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See a sample rate comparisonCPT 43888 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.
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.
| 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 | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $461.27 national non-facility rate (2026) · View Medicare rates for 43888 |
| Medicaid Fee Schedule | $363.575 median of the 8 states in the free preview · View Medicaid rates for 43888 |
National average reimbursement for CPT 43888 by major payers:
$581.65
$608.90
$648.69
$755.05
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CPT 43888
5 of 25 sample ratesHigher to lower in this preview
Theresa Mcloud
Mass General Brigham Incorporated
$1,904.09Published rateNagesh Gollahalli Shivaramaiah
Riverside Healthcare Association Inc
$863.69Published rateJohn Buttari
Town Center Orthopaedic Associates, P.C.
$653.40Published rateDonald Dahlene
Alabama Orthopaedic Specialists, P.A.
$430.64Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$353.66Published rate
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See a sample payer proposalCPT 43888 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 43888 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 43888 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 43888. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 43888 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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