CPT code 44140: Partial colectomy, with anastomosis2026 Medicare rate & RVUs in Florida
Reports open removal of part of the colon with reconnection of the remaining bowel, such as for a diseased or obstructed segment.
CMS doesn’t publish an office rate for 44140 in Florida.
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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What 44140 covers
This service involves open removal of a portion of the colon followed by an anastomosis joining the bowel ends. General and colorectal surgeons commonly perform it in a hospital operating room for conditions such as diverticular disease, a localized colon tumor, or a segment of nonviable bowel. The resected specimen is generally sent for pathology. The operative approach and reconstruction distinguish this service from partial colectomy procedures that create a stoma or use a different anastomosis.
Choose the code from the operative report’s documented resection and reconstruction; it should support removal of a colon segment and anastomosis. The anastomosis is part of the service, not separately reported as a distinct procedure. Medicare applies a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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 44140 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $1,400.27 |
| Miami, FL | Unavailable | $1,539.67 |
| Rest of Florida | Unavailable | $1,326.22 |
How the 44140 rate is calculated
Each of 44140’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 · 44140
RVUs × geographic indexes × conversion factor
Work22.03
22.03 RVUs× 1.000 GPCI
Practice expense10.00
10.00 RVUs× 1.000 GPCI
Malpractice5.40
5.40 RVUs× 1.000 GPCI
Adjusted RVUs
37.4300
Conversion factor
$33.4009
Medicare rate
$1,250.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44140
44140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44140
Partial colectomy, with anastomosis
| 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 · 44140
Partial colectomy, with anastomosis
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
44140 without 51 · national facility
$1,250.20
Partial colectomy, with anastomosis
44140-51 · Second procedure: 50%
$625.10
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%).
44140 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 44141Partial colectomyWith skin-level bowel stoma
- 44140 includes anastomosis of the remaining bowel. Choose 44141 when the partial colectomy includes creation of a cecostomy or colostomy.
- 44143Partial colectomyEnd colostomy, closed distal segment
- 44143 describes a partial colectomy with an end colostomy and closure of the distal segment; 44140 describes bowel reconnection.
- 44204Partial colectomyLaparoscopic with anastomosis
- 44204 is the laparoscopic counterpart for partial colectomy with anastomosis. 44140 represents the open approach.
44140 billing questions
How is this different from 44141?
44140 describes partial colectomy with bowel reconnection. 44141 is selected when the operation creates a cecostomy or colostomy instead.
When would 44143 be more appropriate?
Use 44143 for partial colectomy with an end colostomy and closure of the downstream bowel segment, rather than an anastomosis reconnecting the bowel ends.
Can the anastomosis be billed separately?
No. The bowel reconnection is included in this partial colectomy service.
Should modifier 50 be appended for work on both sides of the colon?
No. The anatomy and service do not support bilateral adjustment or modifier 50.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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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