# CPT 43846: Gastric Rstcv W/byp W/short Limb 150 Cm/<

Medicare CPT 43846 pays $1,547.46 in a non-facility setting and $1,547.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,364.51 in Wisconsin to $1,913.35 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/43846-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,547.46 |
| National facility | $1,547.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,913.35 | $1,913.35 |
| Florida | $1,775.24 | $1,775.24 |
| Illinois | $1,754.42 | $1,754.42 |
| New York | $1,723.84 | $1,723.84 |
| District of Columbia | $1,696.70 | $1,696.70 |
| New Jersey | $1,665.55 | $1,665.55 |
| Connecticut | $1,647.55 | $1,647.55 |
| Michigan | $1,619.56 | $1,619.56 |
| West Virginia | $1,596.06 | $1,596.06 |
| Maryland | $1,595.28 | $1,595.28 |
| Massachusetts | $1,586.83 | $1,586.83 |
| Washington | $1,583.34 | $1,583.34 |
| Georgia | $1,576.67 | $1,576.67 |
| Pennsylvania | $1,563.47 | $1,563.47 |
| New Mexico | $1,561.02 | $1,561.02 |
| Rhode Island | $1,552.32 | $1,552.32 |
| Puerto Rico | $1,548.45 | $1,548.45 |
| Virgin Islands | $1,548.45 | $1,548.45 |
| Montana | $1,546.99 | $1,546.99 |
| California | $1,546.20 | $1,546.20 |
| New Hampshire | $1,534.62 | $1,534.62 |
| Colorado | $1,532.41 | $1,532.41 |
| Texas | $1,528.92 | $1,528.92 |
| Delaware | $1,522.78 | $1,522.78 |
| Louisiana | $1,522.53 | $1,522.53 |
| Ohio | $1,513.20 | $1,513.20 |
| Oregon | $1,510.73 | $1,510.73 |
| Missouri | $1,509.48 | $1,509.48 |
| Nevada | $1,507.94 | $1,507.94 |
| Hawaii | $1,503.75 | $1,503.75 |
| Arizona | $1,500.13 | $1,500.13 |
| Utah | $1,498.12 | $1,498.12 |
| Wyoming | $1,485.28 | $1,485.28 |
| Kentucky | $1,480.98 | $1,480.98 |
| South Carolina | $1,479.99 | $1,479.99 |
| Virginia | $1,470.08 | $1,470.08 |
| Oklahoma | $1,449.64 | $1,449.64 |
| Maine | $1,439.64 | $1,439.64 |
| North Carolina | $1,433.27 | $1,433.27 |
| Mississippi | $1,427.24 | $1,427.24 |
| Vermont | $1,425.16 | $1,425.16 |
| North Dakota | $1,405.41 | $1,405.41 |
| Tennessee | $1,398.90 | $1,398.90 |
| Indiana | $1,394.18 | $1,394.18 |
| Alabama | $1,391.69 | $1,391.69 |
| Minnesota | $1,391.16 | $1,391.16 |
| Kansas | $1,388.92 | $1,388.92 |
| South Dakota | $1,388.67 | $1,388.67 |
| Idaho | $1,388.16 | $1,388.16 |
| Arkansas | $1,372.84 | $1,372.84 |
| Iowa | $1,367.91 | $1,367.91 |
| Nebraska | $1,366.69 | $1,366.69 |
| Wisconsin | $1,364.51 | $1,364.51 |

## 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 43846 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