CPT code 44130: Bowel anastomosis, small bowel to small bowel2026 Medicare rate & RVUs

Medicare pays $1,230.82 for 44130 nationally in a facility.

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

What 44130 covers

A surgeon creates a connection between two portions of intestine, sometimes removing part of the bowel or routing contents around a diseased or obstructed segment. The operation is performed through an abdominal approach and may be used for small-bowel reconstruction or bypass. General and colorectal surgeons typically perform it in an operating room, often during inpatient surgery.

Choose the code when the operative report documents the bowel-to-bowel anastomosis and whether partial resection or bypass was performed. Distinguish it from a resection code that already describes removal of a small-bowel segment with anastomosis. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this single bowel-to-bowel reconstruction.

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 44130 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

44130 rates by state

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

How the 44130 rate is calculated

Each of 44130’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.

Payment rules and modifiers for 44130

44130 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

44130 compared with similar codes

How to choose

44120Small-bowel resectionSingle resection with anastomosis

44120 describes resection of a small-bowel segment with anastomosis. Choose 44130 for the bowel-to-bowel connection or bypass when that is the documented service, rather than coding the resection service.

44125Small-bowel resectionWith enterostomy

44125 describes small-bowel resection with an enterostomy. It is not the choice for a bowel-to-bowel anastomosis without that enterostomy service.

44140Partial colectomyWith anastomosis

44140 describes partial colon resection with anastomosis. Use 44130 for the small-bowel-to-small-bowel connection.

Codes related to 44130

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

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

Open CMS sourceHow we calculate rates