# CPT 43247: Upper GI endoscopy with removal of foreign body

Medicare CPT 43247 pays $426.20 in a non-facility setting and $157.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $376.01 in Arkansas to $491.40 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/43247-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $426.20 |
| National facility | $157.32 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $491.40 | $205.04 |
| District of Columbia | $488.68 | $171.95 |
| California | $481.25 | $163.09 |
| New Jersey | $471.80 | $169.05 |
| New York | $471.66 | $171.70 |
| Washington | $470.42 | $163.91 |
| Massachusetts | $465.66 | $163.58 |
| Hawaii | $463.64 | $157.92 |
| Connecticut | $454.93 | $165.35 |
| Colorado | $444.62 | $158.53 |
| Maryland | $441.77 | $161.47 |
| Oregon | $440.21 | $156.94 |
| Florida | $439.25 | $169.48 |
| New Hampshire | $437.41 | $157.51 |
| Rhode Island | $437.05 | $159.30 |
| Puerto Rico | $429.44 | $157.61 |
| Virgin Islands | $429.44 | $157.61 |
| Illinois | $427.57 | $167.77 |
| Minnesota | $426.32 | $149.64 |
| Montana | $426.17 | $157.29 |
| Nevada | $424.39 | $155.24 |
| Wyoming | $422.90 | $154.02 |
| Delaware | $421.67 | $156.02 |
| Pennsylvania | $421.58 | $158.22 |
| Texas | $421.01 | $156.30 |
| North Dakota | $418.66 | $149.78 |
| South Dakota | $417.77 | $148.89 |
| Virginia | $417.15 | $152.85 |
| Vermont | $416.80 | $150.61 |
| Arizona | $414.69 | $154.14 |
| Georgia | $414.48 | $157.97 |
| Michigan | $412.32 | $159.85 |
| Maine | $407.56 | $150.65 |
| Utah | $406.16 | $153.42 |
| Wisconsin | $404.30 | $146.71 |
| New Mexico | $402.83 | $156.27 |
| North Carolina | $400.69 | $149.83 |
| South Carolina | $400.56 | $152.11 |
| Missouri | $400.28 | $153.55 |
| Louisiana | $399.63 | $154.14 |
| Ohio | $399.13 | $153.64 |
| Indiana | $396.87 | $147.62 |
| Idaho | $394.52 | $147.16 |
| Nebraska | $394.25 | $146.08 |
| Iowa | $392.00 | $145.97 |
| Tennessee | $391.90 | $147.49 |
| West Virginia | $390.75 | $157.10 |
| Kentucky | $390.45 | $151.42 |
| Oklahoma | $389.95 | $149.84 |
| Kansas | $389.92 | $146.85 |
| Alabama | $381.65 | $146.38 |
| Mississippi | $379.47 | $147.97 |
| Arkansas | $376.01 | $145.04 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 43247 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