CPT code 44128: Small bowel resection, additional atresia resection2026 Medicare rate & RVUs in New Mexico
Reports an additional small-bowel resection during operative treatment of congenital atresia, alongside the applicable primary atresia procedure.
In New Mexico, Medicare pays $223.32 for 44128 in a facility. There’s no office rate.
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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $223.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$223.32
- Los Angeles, CA · California$217.77−$5.55
- Washington, DC area · District of Columbia$236.87+$13.55
- Miami, FL · Florida$279.12+$55.80
- Chicago, IL · Illinois$269.80+$46.48
- Manhattan, NY · New York$256.08+$32.76
- Alaska · Alaska$275.64+$52.32
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $206.29 |
| Merced, CACalifornia | — | $206.29 |
| Modesto, CACalifornia | — | $206.29 |
| Napa, CACalifornia | — | $219.64 |
| Oxnard, CACalifornia | — | $214.27 |
| Redding, CACalifornia | — | $206.29 |
| Rest of CaliforniaCalifornia | — | $206.29 |
| Riverside, CACalifornia | — | $218.72 |
| Sacramento, CACalifornia | — | $211.39 |
| Salinas, CACalifornia | — | $210.52 |
| San Diego, CACalifornia | — | $211.91 |
| Marin County, CACalifornia | — | $225.60 |
| San Francisco, CACalifornia | — | $224.28 |
| San Benito County, CACalifornia | — | $231.87 |
| Santa Clara County, CACalifornia | — | $226.49 |
| San Luis Obispo, CACalifornia | — | $207.80 |
| Santa Cruz, CACalifornia | — | $211.04 |
| Santa Maria, CACalifornia | — | $210.34 |
| Santa Rosa, CACalifornia | — | $212.80 |
| Stockton, CACalifornia | — | $206.29 |
| Vallejo, CACalifornia | — | $217.74 |
| Visalia, CACalifornia | — | $206.29 |
| Yuba City, CACalifornia | — | $206.29 |
| ColoradoColorado | — | $213.94 |
| ConnecticutConnecticut | — | $232.17 |
| DelawareDelaware | — | $214.83 |
| Fort Lauderdale, FLFlorida | — | $250.20 |
| Rest of FloridaFlorida | — | $236.39 |
| Atlanta, GAGeorgia | — | $227.22 |
| Rest of GeorgiaGeorgia | — | $222.09 |
| Hawaii, Guam, HIHawaii | — | $206.93 |
| IowaIowa | — | $192.10 |
| IdahoIdaho | — | $195.22 |
| East St. Louis, ILIllinois | — | $254.92 |
| Rest of IllinoisIllinois | — | $237.20 |
| Suburban Chicago, ILIllinois | — | $250.31 |
| IndianaIndiana | — | $195.97 |
| KansasKansas | — | $195.86 |
| KentuckyKentucky | — | $211.26 |
| New Orleans, LALouisiana | — | $221.64 |
| Rest of LouisianaLouisiana | — | $212.78 |
| Metropolitan Boston, MAMassachusetts | — | $226.91 |
| Rest of MassachusettsMassachusetts | — | $214.75 |
| Baltimore area, MDMaryland | — | $232.50 |
| Rest of MarylandMaryland | — | $217.13 |
| Rest of MaineMaine | — | $200.99 |
| Southern Maine, MEMaine | — | $203.83 |
| Detroit, MIMichigan | — | $243.79 |
| Rest of MichiganMichigan | — | $220.39 |
| MinnesotaMinnesota | — | $192.18 |
| Metropolitan Kansas City, MOMissouri | — | $215.41 |
| Metropolitan St. Louis, MOMissouri | — | $216.84 |
| Rest of MissouriMissouri | — | $212.59 |
| MississippiMississippi | — | $203.45 |
| MontanaMontana | — | $218.36 |
| North CarolinaNorth Carolina | — | $202.11 |
| North DakotaNorth Dakota | — | $195.43 |
| NebraskaNebraska | — | $191.64 |
| New HampshireNew Hampshire | — | $215.04 |
| Northern New JerseyNew Jersey | — | $235.80 |
| Rest of New JerseyNew Jersey | — | $231.21 |
| NevadaNevada | — | $212.01 |
| NYC suburbs and Long Island, NYNew York | — | $267.53 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $236.42 |
| Queens, NYNew York | — | $251.21 |
| Rest of New YorkNew York | — | $205.18 |
| OhioOhio | — | $215.70 |
| OklahomaOklahoma | — | $206.05 |
| Portland, OROregon | — | $214.73 |
| Rest of OregonOregon | — | $206.79 |
| Metropolitan Philadelphia, PAPennsylvania | — | $229.96 |
| Rest of PennsylvaniaPennsylvania | — | $213.44 |
| Puerto RicoPuerto Rico | — | $218.25 |
| Rhode IslandRhode Island | — | $218.16 |
| South CarolinaSouth Carolina | — | $209.96 |
| South DakotaSouth Dakota | — | $192.72 |
| TennesseeTennessee | — | $197.31 |
| Austin, TXTexas | — | $216.35 |
| Beaumont, TXTexas | — | $212.53 |
| Brazoria, TXTexas | — | $210.76 |
| Dallas, TXTexas | — | $214.10 |
| Fort Worth, TXTexas | — | $214.25 |
| Galveston, TXTexas | — | $212.69 |
| Houston, TXTexas | — | $233.92 |
| Rest of TexasTexas | — | $212.89 |
| UtahUtah | — | $212.39 |
| VirginiaVirginia | — | $206.45 |
| Virgin Islands, VIUnited States Virgin Islands | — | $218.25 |
| VermontVermont | — | $198.95 |
| Rest of WashingtonWashington | — | $212.92 |
| King County, WAWashington | — | $226.54 |
| WisconsinWisconsin | — | $190.16 |
| West VirginiaWest Virginia | — | $230.55 |
| WyomingWyoming | — | $208.37 |
44128 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| 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 |
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
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 New Mexico 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
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.33 | × 1.000 | 4.3300 |
| Practice expense | 1.05 | × 0.917 | 0.9629 |
| Malpractice | 1.16 | × 1.201 | 1.3932 |
| Total RVUs | 6.6860 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$223.32
Facility: (4.33 × 1 + 1.05 × 0.917 + 1.16 × 1.201) × $33.4009 = $223.32
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
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.
How 44128 has changed in New Mexico
44128 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $223.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $223.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $223.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $223.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $235.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $235.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $235.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $235.97 | RVU25A |
| 2024-10-01 | Not available in this setting | $242.02 | RVU24D |
| 2024-07-01 | Not available in this setting | $242.02 | RVU24C |
| 2024-04-01 | Not available in this setting | $242.02 | RVU24B |
| 2024-03-09 | Not available in this setting | $242.02 | RVU24AR |
| 2024-01-01 | Not available in this setting | $238.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $244.96 | RVU23D |
| 2023-07-01 | Not available in this setting | $244.96 | RVU23C |
| 2023-04-01 | Not available in this setting | $244.96 | RVU23B |
| 2023-01-01 | Not available in this setting | $244.96 | RVU23A |
| 2022-10-01 | Not available in this setting | $249.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $249.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $249.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $249.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $251.27 | RVU21D |
| 2021-07-01 | Not available in this setting | $251.27 | RVU21C |
| 2021-04-01 | Not available in this setting | $251.27 | RVU21B |
| 2021-01-01 | Not available in this setting | $251.27 | RVU21A |
| 2020-10-01 | Not available in this setting | $259.28 | RVU20D |
| 2020-07-01 | Not available in this setting | $259.28 | RVU20C |
| 2020-04-01 | Not available in this setting | $259.28 | RVU20B |
| 2020-01-01 | Not available in this setting | $259.28 | RVU20A |
| 2019-10-01 | Not available in this setting | $260.99 | RVU19D |
| 2019-07-01 | Not available in this setting | $260.99 | RVU19C |
| 2019-04-01 | Not available in this setting | $260.99 | RVU19B |
| 2019-01-01 | Not available in this setting | $260.99 | RVU19A |
| 2018-10-01 | Not available in this setting | $260.26 | RVU18D |
| 2018-07-01 | Not available in this setting | $260.26 | RVU18C |
| 2018-04-01 | Not available in this setting | $260.26 | RVU18B |
| 2018-01-01 | Not available in this setting | $260.26 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $258.03 | RVU17D |
| 2017-07-01 | Not available in this setting | $258.03 | RVU17C |
| 2017-04-01 | Not available in this setting | $258.03 | RVU17B |
| 2017-01-01 | Not available in this setting | $258.03 | RVU17A |
| 2016-10-01 | Not available in this setting | $256.51 | RVU16D |
| 2016-07-01 | Not available in this setting | $256.51 | RVU16C |
| 2016-04-01 | Not available in this setting | $256.51 | RVU16B |
| 2016-01-01 | Not available in this setting | $256.51 | RVU16A |
| 2015-10-01 | Not available in this setting | $256.27 | RVU15D |
| 2015-07-01 | Not available in this setting | $256.27 | RVU15C |
| 2015-04-01 | Not available in this setting | $255.00 | RVU15B |
| 2015-01-01 | Not available in this setting | $255.00 | RVU15A |
| 2014-10-01 | Not available in this setting | $246.40 | RVU14D |
| 2014-07-01 | Not available in this setting | $246.40 | RVU14C |
| 2014-04-01 | Not available in this setting | $246.40 | RVU14B |
| 2014-01-01 | Not available in this setting | $246.40 | RVU14A |
| 2013-10-01 | Not available in this setting | $237.46 | RVU13D |
| 2013-07-01 | Not available in this setting | $237.46 | RVU13C |
| 2013-04-01 | Not available in this setting | $237.46 | RVU13B |
| 2013-01-01 | Not available in this setting | $237.46 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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