CPT code 44140: Partial colectomy, with anastomosis2026 Medicare rate & RVUs in Nevada

Reports open removal of part of the colon with reconnection of the remaining bowel, such as for a diseased or obstructed segment.

CMS RVU26DEffective Oct 1, 2026One payment locality9K Medicare services in 2024

In Nevada, Medicare pays $1,220.41 for 44140 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,220.41Hospital or facility

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.

We’ll open 44140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 44140 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 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 Nevada 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. Nevada pays $1,220.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

44140 in Nevada vs other payment areas
  1. Nevada · this page$1,220.41
  2. Los Angeles, CA · California$1,280.89+$60.48
  3. Washington, DC area · District of Columbia$1,369.76+$149.35
  4. Miami, FL · Florida$1,539.67+$319.26
  5. Chicago, IL · Illinois$1,490.59+$270.18
  6. Manhattan, NY · New York$1,457.09+$236.68
  7. Alaska · Alaska$1,558.83+$338.42

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

Every other payment area

44140 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
44140 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 44140 in every payment locality

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

Office or facility?

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 44140 in Nevada
ComponentRVULocality factorAdjusted
Physician work22.03× 1.00022.0300
Practice expense10.00× 1.00110.0100
Malpractice5.40× 0.8334.4982
Total RVUs36.5382
Conversion factor× 33.4009

Facility rate, Nevada$1220.41

Facility: (22.03 × 1 + 10 × 1.001 + 5.4 × 0.833) × $33.4009 = $1220.41

Open 44140 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.09/0.81/0.10Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

How 44140 has changed in Nevada

44140 · 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$1,220.41RVU26D
2026-07-01Not available in this setting$1,220.41RVU26C
2026-04-01Not available in this setting$1,220.41RVU26B
2026-01-01Not available in this setting$1,220.41RVU26A
2025-10-01Not available in this setting$1,279.56RVU25D
2025-07-01Not available in this setting$1,279.56RVU25C
2025-04-01Not available in this setting$1,279.56RVU25B
2025-01-01Not available in this setting$1,279.56RVU25A
2024-10-01Not available in this setting$1,309.71RVU24D
2024-07-01Not available in this setting$1,309.71RVU24C
2024-04-01Not available in this setting$1,309.71RVU24B
2024-03-09Not available in this setting$1,309.71RVU24AR
2024-01-01Not available in this setting$1,288.33RVU24A
2023-10-01Not available in this setting$1,371.47RVU23D
2023-07-01Not available in this setting$1,371.47RVU23C
2023-04-01Not available in this setting$1,371.47RVU23B
2023-01-01Not available in this setting$1,371.47RVU23A
2022-10-01Not available in this setting$1,449.87RVU22D
2022-07-01Not available in this setting$1,449.87RVU22C
2022-04-01Not available in this setting$1,449.87RVU22B
2022-01-01Not available in this setting$1,449.87RVU22A
2021-10-01Not available in this setting$1,447.59RVU21D
2021-07-01Not available in this setting$1,447.59RVU21C
2021-04-01Not available in this setting$1,447.59RVU21B
2021-01-01Not available in this setting$1,447.59RVU21A
2020-10-01Not available in this setting$1,437.21RVU20D
2020-07-01Not available in this setting$1,437.21RVU20C
2020-04-01Not available in this setting$1,437.21RVU20B
2020-01-01Not available in this setting$1,437.21RVU20A
2019-10-01Not available in this setting$1,394.35RVU19D
2019-07-01Not available in this setting$1,394.35RVU19C
2019-04-01Not available in this setting$1,394.35RVU19B
2019-01-01Not available in this setting$1,394.35RVU19A
2018-10-01Not available in this setting$1,391.10RVU18D
2018-07-01Not available in this setting$1,391.10RVU18C
2018-04-01Not available in this setting$1,391.10RVU18B
2018-01-01Not available in this setting$1,391.10RVU18AR1
2017-10-01Not available in this setting$1,402.30RVU17D
2017-07-01Not available in this setting$1,402.30RVU17C
2017-04-01Not available in this setting$1,402.30RVU17B
2017-01-01Not available in this setting$1,402.30RVU17A
2016-10-01Not available in this setting$1,414.59RVU16D
2016-07-01Not available in this setting$1,414.59RVU16C
2016-04-01Not available in this setting$1,414.59RVU16B
2016-01-01Not available in this setting$1,414.59RVU16A
2015-10-01Not available in this setting$1,416.50RVU15D
2015-07-01Not available in this setting$1,416.50RVU15C
2015-04-01Not available in this setting$1,409.45RVU15B
2015-01-01Not available in this setting$1,409.45RVU15A
2014-10-01Not available in this setting$1,410.53RVU14D
2014-07-01Not available in this setting$1,410.53RVU14C
2014-04-01Not available in this setting$1,410.53RVU14B
2014-01-01Not available in this setting$1,410.53RVU14A
2013-10-01Not available in this setting$1,410.15RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 44140 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 44140PPRRVU2026_Oct_nonQPP.csv, line 5,348 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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