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.
In Utah, Medicare pays $104.13 for 44139 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Utah · this page$104.13
- Los Angeles, CA · California$107.66+$3.53
- Washington, DC area · District of Columbia$115.86+$11.73
- Miami, FL · Florida$132.65+$28.52
- Chicago, IL · Illinois$128.67+$24.54
- Manhattan, NY · New York$124.03+$19.90
- Alaska · Alaska$136.95+$32.82
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $102.25 |
| Merced, CACalifornia | — | $102.25 |
| Modesto, CACalifornia | — | $102.25 |
| Napa, CACalifornia | — | $109.13 |
| Oxnard, CACalifornia | — | $106.02 |
| Redding, CACalifornia | — | $102.25 |
| Rest of CaliforniaCalifornia | — | $102.25 |
| Riverside, CACalifornia | — | $107.51 |
| Sacramento, CACalifornia | — | $104.84 |
| Salinas, CACalifornia | — | $104.40 |
| San Diego, CACalifornia | — | $105.10 |
| Marin County, CACalifornia | — | $112.31 |
| San Francisco, CACalifornia | — | $111.75 |
| San Benito County, CACalifornia | — | $115.23 |
| Santa Clara County, CACalifornia | — | $112.96 |
| San Luis Obispo, CACalifornia | — | $103.03 |
| Santa Cruz, CACalifornia | — | $104.69 |
| Santa Maria, CACalifornia | — | $104.31 |
| Santa Rosa, CACalifornia | — | $105.58 |
| Stockton, CACalifornia | — | $102.25 |
| Vallejo, CACalifornia | — | $108.33 |
| Visalia, CACalifornia | — | $102.25 |
| Yuba City, CACalifornia | — | $102.25 |
| ColoradoColorado | — | $105.32 |
| ConnecticutConnecticut | — | $113.16 |
| DelawareDelaware | — | $105.38 |
| Fort Lauderdale, FLFlorida | — | $120.34 |
| Rest of FloridaFlorida | — | $114.32 |
| Atlanta, GAGeorgia | — | $110.68 |
| Rest of GeorgiaGeorgia | — | $108.08 |
| Hawaii, Guam, HIHawaii | — | $102.46 |
| IowaIowa | — | $95.48 |
| IdahoIdaho | — | $96.81 |
| East St. Louis, ILIllinois | — | $122.04 |
| Rest of IllinoisIllinois | — | $114.53 |
| Suburban Chicago, ILIllinois | — | $120.51 |
| IndianaIndiana | — | $97.15 |
| KansasKansas | — | $97.03 |
| KentuckyKentucky | — | $103.49 |
| New Orleans, LALouisiana | — | $108.04 |
| Rest of LouisianaLouisiana | — | $104.12 |
| Metropolitan Boston, MAMassachusetts | — | $111.55 |
| Rest of MassachusettsMassachusetts | — | $105.68 |
| Baltimore area, MDMaryland | — | $113.24 |
| Rest of MarylandMaryland | — | $106.48 |
| Rest of MaineMaine | — | $99.25 |
| Southern Maine, MEMaine | — | $100.68 |
| Detroit, MIMichigan | — | $117.48 |
| Rest of MichiganMichigan | — | $107.42 |
| MinnesotaMinnesota | — | $95.88 |
| Metropolitan Kansas City, MOMissouri | — | $105.41 |
| Metropolitan St. Louis, MOMissouri | — | $106.05 |
| Rest of MissouriMissouri | — | $103.97 |
| MississippiMississippi | — | $100.10 |
| MontanaMontana | — | $106.85 |
| North CarolinaNorth Carolina | — | $99.77 |
| North DakotaNorth Dakota | — | $97.16 |
| NebraskaNebraska | — | $95.31 |
| New HampshireNew Hampshire | — | $105.58 |
| Northern New JerseyNew Jersey | — | $115.45 |
| Rest of New JerseyNew Jersey | — | $113.03 |
| New MexicoNew Mexico | — | $108.68 |
| NevadaNevada | — | $104.17 |
| NYC suburbs and Long Island, NYNew York | — | $128.96 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $115.29 |
| Queens, NYNew York | — | $122.04 |
| Rest of New YorkNew York | — | $101.12 |
| OhioOhio | — | $105.44 |
| OklahomaOklahoma | — | $101.30 |
| Portland, OROregon | — | $105.85 |
| Rest of OregonOregon | — | $101.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $112.09 |
| Rest of PennsylvaniaPennsylvania | — | $104.50 |
| Puerto RicoPuerto Rico | — | $106.84 |
| Rhode IslandRhode Island | — | $107.09 |
| South CarolinaSouth Carolina | — | $103.06 |
| South DakotaSouth Dakota | — | $96.02 |
| TennesseeTennessee | — | $97.66 |
| Austin, TXTexas | — | $106.21 |
| Beaumont, TXTexas | — | $104.10 |
| Brazoria, TXTexas | — | $103.70 |
| Dallas, TXTexas | — | $105.14 |
| Fort Worth, TXTexas | — | $105.17 |
| Galveston, TXTexas | — | $104.52 |
| Houston, TXTexas | — | $113.49 |
| Rest of TexasTexas | — | $104.38 |
| VirginiaVirginia | — | $101.76 |
| Virgin Islands, VIUnited States Virgin Islands | — | $106.84 |
| VermontVermont | — | $98.62 |
| Rest of WashingtonWashington | — | $104.87 |
| King County, WAWashington | — | $111.61 |
| WisconsinWisconsin | — | $94.80 |
| West VirginiaWest Virginia | — | $111.57 |
| WyomingWyoming | — | $102.63 |
44139 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.17 | × 1.000 | 2.1700 |
| Practice expense | 0.54 | × 0.940 | 0.5076 |
| Malpractice | 0.49 | × 0.898 | 0.4400 |
| Total RVUs | 3.1176 | ||
| 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
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
| 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
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.
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.
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 | $104.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $104.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $104.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $104.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $112.83 | RVU25D |
| 2025-07-01 | Not available in this setting | $112.83 | RVU25C |
| 2025-04-01 | Not available in this setting | $112.83 | RVU25B |
| 2025-01-01 | Not available in this setting | $112.83 | RVU25A |
| 2024-10-01 | Not available in this setting | $115.49 | RVU24D |
| 2024-07-01 | Not available in this setting | $115.49 | RVU24C |
| 2024-04-01 | Not available in this setting | $115.49 | RVU24B |
| 2024-03-09 | Not available in this setting | $115.49 | RVU24AR |
| 2024-01-01 | Not available in this setting | $113.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $116.29 | RVU23D |
| 2023-07-01 | Not available in this setting | $116.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $116.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $116.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $117.71 | RVU22D |
| 2022-07-01 | Not available in this setting | $117.71 | RVU22C |
| 2022-04-01 | Not available in this setting | $117.71 | RVU22B |
| 2022-01-01 | Not available in this setting | $117.71 | RVU22A |
| 2021-10-01 | Not available in this setting | $117.81 | RVU21D |
| 2021-07-01 | Not available in this setting | $117.81 | RVU21C |
| 2021-04-01 | Not available in this setting | $117.81 | RVU21B |
| 2021-01-01 | Not available in this setting | $117.81 | RVU21A |
| 2020-10-01 | Not available in this setting | $124.47 | RVU20D |
| 2020-07-01 | Not available in this setting | $124.47 | RVU20C |
| 2020-04-01 | Not available in this setting | $124.47 | RVU20B |
| 2020-01-01 | Not available in this setting | $124.47 | RVU20A |
| 2019-10-01 | Not available in this setting | $127.33 | RVU19D |
| 2019-07-01 | Not available in this setting | $127.33 | RVU19C |
| 2019-04-01 | Not available in this setting | $127.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $127.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $127.95 | RVU18D |
| 2018-07-01 | Not available in this setting | $127.95 | RVU18C |
| 2018-04-01 | Not available in this setting | $127.95 | RVU18B |
| 2018-01-01 | Not available in this setting | $127.95 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $127.53 | RVU17D |
| 2017-07-01 | Not available in this setting | $127.53 | RVU17C |
| 2017-04-01 | Not available in this setting | $127.53 | RVU17B |
| 2017-01-01 | Not available in this setting | $127.53 | RVU17A |
| 2016-10-01 | Not available in this setting | $127.18 | RVU16D |
| 2016-07-01 | Not available in this setting | $127.18 | RVU16C |
| 2016-04-01 | Not available in this setting | $127.18 | RVU16B |
| 2016-01-01 | Not available in this setting | $127.18 | RVU16A |
| 2015-10-01 | Not available in this setting | $127.22 | RVU15D |
| 2015-07-01 | Not available in this setting | $127.22 | RVU15C |
| 2015-04-01 | Not available in this setting | $126.59 | RVU15B |
| 2015-01-01 | Not available in this setting | $126.59 | RVU15A |
| 2014-10-01 | Not available in this setting | $123.64 | RVU14D |
| 2014-07-01 | Not available in this setting | $123.64 | RVU14C |
| 2014-04-01 | Not available in this setting | $123.64 | RVU14B |
| 2014-01-01 | Not available in this setting | $123.64 | RVU14A |
| 2013-10-01 | Not available in this setting | $119.79 | RVU13D |
| 2013-07-01 | Not available in this setting | $119.79 | RVU13C |
| 2013-04-01 | Not available in this setting | $119.79 | RVU13B |
| 2013-01-01 | Not available in this setting | $119.79 | RVU13AR |
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
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
Fee sheets
Put 44139 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet