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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $335.35 national non-facility rate (2026) · View Medicare rates for 43887 |
| Medicaid Fee Schedule | $265.19 median of the 8 states in the free preview · View Medicaid rates for 43887 |
National average reimbursement for CPT 43887 by major payers:

$414.86

$435.55

$458.22

$542.03
Choose a payer to see a sample of rates for CPT 43887.
Memorial Hermann Surgery Center Katy LLP
Audubon Ambulatory Surgery Center LLC, Audubon Asc At St. Francis
Audubon Ambulatory Surgery Center, LLC.
Desert Cliffs Surgery Center LLC
Montgomery Surgery Center LLC.
Montgomery Surgery Center LLC
Lake City Surgery Center, LLC
Lake City Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 43887 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43887 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 43887 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 43887. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43887 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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