CPT code 44140: Partial colectomy, with anastomosis2026 Medicare rate & RVUs in Mississippi
Reports open removal of part of the colon with reconnection of the remaining bowel, such as for a diseased or obstructed segment.
In Mississippi, Medicare pays $1,156.69 for 44140 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44140 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 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.
How Mississippi compares for 44140
Across 109 of 109 payment localities, the facility rate for 44140 runs from $1,111.35 in Wisconsin to $1,558.83 in Alaska. Mississippi pays $1,156.69. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,156.69
- Los Angeles, CA · California$1,280.89+$124.20
- Washington, DC area · District of Columbia$1,369.76+$213.07
- Miami, FL · Florida$1,539.67+$382.98
- Chicago, IL · Illinois$1,490.59+$333.90
- Manhattan, NY · New York$1,457.09+$300.40
- Alaska · Alaska$1,558.83+$402.14
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,130.17 |
| ArkansasArkansas | — | $1,115.62 |
| ArizonaArizona | — | $1,213.87 |
| Bakersfield, CACalifornia | — | $1,225.72 |
| Chico, CACalifornia | — | $1,211.08 |
| El Centro, CACalifornia | — | $1,211.98 |
| Fresno, CACalifornia | — | $1,211.08 |
| Hanford, CACalifornia | — | $1,211.08 |
| Madera, CACalifornia | — | $1,211.08 |
| Merced, CACalifornia | — | $1,211.08 |
| Modesto, CACalifornia | — | $1,211.08 |
| Napa, CACalifornia | — | $1,314.03 |
| Oxnard, CACalifornia | — | $1,263.59 |
| Redding, CACalifornia | — | $1,211.08 |
| Rest of CaliforniaCalifornia | — | $1,211.08 |
| Riverside, CACalifornia | — | $1,268.99 |
| Sacramento, CACalifornia | — | $1,247.44 |
| Salinas, CACalifornia | — | $1,242.42 |
| San Diego, CACalifornia | — | $1,255.13 |
| Marin County, CACalifornia | — | $1,359.47 |
| San Francisco, CACalifornia | — | $1,353.33 |
| San Benito County, CACalifornia | — | $1,395.08 |
| Santa Clara County, CACalifornia | — | $1,370.01 |
| San Luis Obispo, CACalifornia | — | $1,225.44 |
| Santa Cruz, CACalifornia | — | $1,253.77 |
| Santa Maria, CACalifornia | — | $1,242.55 |
| Santa Rosa, CACalifornia | — | $1,264.74 |
| Stockton, CACalifornia | — | $1,211.08 |
| Vallejo, CACalifornia | — | $1,305.19 |
| Visalia, CACalifornia | — | $1,211.08 |
| Yuba City, CACalifornia | — | $1,211.08 |
| ColoradoColorado | — | $1,240.90 |
| ConnecticutConnecticut | — | $1,328.51 |
| DelawareDelaware | — | $1,231.65 |
| Fort Lauderdale, FLFlorida | — | $1,400.27 |
| Rest of FloridaFlorida | — | $1,326.22 |
| Atlanta, GAGeorgia | — | $1,294.00 |
| Rest of GeorgiaGeorgia | — | $1,248.75 |
| Hawaii, Guam, HIHawaii | — | $1,220.02 |
| IowaIowa | — | $1,113.04 |
| IdahoIdaho | — | $1,128.42 |
| East St. Louis, ILIllinois | — | $1,406.36 |
| Rest of IllinoisIllinois | — | $1,322.68 |
| Suburban Chicago, ILIllinois | — | $1,403.61 |
| IndianaIndiana | — | $1,133.11 |
| KansasKansas | — | $1,128.67 |
| KentuckyKentucky | — | $1,197.79 |
| New Orleans, LALouisiana | — | $1,255.02 |
| Rest of LouisianaLouisiana | — | $1,204.21 |
| Metropolitan Boston, MAMassachusetts | — | $1,325.32 |
| Rest of MassachusettsMassachusetts | — | $1,243.06 |
| Baltimore area, MDMaryland | — | $1,329.10 |
| Rest of MarylandMaryland | — | $1,246.77 |
| Rest of MaineMaine | — | $1,155.30 |
| Southern Maine, MEMaine | — | $1,180.63 |
| Detroit, MIMichigan | — | $1,362.24 |
| Rest of MichiganMichigan | — | $1,244.40 |
| MinnesotaMinnesota | — | $1,132.91 |
| Metropolitan Kansas City, MOMissouri | — | $1,225.67 |
| Metropolitan St. Louis, MOMissouri | — | $1,234.52 |
| Rest of MissouriMissouri | — | $1,199.41 |
| MontanaMontana | — | $1,249.83 |
| North CarolinaNorth Carolina | — | $1,162.71 |
| North DakotaNorth Dakota | — | $1,143.06 |
| NebraskaNebraska | — | $1,112.29 |
| New HampshireNew Hampshire | — | $1,241.34 |
| Northern New JerseyNew Jersey | — | $1,362.26 |
| Rest of New JerseyNew Jersey | — | $1,327.85 |
| New MexicoNew Mexico | — | $1,258.73 |
| NevadaNevada | — | $1,220.41 |
| NYC suburbs and Long Island, NYNew York | — | $1,514.99 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,352.92 |
| Queens, NYNew York | — | $1,437.80 |
| Rest of New YorkNew York | — | $1,179.93 |
| OhioOhio | — | $1,222.58 |
| OklahomaOklahoma | — | $1,174.24 |
| Portland, OROregon | — | $1,252.87 |
| Rest of OregonOregon | — | $1,195.29 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,311.95 |
| Rest of PennsylvaniaPennsylvania | — | $1,212.89 |
| Puerto RicoPuerto Rico | — | $1,251.16 |
| Rhode IslandRhode Island | — | $1,255.72 |
| South CarolinaSouth Carolina | — | $1,197.76 |
| South DakotaSouth Dakota | — | $1,130.43 |
| TennesseeTennessee | — | $1,136.29 |
| Austin, TXTexas | — | $1,250.48 |
| Beaumont, TXTexas | — | $1,207.33 |
| Brazoria, TXTexas | — | $1,213.40 |
| Dallas, TXTexas | — | $1,229.87 |
| Fort Worth, TXTexas | — | $1,228.87 |
| Galveston, TXTexas | — | $1,222.72 |
| Houston, TXTexas | — | $1,321.56 |
| Rest of TexasTexas | — | $1,215.67 |
| UtahUtah | — | $1,211.76 |
| VirginiaVirginia | — | $1,191.49 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,251.16 |
| VermontVermont | — | $1,157.76 |
| Rest of WashingtonWashington | — | $1,234.36 |
| King County, WAWashington | — | $1,329.80 |
| WisconsinWisconsin | — | $1,111.35 |
| West VirginiaWest Virginia | — | $1,284.18 |
| WyomingWyoming | — | $1,203.30 |
44140 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 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.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,348
- Code
- 44140
- Physician work
- 22.03
- Practice expense
- 10.00
- Malpractice
- 5.40
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.03 | × 1.000 | 22.0300 |
| Practice expense | 10.00 | × 0.861 | 8.6100 |
| Malpractice | 5.40 | × 0.739 | 3.9906 |
| Total RVUs | 34.6306 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1156.69
Facility: (22.03 × 1 + 10 × 0.861 + 5.4 × 0.739) × $33.4009 = $1156.69
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%).
How 44140 has changed in Mississippi
44140 · 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 | $1,156.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,156.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,156.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,156.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,206.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,206.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,206.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,206.67 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,235.87 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,235.87 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,235.87 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,235.87 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,215.70 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,241.61 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,241.61 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,241.61 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,241.61 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,255.77 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,255.77 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,255.77 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,255.77 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,256.91 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,256.91 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,256.91 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,256.91 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,262.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,262.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,262.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,262.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,233.87 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,233.87 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,233.87 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,233.87 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,231.50 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,231.50 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,231.50 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,231.50 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,248.69 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,248.69 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,248.69 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,248.69 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,267.52 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,267.52 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,267.52 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,267.52 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,270.03 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,270.03 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,263.71 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,263.71 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,266.49 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,266.49 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,266.49 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,266.49 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,254.66 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,254.66 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,254.66 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,254.66 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
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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