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See a sample rate comparisonCPT 43881 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.
Surgery For Nausea Control, Surgery To Implant A Device In The Stomach That Produces Mild Electrical Impulses To Treat Nausea And Vomiting.
| 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 | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 43881 |
| Medicaid Fee Schedule | $647.53 median of the 7 states in the free preview · View Medicaid rates for 43881 |
National average reimbursement for CPT 43881 by major payers:
$2,891.35
$1,031.63
$857.08
$1,799.33
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CPT 43881
5 of 25 sample ratesHigher to lower in this preview
Jonesboro Ambulatory Surgery Center, LLC
Jonesboro Ambulatory Surgery Center LLC
$4,300.00Published rateAesthetic Associates Inc., P.S., Seattle Facial Plastic Surgery Center
Aesthetic Associates Inc Ps
$1,150.00Published rateCmmp Surgical Center LLC
Cmmp Surgical Center
$780.00Published rateWest Paces Surgery Center LLC
$523.00Published rateGreen Valley Surgery Center LLC
$100.00Published rate
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See a sample payer proposalCPT 43881 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43881 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 43881 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 |
|---|---|---|
| 43830-CPT | Moderate | Gastrostomy Open; W/O Construct Of Gastric Tube (Eg Stamm Pro, Gastrostomy Open; Without Construction Of Gastric Tube (Eg Stamm Pro |
| 43880-CPT | High | Closure Of Gastrocolic Fistula |
| 43881-CPT | High | Surgery For Nausea Control, Surgery To Implant A Device In The Stomach That Produces Mild Electrical Impulses To Treat Nausea And Vomiting. |
| 43882-CPT | High | Revisn Or Remval Of Gastric Neurostimula Electrdes Antrum Ope, Revision Or Removal Of Gastric Neurostimulator Electrodes Antrum Ope |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43881. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43881 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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