# CPT 43633: Gstrct Prtl Dstl W/roux-en-y Rcnstj

Medicare CPT 43633 pays $1,775.93 in a non-facility setting and $1,775.93 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,568.42 in Wisconsin to $2,219.86 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43633-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,775.93 |
| National facility | $1,775.93 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,219.86 | $2,219.86 |
| Florida | $2,036.93 | $2,036.93 |
| Illinois | $2,015.26 | $2,015.26 |
| New York | $1,974.54 | $1,974.54 |
| District of Columbia | $1,940.40 | $1,940.40 |
| New Jersey | $1,907.36 | $1,907.36 |
| Connecticut | $1,887.63 | $1,887.63 |
| Michigan | $1,861.90 | $1,861.90 |
| West Virginia | $1,838.76 | $1,838.76 |
| Maryland | $1,829.17 | $1,829.17 |
| Massachusetts | $1,815.95 | $1,815.95 |
| Georgia | $1,811.99 | $1,811.99 |
| Washington | $1,811.21 | $1,811.21 |
| New Mexico | $1,795.98 | $1,795.98 |
| Pennsylvania | $1,795.90 | $1,795.90 |
| Rhode Island | $1,780.76 | $1,780.76 |
| Puerto Rico | $1,776.46 | $1,776.46 |
| Virgin Islands | $1,776.46 | $1,776.46 |
| Montana | $1,775.38 | $1,775.38 |
| California | $1,766.53 | $1,766.53 |
| New Hampshire | $1,758.97 | $1,758.97 |
| Colorado | $1,755.86 | $1,755.86 |
| Texas | $1,755.81 | $1,755.81 |
| Louisiana | $1,752.05 | $1,752.05 |
| Delaware | $1,748.56 | $1,748.56 |
| Ohio | $1,741.36 | $1,741.36 |
| Missouri | $1,736.84 | $1,736.84 |
| Oregon | $1,731.34 | $1,731.34 |
| Nevada | $1,730.55 | $1,730.55 |
| Arizona | $1,723.34 | $1,723.34 |
| Utah | $1,722.60 | $1,722.60 |
| Hawaii | $1,718.36 | $1,718.36 |
| Kentucky | $1,705.72 | $1,705.72 |
| Wyoming | $1,704.63 | $1,704.63 |
| South Carolina | $1,702.68 | $1,702.68 |
| Virginia | $1,688.12 | $1,688.12 |
| Oklahoma | $1,669.56 | $1,669.56 |
| Maine | $1,654.71 | $1,654.71 |
| North Carolina | $1,648.62 | $1,648.62 |
| Mississippi | $1,645.62 | $1,645.62 |
| Vermont | $1,636.24 | $1,636.24 |
| North Dakota | $1,613.04 | $1,613.04 |
| Tennessee | $1,610.51 | $1,610.51 |
| Indiana | $1,604.13 | $1,604.13 |
| Alabama | $1,604.10 | $1,604.10 |
| Kansas | $1,599.35 | $1,599.35 |
| Idaho | $1,597.61 | $1,597.61 |
| Minnesota | $1,595.13 | $1,595.13 |
| South Dakota | $1,593.84 | $1,593.84 |
| Arkansas | $1,583.35 | $1,583.35 |
| Iowa | $1,574.66 | $1,574.66 |
| Nebraska | $1,572.83 | $1,572.83 |
| Wisconsin | $1,568.42 | $1,568.42 |

## 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 43633 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