CPT code 44121: Small bowel resection, each additional resection2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $216.30 for 44121 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44121 nationwide

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

What 44121 covers

This add-on describes another small-intestine segment resection with an anastomosis during the same operative session as the primary resection. A surgeon may perform it when separate diseased segments require individual removal and reconnection, such as in a patient with more than one affected area of bowel. It distinguishes an additional resection and anastomosis from simply removing a longer continuous segment.

Report 44121 with the applicable primary procedure, not by itself. The operative report should establish that an additional segment was resected and anastomosed, beyond the resection represented by the primary code. CMS treats this as an add-on code: payment is handled within the primary procedure’s global period. The primary procedure and the additional work should be identifiable in the operative documentation.

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 Puerto Rico compares for 44121

Across 109 of 109 payment localities, the facility rate for 44121 runs from $190.19 in Wisconsin to $275.05 in Alaska. Puerto Rico pays $216.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44121 rates by state

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

See 44121 in every payment locality

How the 44121 rate is calculated

Each of 44121’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.

Payment rules and modifiers for 44121

The CMS indicators that decide how 44121 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 44121

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 44121 has changed in Puerto Rico

Price 44121 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates