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

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

CMS RVU26DEffective Oct 1, 2026One payment locality

In Puerto Rico, Medicare pays $2,627.71 for 44127 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)

$2,627.71Hospital or facility

Check a contract rate as a % of Medicare · 44127 nationwide

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

On this page 11 sections

Rate in Puerto Rico
What 44127 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
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.

How Puerto Rico compares for 44127

Across 109 of 109 payment localities, the facility rate for 44127 runs from $2,305.31 in Wisconsin to $3,309.20 in Miami, FL. Puerto Rico pays $2,627.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

44127 in Puerto Rico vs other payment areas

Puerto Rico · this page$2,627.71
Los Angeles, CA · California$2,657.41+$29.70
Washington, DC area · District of Columbia$2,868.34+$240.63
Miami, FL · Florida$3,309.20+$681.49
Chicago, IL · Illinois$3,198.53+$570.82
Manhattan, NY · New York$3,078.25+$450.54
Alaska · Alaska$3,275.92+$648.21

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

Every other payment area

44127 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	—	$2,367.06
ArkansasArkansas	—	$2,335.66
ArizonaArizona	—	$2,547.39
Bakersfield, CACalifornia	—	$2,546.93
Chico, CACalifornia	—	$2,512.34
El Centro, CACalifornia	—	$2,514.48
Fresno, CACalifornia	—	$2,512.34
Hanford, CACalifornia	—	$2,512.34
Madera, CACalifornia	—	$2,512.34
Merced, CACalifornia	—	$2,512.34
Modesto, CACalifornia	—	$2,512.34
Napa, CACalifornia	—	$2,705.62
Oxnard, CACalifornia	—	$2,618.32
Redding, CACalifornia	—	$2,512.34
Rest of CaliforniaCalifornia	—	$2,512.34
Riverside, CACalifornia	—	$2,650.21
Sacramento, CACalifornia	—	$2,582.52
Salinas, CACalifornia	—	$2,572.12
San Diego, CACalifornia	—	$2,595.01
Marin County, CACalifornia	—	$2,790.42
San Francisco, CACalifornia	—	$2,775.81
San Benito County, CACalifornia	—	$2,866.55
Santa Clara County, CACalifornia	—	$2,806.80
San Luis Obispo, CACalifornia	—	$2,537.80
Santa Cruz, CACalifornia	—	$2,589.23
Santa Maria, CACalifornia	—	$2,571.45
Santa Rosa, CACalifornia	—	$2,611.38
Stockton, CACalifornia	—	$2,512.34
Vallejo, CACalifornia	—	$2,684.56
Visalia, CACalifornia	—	$2,512.34
Yuba City, CACalifornia	—	$2,512.34
ColoradoColorado	—	$2,590.68
ConnecticutConnecticut	—	$2,795.63
DelawareDelaware	—	$2,585.15
Fort Lauderdale, FLFlorida	—	$2,982.68
Rest of FloridaFlorida	—	$2,817.82
Atlanta, GAGeorgia	—	$2,728.34
Rest of GeorgiaGeorgia	—	$2,646.23
Hawaii, Guam, HIHawaii	—	$2,527.80
IowaIowa	—	$2,318.10
IdahoIdaho	—	$2,353.73
East St. Louis, ILIllinois	—	$3,016.16
Rest of IllinoisIllinois	—	$2,818.14
Suburban Chicago, ILIllinois	—	$2,986.74
IndianaIndiana	—	$2,363.47
KansasKansas	—	$2,357.58
KentuckyKentucky	—	$2,525.38
New Orleans, LALouisiana	—	$2,651.17
Rest of LouisianaLouisiana	—	$2,541.49
Metropolitan Boston, MAMassachusetts	—	$2,761.08
Rest of MassachusettsMassachusetts	—	$2,597.46
Baltimore area, MDMaryland	—	$2,798.45
Rest of MarylandMaryland	—	$2,615.56
Rest of MaineMaine	—	$2,417.78
Southern Maine, MEMaine	—	$2,463.70
Detroit, MIMichigan	—	$2,901.81
Rest of MichiganMichigan	—	$2,631.58
MinnesotaMinnesota	—	$2,342.19
Metropolitan Kansas City, MOMissouri	—	$2,581.64
Metropolitan St. Louis, MOMissouri	—	$2,600.08
Rest of MissouriMissouri	—	$2,534.75
MississippiMississippi	—	$2,433.14
MontanaMontana	—	$2,626.79
North CarolinaNorth Carolina	—	$2,432.79
North DakotaNorth Dakota	—	$2,372.31
NebraskaNebraska	—	$2,314.67
New HampshireNew Hampshire	—	$2,598.20
Northern New JerseyNew Jersey	—	$2,852.78
Rest of New JerseyNew Jersey	—	$2,788.05
New MexicoNew Mexico	—	$2,664.90
NevadaNevada	—	$2,556.45
NYC suburbs and Long Island, NYNew York	—	$3,210.73
Poughkeepsie and northern NYC suburbs, NYNew York	—	$2,846.43
Queens, NYNew York	—	$3,028.19
Rest of New YorkNew York	—	$2,470.37
OhioOhio	—	$2,579.57
OklahomaOklahoma	—	$2,468.42
Portland, OROregon	—	$2,609.03
Rest of OregonOregon	—	$2,497.61
Metropolitan Philadelphia, PAPennsylvania	—	$2,763.79
Rest of PennsylvaniaPennsylvania	—	$2,555.45
Rhode IslandRhode Island	—	$2,631.27
South CarolinaSouth Carolina	—	$2,518.16
South DakotaSouth Dakota	—	$2,342.22
TennesseeTennessee	—	$2,374.73
Austin, TXTexas	—	$2,616.20
Beaumont, TXTexas	—	$2,543.83
Brazoria, TXTexas	—	$2,540.59
Dallas, TXTexas	—	$2,578.69
Fort Worth, TXTexas	—	$2,578.36
Galveston, TXTexas	—	$2,562.41
Houston, TXTexas	—	$2,797.98
Rest of TexasTexas	—	$2,555.75
UtahUtah	—	$2,548.27
VirginiaVirginia	—	$2,491.20
Virgin Islands, VIUnited States Virgin Islands	—	$2,627.71
VermontVermont	—	$2,409.37
Rest of WashingtonWashington	—	$2,577.17
King County, WAWashington	—	$2,763.69
WisconsinWisconsin	—	$2,305.31
West VirginiaWest Virginia	—	$2,735.34
WyomingWyoming	—	$2,515.88

44127 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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44127 office rate range by state
State / territory	Office rate range	Localities
AK	No published base rate	1
AL	No published base rate	1
AR	No published base rate	1
AZ	No published base rate	1
CA	No published base rate	29
CO	No published base rate	1
CT	No published base rate	1
DC	No published base rate	1
DE	No published base rate	1
FL	No published base rate	3
GA	No published base rate	2
GU	No published base rate	1
HI	No published base rate	1
IA	No published base rate	1
ID	No published base rate	1
IL	No published base rate	4
IN	No published base rate	1
KS	No published base rate	1
KY	No published base rate	1
LA	No published base rate	2
MA	No published base rate	2
MD	No published base rate	3
ME	No published base rate	2
MI	No published base rate	2
MN	No published base rate	1
MO	No published base rate	3
MS	No published base rate	1
MT	No published base rate	1
NC	No published base rate	1
ND	No published base rate	1
NE	No published base rate	1
NH	No published base rate	1
NJ	No published base rate	2
NM	No published base rate	1
NV	No published base rate	1
NY	No published base rate	5
OH	No published base rate	1
OK	No published base rate	1
OR	No published base rate	2
PA	No published base rate	2
PR	No published base rate	1
RI	No published base rate	1
SC	No published base rate	1
SD	No published base rate	1
TN	No published base rate	1
TX	No published base rate	8
UT	No published base rate	1
VA	No published base rate	2
VI	No published base rate	1
VT	No published base rate	1
WA	No published base rate	2
WI	No published base rate	1
WV	No published base rate	1
WY	No published base rate	1

See 44127 in every payment locality

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?

Your ZIP

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,339

Code: 44127
Physician work: 48.07
Practice expense: 17.73
Malpractice: 12.87

GPCI2026.csv

Locality: Puerto Rico
Physician work: 1.000
Practice expense: 1.011
Malpractice: 0.985

Facility calculation for 44127 in Puerto Rico
Component	RVU	Locality factor	Adjusted
Physician work	48.07	× 1.000	48.0700
Practice expense	17.73	× 1.011	17.9250
Malpractice	12.87	× 0.985	12.6769
Total RVUs			78.6720
Conversion factor			× 33.4009

Facility rate, Puerto Rico$2627.71

Facility: (48.07 × 1 + 17.73 × 1.011 + 12.87 × 0.985) × $33.4009 = $2627.71

Open 44127 in the RVU calculator

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

Date of surgery

Date of a later visit

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

Codes related to 44127

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

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

How 44127 has changed in Puerto Rico

44127 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

Compare with release effective

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 from	Office	Facility	CMS release
2026-10-01	Not available in this setting	$2,627.71	RVU26D
2026-07-01	Not available in this setting	$2,627.71	RVU26C
2026-04-01	Not available in this setting	$2,627.71	RVU26B
2026-01-01	Not available in this setting	$2,627.71	RVU26A
2025-10-01	Not available in this setting	$2,768.23	RVU25D
2025-07-01	Not available in this setting	$2,768.23	RVU25C
2025-04-01	Not available in this setting	$2,768.23	RVU25B
2025-01-01	Not available in this setting	$2,768.23	RVU25A
2024-10-01	Not available in this setting	$2,835.54	RVU24D
2024-07-01	Not available in this setting	$2,835.54	RVU24C
2024-04-01	Not available in this setting	$2,835.54	RVU24B
2024-03-09	Not available in this setting	$2,835.54	RVU24AR
2024-01-01	Not available in this setting	$2,789.26	RVU24A
2023-10-01	Not available in this setting	$2,876.96	RVU23D
2023-07-01	Not available in this setting	$2,877.36	RVU23C
2023-04-01	Not available in this setting	$2,877.36	RVU23B
2023-01-01	Not available in this setting	$2,877.36	RVU23A
2022-10-01	Not available in this setting	$2,941.92	RVU22D
2022-07-01	Not available in this setting	$2,941.92	RVU22C
2022-04-01	Not available in this setting	$2,941.92	RVU22B
2022-01-01	Not available in this setting	$2,941.92	RVU22A
2021-10-01	Not available in this setting	$2,942.35	RVU21D
2021-07-01	Not available in this setting	$2,942.35	RVU21C
2021-04-01	Not available in this setting	$2,942.35	RVU21B
2021-01-01	Not available in this setting	$2,942.35	RVU21A
2020-10-01	Not available in this setting	$3,009.20	RVU20D
2020-07-01	Not available in this setting	$3,009.20	RVU20C
2020-04-01	Not available in this setting	$3,009.20	RVU20B
2020-01-01	Not available in this setting	$3,009.20	RVU20A
2019-10-01	Not available in this setting	$2,992.01	RVU19D
2019-07-01	Not available in this setting	$2,992.01	RVU19C
2019-04-01	Not available in this setting	$2,992.01	RVU19B
2019-01-01	Not available in this setting	$2,992.01	RVU19A
2018-10-01	Not available in this setting	$2,978.01	RVU18D
2018-07-01	Not available in this setting	$2,978.01	RVU18C
2018-04-01	Not available in this setting	$2,978.01	RVU18B
2018-01-01	Not available in this setting	$2,978.01	RVU18AR1
2017-10-01	Not available in this setting	$2,637.79	RVU17D
2017-07-01	Not available in this setting	$2,637.79	RVU17C
2017-04-01	Not available in this setting	$2,637.79	RVU17B
2017-01-01	Not available in this setting	$2,637.79	RVU17A
2016-10-01	Not available in this setting	$2,430.27	RVU16D
2016-07-01	Not available in this setting	$2,430.27	RVU16C
2016-04-01	Not available in this setting	$2,430.27	RVU16B
2016-01-01	Not available in this setting	$2,430.27	RVU16A
2015-10-01	Not available in this setting	$2,443.06	RVU15D
2015-07-01	Not available in this setting	$2,443.06	RVU15C
2015-04-01	Not available in this setting	$2,430.90	RVU15B
2015-01-01	Not available in this setting	$2,430.90	RVU15A
2014-10-01	Not available in this setting	$2,404.04	RVU14D
2014-07-01	Not available in this setting	$2,404.04	RVU14C
2014-04-01	Not available in this setting	$2,404.04	RVU14B
2014-01-01	Not available in this setting	$2,404.04	RVU14A
2013-10-01	Not available in this setting	$2,322.30	RVU13D
2013-07-01	Not available in this setting	$2,322.30	RVU13C
2013-04-01	Not available in this setting	$2,322.30	RVU13B
2013-01-01	Not available in this setting	$2,322.30	RVU13AR

Price 44127 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

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)

5,33644121,,[CPT descriptor omitted],A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,33744125,,[CPT descriptor omitted],A,,19.53,8.63,NA,8.63,,4.70,32.86,32.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,33844126,,[CPT descriptor omitted],A,,41.17,16.20,NA,16.20,,11.05,68.42,68.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,33944127,,[CPT descriptor omitted],A,,48.07,17.73,NA,17.73,,12.87,78.67,78.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,34044128,,[CPT descriptor omitted],A,,4.33,1.05,NA,1.05,,1.16,6.54,6.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,34144130,,[CPT descriptor omitted],A,,21.56,9.95,NA,9.95,,5.34,36.85,36.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,34244132,,[CPT descriptor omitted],R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

8802302,OR,99,REST OF OREGON,1.000,0.996,0.703

8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193

9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945

9109202,PR,20,PUERTO RICO,1.000,1.011,0.985

9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892

9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850

9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336

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What 44127 covers

How Puerto Rico compares for 44127

Every other payment area

44127 rates by state

How the 44127 rate is calculated

Payment rules and modifiers for 44127

What modifiers do to the payment

Codes related to 44127

How 44127 has changed in Puerto Rico

Where the Puerto Rico rate applies

44127 billing questions

When should I choose this code instead of 44126?

How is another atresia resection reported?

What operative details support reporting this code?

How does the multiple-procedure reduction affect payment?

Can an assistant or co-surgeon be reported?

Where these rates come from

Did this answer your question about what 44127 pays in Puerto Rico?

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