CPT 43889
Global 090 ActiveGstr rstcv px trnsorl esg
CPT 43889 Billing & Documentation Guide
CPT code 43889 (Gstr rstcv px trnsorl esg) is classified under Surgery (Digestive) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 12.56, a non-facility practice expense RVU of 7, and a malpractice RVU of 1.99, a total non-facility RVU of 21.55 and facility RVU of 21.55. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $728.99, though rates vary from $654.59 to $914.9 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 43889, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify current NCCI edits before bundling with related codes.
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 43889 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 43889
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 12.56 | 12.56 |
| Practice Expense RVU | 7 | 7 |
| Malpractice RVU | 1.99 | 1.99 |
| Total RVU | 21.55 | 21.55 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 43889
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $747.25 | $747.25 | $718.53 - $838.44 | 29 |
| Florida | $783.49 | $783.49 | $742.94 - $831 | 3 |
| Georgia | $722.72 | $722.72 | $707.3 - $738.15 | 2 |
| Illinois | $773.92 | $773.92 | $736.87 - $809.97 | 4 |
| Michigan | $732.61 | $732.61 | $708.02 - $757.2 | 2 |
| North Carolina | $680.13 | $680.13 | $680.13 - $680.13 | 1 |
| New York | $790.61 | $790.61 | $688.36 - $847.79 | 5 |
| Ohio | $699.98 | $699.98 | $699.98 - $699.98 | 1 |
| Pennsylvania | $723.36 | $723.36 | $696.96 - $749.76 | 2 |
| Texas | $713.75 | $713.75 | $694.03 - $746.5 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
Frequently Asked Questions, CPT 43889
What does CPT code 43889 mean? +
CPT code 43889 represents: Gstr rstcv px trnsorl esg. It's in the Surgery (Digestive) category with a global period of 090.
What is the Medicare reimbursement for CPT 43889? +
The 2026 Medicare national average non-facility payment for CPT 43889 is $728.99. Rates range from $654.59 to $914.9 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 43889? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 43889? +
No NCCI PTP edits currently on file for this code.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team