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CPT code 44128: Small bowel resection, additional atresia resection2026 Medicare rate & RVUs

Reports an additional small-bowel resection during operative treatment of congenital atresia, alongside the applicable primary atresia procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $218.44 for 44128 nationally in a facility.

Medicare rate · 44128

Small bowel resection, additional atresia resection

Office or facility?

Work RVUs
4.33
Total RVUs
6.54
Global days
ZZZ

National rate · 2026

$218.44

Facility setting, before claim adjustments.

See every locality for 44128 →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 44128 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 44128 covers

Code 44128 identifies an additional small-bowel resection during surgery for congenital atresia. The operation is generally performed by a pediatric or general surgeon in a hospital operating room, often in an infant or child whose atresia requires more than one resection. The operative report should distinguish the additional resection from the primary atresia procedure and describe the bowel segments treated and the reason for each resection.

Report 44128 only with its primary procedure, generally 44127 for congenital atresia repair involving intestinal tapering. It represents an additional qualifying resection, not simply extra operative time or tapering work. CMS classifies it as an add-on code: payment is made within the primary procedure’s global period. Documentation should identify the primary procedure and clearly support the additional resection performed.

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 44128 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

44128 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$197.24
AlaskaUnavailable$275.64
ArizonaUnavailable$211.78
ArkansasUnavailable$194.71
Atlanta, GAUnavailable$227.22
Austin, TXUnavailable$216.35
Bakersfield, CAUnavailable$209.41
Baltimore area, MDUnavailable$232.50
Beaumont, TXUnavailable$212.53
Brazoria, TXUnavailable$210.76

44128 rates by state

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

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Explore a state

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
44128 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 44128 rate is calculated

Each of 44128’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 · 44128

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.33

4.33 RVUs× 1.000 GPCI

Practice expense1.05

1.05 RVUs× 1.000 GPCI

Malpractice1.16

1.16 RVUs× 1.000 GPCI

Adjusted RVUs

6.5400

Conversion factor

$33.4009

Medicare rate

$218.44

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

Payment rules and modifiers for 44128

The CMS indicators that decide how 44128 is paid alongside other services.

CMS payment indicators · 44128

Small bowel resection, additional atresia resection

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

44128 without 80 · national facility

$218.44

Small bowel resection, additional atresia resection

44128-80 · Assistant: 16%

$34.95

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

44128 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 44128

    Small bowel resection, additional atresia resection4.33 wRVU

    Not priced

  • 44127

    Atresia resection, with tapering enteroplasty48.07 wRVU

    Not priced

  • 44126

    Atresia resection, without bowel tapering41.17 wRVU

    Not priced

  • 44120

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

    Not priced

How to choose

44127Atresia resectionWith tapering enteroplasty
44127 describes the primary congenital-atresia operation with intestinal tapering; 44128 is used for a qualifying additional resection during that treatment.
44126Atresia resectionWithout bowel tapering
44126 is the primary congenital-atresia resection without intestinal tapering. 44128 is an add-on for an additional resection, not the primary procedure.
44120Small-bowel resectionSingle resection with anastomosis
44120 describes a standard small-bowel resection with anastomosis, rather than the congenital-atresia add-on represented by 44128.

Codes related to 44128

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

Codes related to 44128
CodeHow it relatesNational office range
Add-on codes
44127Atresia resection, with tapering enteroplastyPrimary congenital-atresia procedure commonly paired with this additional resection.No office rate
Same family
44126Atresia resection, without bowel taperingPrimary congenital-atresia resection without intestinal tapering.No office rate
Used instead
44120Small-bowel resection, single resection with anastomosisSingle small-bowel resection for a noncongenital indication.No office rate
44121Small bowel resection, each additional resectionAdditional small-bowel resection in the standard resection-and-anastomosis code family.No office rate

44128 billing questions

Which primary code is typically paired with 44128?

It is generally reported with 44127 when an additional resection is performed in congenital atresia surgery involving intestinal tapering.

How does 44128 differ from 44127?

44127 describes the primary congenital-atresia resection with tapering; 44128 reports a qualifying additional resection in that operative treatment.

Can 44128 be reported by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure.

What should the operative report document?

Document the primary atresia procedure and identify the additional bowel resection, including the segment treated and its relationship to the congenital atresia.

How does CMS treat payment for this add-on?

CMS places payment for 44128 within the primary procedure’s global period.

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 44128PPRRVU2026_Oct_nonQPP.csv, line 5,340 (RVU26D)

Open CMS sourceHow we calculate rates

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