CPT code 44127: Atresia resection, with tapering enteroplasty2026 Medicare rate & RVUs in Missouri
Reports small-bowel resection for congenital atresia with tapering enteroplasty, typically performed by a pediatric surgeon to address dilated bowel.
CMS doesn’t publish an office rate for 44127 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $2,581.64 |
| Metropolitan St. Louis, MO | Unavailable | $2,600.08 |
| Rest of Missouri | Unavailable | $2,534.75 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share 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.
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%).
44127 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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