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See a sample rate comparisonCPT 43761 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.
Rposition Of A Naso- Or Oro-Gastric Feed Tube Through Duod, Repositioning Of A Naso- Or Oro-Gastric Feeding Tube Through The Duod
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service ET - Emergency services |
| Complexity Level | Low |
| Medicare Fee Schedule | $122.92 national non-facility rate (2026) · View Medicare rates for 43761 |
| Medicaid Fee Schedule | $98.47 median of the 8 states in the free preview · View Medicaid rates for 43761 |
National average reimbursement for CPT 43761 by major payers:
$156.93
$162.52
$172.71
$200.33
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CPT 43761
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$3,077.00Published rateBaptist Surgery Center Lp, Baptist Ambulatory Surgery Center
Baptist Surgery Center Lp
$608.00Published rateSpecialty Surgical Center Of Irvine Lp
Specialty Surgical Center Of Irvine, Lp
$260.00Published rateJohn Kenyon American Eye Institute LLC, Eye Surgery Center Of Elizabethtown
John-Kenyon American Eye Institute
$109.00Published rateMagnolia Surgery Center, LLC
Magnolia Surgery Center LLC
$73.00Published rate
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See a sample payer proposalCPT 43761 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43761 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 43761 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 |
| 43761-CPT | Low | Rposition Of A Naso- Or Oro-Gastric Feed Tube Through Duod, Repositioning Of A Naso- Or Oro-Gastric Feeding Tube Through The Duod |
| 43762-CPT | Moderate | Replacement Of Gastrostomy Tub, Replacement Of Gastrostomy Tube Percutaneous Includes Removal When Performed Without Imaging Or Endoscopic Guidance Not Requiring Revision Of Gastrostomy Tract |
| 43763-CPT | Moderate | Rplc Gtube Revj Gstrst Trc, Replacement Of Gastrostomy Tube Percutaneous Includes Removal When Performed Without Imaging Or Endoscopic Guidance Requiring Revision Of Gastrostomy Tract |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43761. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43761 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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