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CPT code 44127: Atresia resection, with tapering enteroplasty2026 Medicare rate & RVUs

Reports small-bowel resection for congenital atresia with tapering enteroplasty, typically performed by a pediatric surgeon to address dilated bowel.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $2,627.65 for 44127 nationally in a facility.

Medicare rate · 44127

Atresia resection, with tapering enteroplasty

Office or facility?

Work RVUs
48.07
Total RVUs
78.67
Global days
090

National rate · 2026

$2,627.65

Facility setting, before claim adjustments.

See every locality for 44127 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 44127 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 44127 covers

This operation removes a segment of small bowel affected by congenital atresia and tapers an abnormally dilated portion of bowel. It is most often performed by a pediatric surgeon in the operating room, commonly for an infant with jejunal or ileal atresia. The operative report should establish the congenital condition, the bowel segment treated, and the tapering work performed.

Select this code when the atresia resection includes tapering enteroplasty; code 44126 is the related option when tapering is not performed. For another resection for congenital atresia, 44128 may be reported as an add-on. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.

Where 44127 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

44127 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,367.06
AlaskaUnavailable$3,275.92
ArizonaUnavailable$2,547.39
ArkansasUnavailable$2,335.66
Atlanta, GAUnavailable$2,728.34
Austin, TXUnavailable$2,616.20
Bakersfield, CAUnavailable$2,546.93
Baltimore area, MDUnavailable$2,798.45
Beaumont, TXUnavailable$2,543.83
Brazoria, TXUnavailable$2,540.59

44127 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
44127 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

How the 44127 rate is calculated

Each of 44127’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 · 44127

RVUs × geographic indexes × conversion factor

Office or facility?

Work48.07

48.07 RVUs× 1.000 GPCI

Practice expense17.73

17.73 RVUs× 1.000 GPCI

Malpractice12.87

12.87 RVUs× 1.000 GPCI

Adjusted RVUs

78.6700

Conversion factor

$33.4009

Medicare rate

$2,627.65

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

Payment rules and modifiers for 44127

44127 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44127

Atresia resection, with tapering enteroplasty

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 44127

Atresia resection, with tapering enteroplasty

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44127 without 51 · national facility

$2,627.65

Atresia resection, with tapering enteroplasty

44127-51 · Second procedure: 50%

$1,313.83

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

44127 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 44127

    Atresia resection, with tapering enteroplasty48.07 wRVU

    Not priced

  • 44126

    Atresia resection, without bowel tapering41.17 wRVU

    Not priced

  • 44128

    Small bowel resection, additional atresia resection4.33 wRVU

    Not priced

  • 44120

    Small-bowel resection, single resection with anastomosis20.3 wRVU

    Not priced

How to choose

44126Atresia resectionWithout bowel tapering
Choose 44126 for congenital atresia resection without tapering enteroplasty; choose 44127 when tapering is performed.
44128Small bowel resectionAdditional atresia resection
44128 is an add-on for each additional congenital atresia resection, not the primary procedure code.
44120Small-bowel resectionSingle resection with anastomosis
44120 describes a general small-intestine resection; 44127 is specific to congenital atresia treated with tapering enteroplasty.

Codes related to 44127

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

Codes related to 44127
CodeHow it relatesNational office range
Same family
44126Atresia resection, without bowel taperingRelated congenital atresia resection code when tapering enteroplasty is not performed.No office rate
Add-on codes
44128Small bowel resection, additional atresia resectionAdd-on code for each additional resection for congenital atresia.No office rate
Used instead
44120Small-bowel resection, single resection with anastomosisGeneral small-intestine resection option for a different clinical indication.No office rate

44127 billing questions

When should I choose this code instead of 44126?

Use this code when the congenital atresia resection includes tapering enteroplasty. Code 44126 describes the related resection without tapering.

How is another atresia resection reported?

Code 44128 is the add-on for each additional resection for congenital atresia. Document the additional resection in the operative report.

What operative details support reporting this code?

Document the congenital atresia, the bowel segment resected, and the tapering enteroplasty performed. The record should make clear that tapering was part of the operation.

How does the multiple-procedure reduction affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50% under the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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 44127PPRRVU2026_Oct_nonQPP.csv, line 5,339 (RVU26D)

Open CMS sourceHow we calculate rates

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