# CPT 43275: Ercp Remove Foreign Body/stent Biliary/panc Duct

Medicare CPT 43275 pays $328.33 in a non-facility setting and $328.33 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $304.81 in Arkansas to $433.83 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43275-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $328.33 |
| National facility | $328.33 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $433.83 | $433.83 |
| District of Columbia | $357.42 | $357.42 |
| New York | $357.24 | $357.24 |
| Florida | $352.63 | $352.63 |
| New Jersey | $351.95 | $351.95 |
| Illinois | $349.56 | $349.56 |
| Connecticut | $344.25 | $344.25 |
| Washington | $341.14 | $341.14 |
| Massachusetts | $340.55 | $340.55 |
| California | $339.29 | $339.29 |
| Maryland | $336.59 | $336.59 |
| Michigan | $333.83 | $333.83 |
| Rhode Island | $332.46 | $332.46 |
| Colorado | $330.54 | $330.54 |
| Pennsylvania | $330.47 | $330.47 |
| Georgia | $330.00 | $330.00 |
| West Virginia | $328.86 | $328.86 |
| Puerto Rico | $328.82 | $328.82 |
| Virgin Islands | $328.82 | $328.82 |
| Hawaii | $328.53 | $328.53 |
| New Hampshire | $328.42 | $328.42 |
| Montana | $328.28 | $328.28 |
| Oregon | $327.35 | $327.35 |
| New Mexico | $326.84 | $326.84 |
| Texas | $326.52 | $326.52 |
| Delaware | $325.93 | $325.93 |
| Nevada | $324.17 | $324.17 |
| Louisiana | $322.61 | $322.61 |
| Arizona | $322.21 | $322.21 |
| Wyoming | $321.73 | $321.73 |
| Ohio | $321.62 | $321.62 |
| Missouri | $321.39 | $321.39 |
| Utah | $320.97 | $320.97 |
| Virginia | $319.52 | $319.52 |
| South Carolina | $318.48 | $318.48 |
| Kentucky | $317.35 | $317.35 |
| Maine | $315.32 | $315.32 |
| Vermont | $315.00 | $315.00 |
| Oklahoma | $314.16 | $314.16 |
| North Carolina | $313.84 | $313.84 |
| North Dakota | $313.25 | $313.25 |
| Minnesota | $312.77 | $312.77 |
| South Dakota | $311.48 | $311.48 |
| Mississippi | $310.66 | $310.66 |
| Indiana | $309.48 | $309.48 |
| Tennessee | $309.34 | $309.34 |
| Idaho | $308.59 | $308.59 |
| Kansas | $308.11 | $308.11 |
| Wisconsin | $307.43 | $307.43 |
| Alabama | $307.38 | $307.38 |
| Nebraska | $306.42 | $306.42 |
| Iowa | $306.27 | $306.27 |
| Arkansas | $304.81 | $304.81 |

## 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 43275 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