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CPT code 44141: Partial colectomy, with skin-level bowel stoma2026 Medicare rate & RVUs

Reports removal of a colon segment with creation of a skin-level cecostomy or colostomy when the remaining bowel is diverted to the abdominal surface.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.2K Medicare services in 2024

Medicare pays $1,691.09 for 44141 nationally in a facility.

Medicare rate · 44141

Partial colectomy, with skin-level bowel stoma

Office or facility?

Work RVUs
29.16
Total RVUs
50.63
Global days
090

National rate · 2026

$1,691.09

Facility setting, before claim adjustments.

See every locality for 44141 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 44141 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 44141 covers

In this open abdominal operation, a surgeon removes part of the colon and brings bowel to the skin to create a cecostomy or colostomy. It may be performed for conditions such as obstructing or perforated colon disease when the operative plan calls for diversion rather than reconnecting the bowel. General and colorectal surgeons typically perform it in a hospital operating room. The operative report should identify the colon segment removed and the type and location of the stoma created.

Report 44141 when the documented operation includes partial colon removal and a skin-level cecostomy or colostomy; a partial colectomy with an anastomosis is a different service. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this anatomy. An assistant at surgery may be paid; co-surgeons require 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 44141 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

44141 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,527.55
AlaskaUnavailable$2,101.76
ArizonaUnavailable$1,641.83
ArkansasUnavailable$1,507.71
Atlanta, GAUnavailable$1,749.73
Austin, TXUnavailable$1,693.49
Bakersfield, CAUnavailable$1,661.97
Baltimore area, MDUnavailable$1,798.24
Beaumont, TXUnavailable$1,631.09
Brazoria, TXUnavailable$1,641.96

44141 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
44141 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

How the 44141 rate is calculated

Each of 44141’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 · 44141

RVUs × geographic indexes × conversion factor

Office or facility?

Work29.16

29.16 RVUs× 1.000 GPCI

Practice expense14.31

14.31 RVUs× 1.000 GPCI

Malpractice7.16

7.16 RVUs× 1.000 GPCI

Adjusted RVUs

50.6300

Conversion factor

$33.4009

Medicare rate

$1,691.09

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

Payment rules and modifiers for 44141

44141 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44141

Partial colectomy, with skin-level bowel stoma

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 · 44141

Partial colectomy, with skin-level bowel stoma

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

44141 without 51 · national facility

$1,691.09

Partial colectomy, with skin-level bowel stoma

44141-51 · Second procedure: 50%

$845.55

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

44141 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 44141

    Partial colectomy, with skin-level bowel stoma29.16 wRVU

    Not priced

  • 44140

    Partial colectomy, with anastomosis22.03 wRVU

    Not priced

  • 44143

    Partial colectomy, end colostomy, closed distal segment27.1 wRVU

    Not priced

  • 44144

    Partial colectomy, colostomy with distal closure29.16 wRVU

    Not priced

How to choose

44140Partial colectomyWith anastomosis
44140 applies when the remaining bowel is joined by an anastomosis. Choose 44141 when the operation creates a skin-level cecostomy or colostomy instead.
44143Partial colectomyEnd colostomy, closed distal segment
44143 includes an end colostomy with closure of the downstream bowel segment. 44141 describes a skin-level cecostomy or colostomy without that defining configuration.
44144Partial colectomyColostomy with distal closure
44144 includes creation of a mucous fistula in addition to the colostomy. 44141 does not describe that configuration.

Codes related to 44141

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 44141
CodeHow it relatesNational office range
Same family
44140Partial colectomy, with anastomosisPartial colectomy with anastomosis rather than a skin-level cecostomy or colostomy.No office rate
44143Partial colectomy, end colostomy, closed distal segmentPartial colectomy with end colostomy and closure of the downstream bowel segment.No office rate
44144Partial colectomy, colostomy with distal closurePartial colectomy with colostomy and a mucous fistula.No office rate
44145Partial colectomy, low pelvic anastomosisPartial colectomy with a low pelvic bowel-to-rectum anastomosis.No office rate
44146Partial colectomy, low pelvic anastomosis with colostomyPartial colectomy with low pelvic anastomosis and colostomy.No office rate

44141 billing questions

When should 44141 be chosen instead of 44140?

Use 44141 when partial colon removal includes creation of a skin-level cecostomy or colostomy. Code 44140 describes partial colectomy with anastomosis.

How does 44141 differ from 44143?

44141 describes a skin-level cecostomy or colostomy. 44143 is used for partial colectomy with an end colostomy and closure of the downstream bowel segment.

Can the stoma creation be billed separately?

The skin-level cecostomy or colostomy is part of the service represented by 44141; it is not a separate procedure to report in addition to this code.

What documentation supports 44141?

The operative report should support removal of part of the colon and creation of a skin-level cecostomy or colostomy, including the stoma type and location.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with 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 44141PPRRVU2026_Oct_nonQPP.csv, line 5,349 (RVU26D)

Open CMS sourceHow we calculate rates

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