CPT code 44100: Bowel biopsy, percutaneous needle sampling2026 Medicare rate & RVUs in Delaware

Percutaneous needle sampling of bowel tissue is reported when a physician obtains a diagnostic specimen without excising a bowel segment.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Delaware, Medicare pays $90.91 for 44100 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$90.91Hospital or facility

Check a contract rate as a % of Medicare · 44100 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 44100 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 44100 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 44100 covers

Code 44100 represents tissue sampling of bowel with a needle passed percutaneously through the abdominal wall. A physician uses it when a bowel target requires needle biopsy for diagnosis and the service is not an endoscopic mucosal biopsy or removal of an intestinal segment. It is a narrowly defined surgical procedure, typically performed by a procedural physician in a hospital or procedure setting; the specimen is sent for pathology.

Report it for the needle biopsy itself, with the procedure note identifying the target, percutaneous route, sampling technique, and tissue obtained. Do not substitute this code for colonoscopic biopsy or an excisional bowel procedure; those describe different access or extent. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures occur in the same session, the highest-valued procedure is paid in full and remaining procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 44100

Across 109 of 109 payment localities, the facility rate for 44100 runs from $85.43 in Arkansas to $122.34 in Alaska. Delaware pays $90.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

44100 in Delaware vs other payment areas
  1. Delaware · this page$90.91
  2. Los Angeles, CA · California$95.33+$4.42
  3. Washington, DC area · District of Columbia$99.24+$8.33
  4. Miami, FL · Florida$103.02+$12.11
  5. Chicago, IL · Illinois$101.16+$10.25
  6. Manhattan, NY · New York$102.90+$11.99
  7. Alaska · Alaska$122.34+$31.43

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

44100 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$86.09
ArkansasArkansas—$85.43
ArizonaArizona—$89.92
Bakersfield, CACalifornia—$91.85
Chico, CACalifornia—$91.20
El Centro, CACalifornia—$91.24
Fresno, CACalifornia—$91.20
Hanford, CACalifornia—$91.20

44100 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
44100 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 44100 in every payment locality

How the 44100 rate is calculated

Each of 44100’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 44100

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.96

1.96 RVUs× 1.000 GPCI

Practice expense0.57

0.57 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

2.7400

Conversion factor

$33.4009

Medicare rate

$91.52

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,332

Code
44100
Physician work
1.96
Practice expense
0.57
Malpractice
0.21

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 44100 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.96× 1.0051.9698
Practice expense0.57× 0.9880.5632
Malpractice0.21× 0.8990.1888
Total RVUs2.7217
Conversion factor× 33.4009

Facility rate, Delaware$90.91

Facility: (1.96 × 1.005 + 0.57 × 0.988 + 0.21 × 0.899) × $33.4009 = $90.91

Open 44100 in the RVU calculator

Payment rules and modifiers for 44100

The CMS indicators that decide how 44100 is paid alongside other services.

CMS payment indicators · 44100

Bowel biopsy, percutaneous needle sampling

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44100 without 51 · national facility

$91.52

Bowel biopsy, percutaneous needle sampling

44100-51 · Second procedure: 50%

$45.76

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 44100 has changed in Delaware

44100 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$90.91RVU26D
2026-07-01Not available in this setting$90.91RVU26C
2026-04-01Not available in this setting$90.91RVU26B
2026-01-01Not available in this setting$90.91RVU26A
2025-10-01Not available in this setting$101.54RVU25D
2025-07-01Not available in this setting$101.54RVU25C
2025-04-01Not available in this setting$101.54RVU25B
2025-01-01Not available in this setting$101.54RVU25A
2024-10-01Not available in this setting$104.81RVU24D
2024-07-01Not available in this setting$104.81RVU24C
2024-04-01Not available in this setting$104.81RVU24B
2024-03-09Not available in this setting$104.81RVU24AR
2024-01-01Not available in this setting$103.10RVU24A
2023-10-01Not available in this setting$106.27RVU23D
2023-07-01Not available in this setting$106.27RVU23C
2023-04-01Not available in this setting$106.27RVU23B
2023-01-01Not available in this setting$106.27RVU23A
2022-10-01Not available in this setting$108.79RVU22D
2022-07-01Not available in this setting$108.79RVU22C
2022-04-01Not available in this setting$108.79RVU22B
2022-01-01Not available in this setting$108.79RVU22A
2021-10-01Not available in this setting$109.02RVU21D
2021-07-01Not available in this setting$109.02RVU21C
2021-04-01Not available in this setting$109.02RVU21B
2021-01-01Not available in this setting$109.02RVU21A
2020-10-01Not available in this setting$113.52RVU20D
2020-07-01Not available in this setting$113.52RVU20C
2020-04-01Not available in this setting$113.52RVU20B
2020-01-01Not available in this setting$113.52RVU20A
2019-10-01Not available in this setting$115.45RVU19D
2019-07-01Not available in this setting$115.45RVU19C
2019-04-01Not available in this setting$115.45RVU19B
2019-01-01Not available in this setting$115.45RVU19A
2018-10-01Not available in this setting$116.10RVU18D
2018-07-01Not available in this setting$116.10RVU18C
2018-04-01Not available in this setting$116.10RVU18B
2018-01-01Not available in this setting$116.10RVU18AR1
2017-10-01Not available in this setting$116.29RVU17D
2017-07-01Not available in this setting$116.29RVU17C
2017-04-01Not available in this setting$116.29RVU17B
2017-01-01Not available in this setting$116.29RVU17A
2016-10-01Not available in this setting$115.78RVU16D
2016-07-01Not available in this setting$115.78RVU16C
2016-04-01Not available in this setting$115.78RVU16B
2016-01-01Not available in this setting$115.78RVU16A
2015-10-01Not available in this setting$118.87RVU15D
2015-07-01Not available in this setting$118.87RVU15C
2015-04-01Not available in this setting$118.28RVU15B
2015-01-01Not available in this setting$118.28RVU15A
2014-10-01Not available in this setting$116.51RVU14D
2014-07-01Not available in this setting$116.51RVU14C
2014-04-01Not available in this setting$116.51RVU14B
2014-01-01Not available in this setting$116.51RVU14A
2013-10-01Not available in this setting$113.24RVU13D
2013-07-01Not available in this setting$113.24RVU13C
2013-04-01Not available in this setting$113.24RVU13B
2013-01-01Not available in this setting$113.24RVU13AR

Price 44100 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

44100 billing questions

How does 44100 differ from a colonoscopic biopsy?

44100 describes needle sampling through the abdominal wall. A biopsy taken through a colonoscope is reported with the applicable endoscopic biopsy code, such as 45380 for colonoscopy.

Does 44100 include the pathology examination?

The code represents obtaining the bowel tissue, not its histologic examination. The pathology service may be reported separately at the level supported by the specimen and examination.

What documentation supports reporting 44100?

Document the bowel target, percutaneous needle approach, sampling performed, and tissue obtained. The record should distinguish needle sampling from endoscopic biopsy or surgical excision.

Is same-day postoperative care included?

Yes. The CMS global period is 0 days, and same-day preoperative and postoperative care is included.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction, with payment at 50%.

Can modifier 50 or an assistant surgeon be reported?

Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 44100PPRRVU2026_Oct_nonQPP.csv, line 5,332 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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