# CPT 43240: Egd Transoral Transmural Drainage Pseudocyst

Medicare CPT 43240 pays $342.03 in a non-facility setting and $342.03 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $317.55 in Arkansas to $451.96 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43240-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $342.03 |
| National facility | $342.03 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $451.96 | $451.96 |
| District of Columbia | $372.32 | $372.32 |
| New York | $372.12 | $372.12 |
| Florida | $367.28 | $367.28 |
| New Jersey | $366.63 | $366.63 |
| Illinois | $364.08 | $364.08 |
| Connecticut | $358.60 | $358.60 |
| Washington | $355.39 | $355.39 |
| Massachusetts | $354.76 | $354.76 |
| California | $353.47 | $353.47 |
| Maryland | $350.62 | $350.62 |
| Michigan | $347.73 | $347.73 |
| Rhode Island | $346.33 | $346.33 |
| Colorado | $344.34 | $344.34 |
| Pennsylvania | $344.24 | $344.24 |
| Georgia | $343.75 | $343.75 |
| West Virginia | $342.55 | $342.55 |
| Puerto Rico | $342.54 | $342.54 |
| Virgin Islands | $342.54 | $342.54 |
| Hawaii | $342.26 | $342.26 |
| New Hampshire | $342.12 | $342.12 |
| Montana | $341.97 | $341.97 |
| Oregon | $341.03 | $341.03 |
| New Mexico | $340.45 | $340.45 |
| Texas | $340.15 | $340.15 |
| Delaware | $339.53 | $339.53 |
| Nevada | $337.70 | $337.70 |
| Louisiana | $336.06 | $336.06 |
| Arizona | $335.66 | $335.66 |
| Wyoming | $335.16 | $335.16 |
| Ohio | $335.03 | $335.03 |
| Missouri | $334.79 | $334.79 |
| Utah | $334.36 | $334.36 |
| Virginia | $332.86 | $332.86 |
| South Carolina | $331.77 | $331.77 |
| Kentucky | $330.59 | $330.59 |
| Maine | $328.48 | $328.48 |
| Vermont | $328.16 | $328.16 |
| Oklahoma | $327.28 | $327.28 |
| North Carolina | $326.95 | $326.95 |
| North Dakota | $326.35 | $326.35 |
| Minnesota | $325.85 | $325.85 |
| South Dakota | $324.50 | $324.50 |
| Mississippi | $323.62 | $323.62 |
| Indiana | $322.42 | $322.42 |
| Tennessee | $322.27 | $322.27 |
| Idaho | $321.49 | $321.49 |
| Kansas | $320.99 | $320.99 |
| Wisconsin | $320.29 | $320.29 |
| Alabama | $320.22 | $320.22 |
| Nebraska | $319.23 | $319.23 |
| Iowa | $319.07 | $319.07 |
| Arkansas | $317.55 | $317.55 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 43240 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules