CPT code 44139: Colon mobilization, splenic flexure, add-on2026 Medicare rate & RVUs in Utah

Reports additional mobilization of the splenic flexure during an eligible colectomy when the colon must be freed to provide adequate length for reconstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality7K Medicare services in 2024

In Utah, Medicare pays $104.13 for 44139 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$104.13Hospital or facility

Check a contract rate as a % of Medicare · 44139 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 44139 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 44139 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 44139 covers

The surgeon frees the splenic flexure from its attachments to increase the length and mobility of the colon, commonly to support a colorectal or colocolonic reconstruction during colectomy. This work is typically performed by a colorectal or general surgeon in the operating room as part of the same operative session as the colon resection. The operative report should distinguish the mobilization from the resection itself and describe the additional dissection performed.

Report 44139 only with an eligible primary colectomy procedure; it is not a standalone service. Documentation should show that splenic flexure mobilization was performed, rather than treating routine exposure or handling of the colon as a separate service. CMS classifies it as an add-on code: it is billed with the primary procedure and paid within that procedure’s global period. The primary code identifies the colectomy performed, while 44139 captures the additional mobilization work.

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 Utah compares for 44139

Across 109 of 109 payment localities, the facility rate for 44139 runs from $94.80 in Wisconsin to $136.95 in Alaska. Utah pays $104.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

44139 in Utah vs other payment areas
  1. Utah · this page$104.13
  2. Los Angeles, CA · California$107.66+$3.53
  3. Washington, DC area · District of Columbia$115.86+$11.73
  4. Miami, FL · Florida$132.65+$28.52
  5. Chicago, IL · Illinois$128.67+$24.54
  6. Manhattan, NY · New York$124.03+$19.90
  7. Alaska · Alaska$136.95+$32.82

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

Every other payment area

44139 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$97.53
ArkansasArkansas—$96.40
ArizonaArizona—$103.97
Bakersfield, CACalifornia—$103.59
Chico, CACalifornia—$102.25
El Centro, CACalifornia—$102.33
Fresno, CACalifornia—$102.25
Hanford, CACalifornia—$102.25

44139 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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44139 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 44139 in every payment locality

How the 44139 rate is calculated

Each of 44139’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 · 44139

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.17

2.17 RVUs× 1.000 GPCI

Practice expense0.54

0.54 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

3.2000

Conversion factor

$33.4009

Medicare rate

$106.88

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,347

Code
44139
Physician work
2.17
Practice expense
0.54
Malpractice
0.49

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 44139 in Utah
ComponentRVULocality factorAdjusted
Physician work2.17× 1.0002.1700
Practice expense0.54× 0.9400.5076
Malpractice0.49× 0.8980.4400
Total RVUs3.1176
Conversion factor× 33.4009

Facility rate, Utah$104.13

Facility: (2.17 × 1 + 0.54 × 0.94 + 0.49 × 0.898) × $33.4009 = $104.13

Open 44139 in the RVU calculator

Payment rules and modifiers for 44139

The CMS indicators that decide how 44139 is paid alongside other services.

CMS payment indicators · 44139

Colon mobilization, splenic flexure, add-on

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

44139 without 80 · national facility

$106.88

Colon mobilization, splenic flexure, add-on

44139-80 · Assistant: 16%

$17.10

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

When to use modifier 80

How 44139 has changed in Utah

44139 · 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$104.13RVU26D
2026-07-01Not available in this setting$104.13RVU26C
2026-04-01Not available in this setting$104.13RVU26B
2026-01-01Not available in this setting$104.13RVU26A
2025-10-01Not available in this setting$112.83RVU25D
2025-07-01Not available in this setting$112.83RVU25C
2025-04-01Not available in this setting$112.83RVU25B
2025-01-01Not available in this setting$112.83RVU25A
2024-10-01Not available in this setting$115.49RVU24D
2024-07-01Not available in this setting$115.49RVU24C
2024-04-01Not available in this setting$115.49RVU24B
2024-03-09Not available in this setting$115.49RVU24AR
2024-01-01Not available in this setting$113.60RVU24A
2023-10-01Not available in this setting$116.29RVU23D
2023-07-01Not available in this setting$116.29RVU23C
2023-04-01Not available in this setting$116.29RVU23B
2023-01-01Not available in this setting$116.29RVU23A
2022-10-01Not available in this setting$117.71RVU22D
2022-07-01Not available in this setting$117.71RVU22C
2022-04-01Not available in this setting$117.71RVU22B
2022-01-01Not available in this setting$117.71RVU22A
2021-10-01Not available in this setting$117.81RVU21D
2021-07-01Not available in this setting$117.81RVU21C
2021-04-01Not available in this setting$117.81RVU21B
2021-01-01Not available in this setting$117.81RVU21A
2020-10-01Not available in this setting$124.47RVU20D
2020-07-01Not available in this setting$124.47RVU20C
2020-04-01Not available in this setting$124.47RVU20B
2020-01-01Not available in this setting$124.47RVU20A
2019-10-01Not available in this setting$127.33RVU19D
2019-07-01Not available in this setting$127.33RVU19C
2019-04-01Not available in this setting$127.33RVU19B
2019-01-01Not available in this setting$127.33RVU19A
2018-10-01Not available in this setting$127.95RVU18D
2018-07-01Not available in this setting$127.95RVU18C
2018-04-01Not available in this setting$127.95RVU18B
2018-01-01Not available in this setting$127.95RVU18AR1
2017-10-01Not available in this setting$127.53RVU17D
2017-07-01Not available in this setting$127.53RVU17C
2017-04-01Not available in this setting$127.53RVU17B
2017-01-01Not available in this setting$127.53RVU17A
2016-10-01Not available in this setting$127.18RVU16D
2016-07-01Not available in this setting$127.18RVU16C
2016-04-01Not available in this setting$127.18RVU16B
2016-01-01Not available in this setting$127.18RVU16A
2015-10-01Not available in this setting$127.22RVU15D
2015-07-01Not available in this setting$127.22RVU15C
2015-04-01Not available in this setting$126.59RVU15B
2015-01-01Not available in this setting$126.59RVU15A
2014-10-01Not available in this setting$123.64RVU14D
2014-07-01Not available in this setting$123.64RVU14C
2014-04-01Not available in this setting$123.64RVU14B
2014-01-01Not available in this setting$123.64RVU14A
2013-10-01Not available in this setting$119.79RVU13D
2013-07-01Not available in this setting$119.79RVU13C
2013-04-01Not available in this setting$119.79RVU13B
2013-01-01Not available in this setting$119.79RVU13AR

Price 44139 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

44139 billing questions

When is 44139 reported with a colectomy?

Report it when the surgeon performs additional splenic flexure mobilization during an eligible colectomy. The operative note should describe the dissection and mobilization, not just the colectomy.

Can 44139 be billed by itself?

No. It is an add-on code and must be billed with an eligible primary colectomy procedure.

Is 44139 the same as the colectomy code?

No. The primary code describes the colon resection and related reconstruction or diversion; 44139 reports the additional splenic flexure mobilization.

Which code is used for laparoscopic splenic flexure mobilization?

Code 44213 describes laparoscopic mobilization of the splenic flexure as an add-on. Choose the code that matches the operative approach.

What documentation supports 44139?

The operative report should identify splenic flexure mobilization and describe the additional work performed to free the colon, alongside the eligible primary colectomy.

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 44139PPRRVU2026_Oct_nonQPP.csv, line 5,347 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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