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

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

CMS RVU26DEffective Oct 1, 2026One payment locality

In Delaware, Medicare pays $214.83 for 44128 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$214.83Hospital or facility

Check a contract rate as a % of Medicare · 44128 nationwide

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

We’ll open 44128 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 44128 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Delaware compares for 44128

Across 109 of 109 payment localities, the facility rate for 44128 runs from $190.16 in Wisconsin to $279.12 in Miami, FL. Delaware pays $214.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

44128 in Delaware vs other payment areas
  1. Delaware · this page$214.83
  2. Los Angeles, CA · California$217.77+$2.94
  3. Washington, DC area · District of Columbia$236.87+$22.04
  4. Miami, FL · Florida$279.12+$64.29
  5. Chicago, IL · Illinois$269.80+$54.97
  6. Manhattan, NY · New York$256.08+$41.25
  7. Alaska · Alaska$275.64+$60.81

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

Every other payment area

44128 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$197.24
ArkansasArkansas—$194.71
ArizonaArizona—$211.78
Bakersfield, CACalifornia—$209.41
Chico, CACalifornia—$206.29
El Centro, CACalifornia—$206.48
Fresno, CACalifornia—$206.29
Hanford, CACalifornia—$206.29

44128 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.

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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

See 44128 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,340

Code
44128
Physician work
4.33
Practice expense
1.05
Malpractice
1.16

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 44128 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.33× 1.0054.3516
Practice expense1.05× 0.9881.0374
Malpractice1.16× 0.8991.0428
Total RVUs6.4319
Conversion factor× 33.4009

Facility rate, Delaware$214.83

Facility: (4.33 × 1.005 + 1.05 × 0.988 + 1.16 × 0.899) × $33.4009 = $214.83

Open 44128 in the RVU calculator

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

How 44128 has changed in Delaware

44128 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

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 fromOfficeFacilityCMS release
2026-10-01Not available in this setting$214.83RVU26D
2026-07-01Not available in this setting$214.83RVU26C
2026-04-01Not available in this setting$214.83RVU26B
2026-01-01Not available in this setting$214.83RVU26A
2025-10-01Not available in this setting$233.48RVU25D
2025-07-01Not available in this setting$233.48RVU25C
2025-04-01Not available in this setting$233.48RVU25B
2025-01-01Not available in this setting$233.48RVU25A
2024-10-01Not available in this setting$239.27RVU24D
2024-07-01Not available in this setting$239.27RVU24C
2024-04-01Not available in this setting$239.27RVU24B
2024-03-09Not available in this setting$239.27RVU24AR
2024-01-01Not available in this setting$235.36RVU24A
2023-10-01Not available in this setting$243.08RVU23D
2023-07-01Not available in this setting$243.08RVU23C
2023-04-01Not available in this setting$243.08RVU23B
2023-01-01Not available in this setting$243.08RVU23A
2022-10-01Not available in this setting$248.38RVU22D
2022-07-01Not available in this setting$248.38RVU22C
2022-04-01Not available in this setting$248.38RVU22B
2022-01-01Not available in this setting$248.38RVU22A
2021-10-01Not available in this setting$250.12RVU21D
2021-07-01Not available in this setting$250.12RVU21C
2021-04-01Not available in this setting$250.12RVU21B
2021-01-01Not available in this setting$250.12RVU21A
2020-10-01Not available in this setting$259.66RVU20D
2020-07-01Not available in this setting$259.66RVU20C
2020-04-01Not available in this setting$259.66RVU20B
2020-01-01Not available in this setting$259.66RVU20A
2019-10-01Not available in this setting$262.71RVU19D
2019-07-01Not available in this setting$262.71RVU19C
2019-04-01Not available in this setting$262.71RVU19B
2019-01-01Not available in this setting$262.71RVU19A
2018-10-01Not available in this setting$262.02RVU18D
2018-07-01Not available in this setting$262.02RVU18C
2018-04-01Not available in this setting$262.02RVU18B
2018-01-01Not available in this setting$262.02RVU18AR1
2017-10-01Not available in this setting$262.25RVU17D
2017-07-01Not available in this setting$262.25RVU17C
2017-04-01Not available in this setting$262.25RVU17B
2017-01-01Not available in this setting$262.25RVU17A
2016-10-01Not available in this setting$261.82RVU16D
2016-07-01Not available in this setting$261.82RVU16C
2016-04-01Not available in this setting$261.82RVU16B
2016-01-01Not available in this setting$261.82RVU16A
2015-10-01Not available in this setting$261.62RVU15D
2015-07-01Not available in this setting$261.62RVU15C
2015-04-01Not available in this setting$260.31RVU15B
2015-01-01Not available in this setting$260.31RVU15A
2014-10-01Not available in this setting$248.82RVU14D
2014-07-01Not available in this setting$248.82RVU14C
2014-04-01Not available in this setting$248.82RVU14B
2014-01-01Not available in this setting$248.82RVU14A
2013-10-01Not available in this setting$236.65RVU13D
2013-07-01Not available in this setting$236.65RVU13C
2013-04-01Not available in this setting$236.65RVU13B
2013-01-01Not available in this setting$236.65RVU13AR

Price 44128 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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