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See a sample rate comparisonCPT 43886 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.
Revise Stomach Access Port, Surgery To Revise An Access Port Under The Skin That Was Created As Part Of A Surgery To Decrease The Capacity Of The Stomach.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $372.75 national non-facility rate (2026) · View Medicare rates for 43886 |
| Medicaid Fee Schedule | $295.055 median of the 8 states in the free preview · View Medicaid rates for 43886 |
National average reimbursement for CPT 43886 by major payers:
$451.63
$472.97
$500.05
$597.05
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CPT 43886
5 of 25 sample ratesHigher to lower in this preview
Huntington Ambulatory Surgery Center, LLC
Huntington Ambulatory Surgery Center LLC
$4,414.00Published rateSouthwest Lincoln Surgery Center, LLC, Southwest Lincoln Surgery Center
Southwest Lincoln Surgery Center LLC
$2,792.00Published rateNewbridge Surgery Center At Frederick
$1,884.00Published rateJackson Heart And Vascular Center LLC
$1,620.00Published rateCharleston Endoscopy Center
$614.00Published rate
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See a sample payer proposalCPT 43886 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43886 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 43886 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 |
|---|---|---|
| 43770-CPT | High | Laparoscopy Surgical Gastric, Laparoscopy Surgical Gastric Restrictive Procedure Placement Of Adjustable Gastric Restrictive Device (E.G. Gastric Band And Subcutaneous Port Components) |
| 43886-CPT | Moderate | Revise Stomach Access Port, Surgery To Revise An Access Port Under The Skin That Was Created As Part Of A Surgery To Decrease The Capacity Of The Stomach. |
| 43887-CPT | Moderate | Remove Stomach Access Port, Surgery Through An Incision In The Abdomen To Remove A Stomach Access Port That Was Implanted Under The Skin. |
| 43888-CPT | Moderate | Replace Stomach Access Port, Surgery Through An Incision In The Abdomen To Remove And Replace The Stomach Access Port To Ensure Proper Functioning Of The Gastric Band. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 43886. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43886 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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