CPT code 44130: Bowel anastomosis, small bowel to small bowel2026 Medicare rate & RVUs in Missouri
Report an open small-bowel connection when a surgeon restores intestinal continuity or creates a bypass, with or without partial resection.
CMS doesn’t publish an office rate for 44130 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,206.45 |
| Metropolitan St. Louis, MO | Unavailable | $1,215.23 |
| Rest of Missouri | Unavailable | $1,180.32 |
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.
How the rate is built · 44130
RVUs × geographic indexes × conversion factor
Work21.56
21.56 RVUs× 1.000 GPCI
Practice expense9.95
9.95 RVUs× 1.000 GPCI
Malpractice5.34
5.34 RVUs× 1.000 GPCI
Adjusted RVUs
36.8500
Conversion factor
$33.4009
Medicare rate
$1,230.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44130
44130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44130
Bowel anastomosis, small bowel to small bowel
| 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 · 44130
Bowel anastomosis, small bowel to small bowel
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44130 without 51 · national facility
$1,230.82
Bowel anastomosis, small bowel to small bowel
44130-51 · Second procedure: 50%
$615.41
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%).
44130 compared with similar codes
Compare codes · National
4 codes, side by side
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.
44130 billing questions
Can the anastomosis be separately reported with a small-bowel resection?
The operative details determine the service reported. Do not separately report an anastomosis that is already included in the selected resection code; the record should support a distinct procedure when 44130 is also reported.
Should modifier 50 be appended?
No. This is a single bowel-to-bowel reconstruction, not a bilateral procedure.
Is the day-before visit or routine postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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
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