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See a sample rate comparisonCPT 43763 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.
Rplc Gtube Revj Gstrst Trc, Replacement Of Gastrostomy Tube Percutaneous Includes Removal When Performed Without Imaging Or Endoscopic Guidance Requiring Revision Of Gastrostomy Tract
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $372.42 national non-facility rate (2026) · View Medicare rates for 43763 |
| Medicaid Fee Schedule | $288.79 median of the 8 states in the free preview · View Medicaid rates for 43763 |
National average reimbursement for CPT 43763 by major payers:
$364.43
$449.71
$481.87
$544.80
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CPT 43763
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
St Joseph Hospital
$699.96Published rateQuang Nguyen
Deaconess Hospital Inc
$574.53Published rateDeaconess Hospital, Inc., <Unavail>
Deaconess Hospital Inc
$353.54Published rateTerry Hoff
Deaconess Hospital Inc
$263.98Published rateYazan Abdeen
Vigilias LLC
$92.45Published rate
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See a sample payer proposalCPT 43763 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43763 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 43763 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 43763. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43763 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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