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

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, 2026One payment locality2.2K Medicare services in 2024

In Washington, DC area, Medicare pays $1,855.78 for 44141 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,855.78Hospital or facility

Check a contract rate as a % of Medicare · 44141 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 44141 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 44141 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 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.

How Washington, DC area compares for 44141

Across 109 of 109 payment localities, the facility rate for 44141 runs from $1,505.52 in Wisconsin to $2,101.76 in Alaska. Washington, DC area pays $1,855.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

44141 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,855.78
  2. Los Angeles, CA · California$1,738.13−$117.65
  3. Miami, FL · Florida$2,076.35+$220.57
  4. Chicago, IL · Illinois$2,010.00+$154.22
  5. Manhattan, NY · New York$1,970.99+$115.21
  6. Alaska · Alaska$2,101.76+$245.98
  7. Alabama · Alabama$1,527.55−$328.23

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

44141 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,507.71
ArizonaArizona—$1,641.83
Bakersfield, CACalifornia—$1,661.97
Chico, CACalifornia—$1,642.56
El Centro, CACalifornia—$1,643.76
Fresno, CACalifornia—$1,642.56
Hanford, CACalifornia—$1,642.56
Madera, CACalifornia—$1,642.56

44141 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
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

See 44141 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,349

Code
44141
Physician work
29.16
Practice expense
14.31
Malpractice
7.16

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 44141 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work29.16× 1.05430.7346
Practice expense14.31× 1.17816.8572
Malpractice7.16× 1.1137.9691
Total RVUs55.5609
Conversion factor× 33.4009

Facility rate, Washington, DC area$1855.78

Facility: (29.16 × 1.054 + 14.31 × 1.178 + 7.16 × 1.113) × $33.4009 = $1855.78

Open 44141 in the RVU calculator

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

How 44141 has changed in Washington, DC area

44141 · 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$1,855.78RVU26D
2026-07-01Not available in this setting$1,855.78RVU26C
2026-04-01Not available in this setting$1,855.78RVU26B
2026-01-01Not available in this setting$1,855.78RVU26A
2025-10-01Not available in this setting$1,956.50RVU25D
2025-07-01Not available in this setting$1,956.50RVU25C
2025-04-01Not available in this setting$1,956.50RVU25B
2025-01-01Not available in this setting$1,956.50RVU25A
2024-10-01Not available in this setting$2,009.32RVU24D
2024-07-01Not available in this setting$2,009.32RVU24C
2024-04-01Not available in this setting$2,009.32RVU24B
2024-03-09Not available in this setting$2,009.32RVU24AR
2024-01-01Not available in this setting$1,976.53RVU24A
2023-10-01Not available in this setting$2,063.28RVU23D
2023-07-01Not available in this setting$2,063.28RVU23C
2023-04-01Not available in this setting$2,063.28RVU23B
2023-01-01Not available in this setting$2,063.28RVU23A
2022-10-01Not available in this setting$2,137.11RVU22D
2022-07-01Not available in this setting$2,137.11RVU22C
2022-04-01Not available in this setting$2,137.11RVU22B
2022-01-01Not available in this setting$2,137.11RVU22A
2021-10-01Not available in this setting$2,141.43RVU21D
2021-07-01Not available in this setting$2,141.43RVU21C
2021-04-01Not available in this setting$2,141.43RVU21B
2021-01-01Not available in this setting$2,141.43RVU21A
2020-10-01Not available in this setting$2,165.21RVU20D
2020-07-01Not available in this setting$2,165.21RVU20C
2020-04-01Not available in this setting$2,165.21RVU20B
2020-01-01Not available in this setting$2,165.21RVU20A
2019-10-01Not available in this setting$2,139.38RVU19D
2019-07-01Not available in this setting$2,139.38RVU19C
2019-04-01Not available in this setting$2,139.38RVU19B
2019-01-01Not available in this setting$2,139.38RVU19A
2018-10-01Not available in this setting$2,137.39RVU18D
2018-07-01Not available in this setting$2,137.39RVU18C
2018-04-01Not available in this setting$2,137.39RVU18B
2018-01-01Not available in this setting$2,137.39RVU18AR1
2017-10-01Not available in this setting$2,136.97RVU17D
2017-07-01Not available in this setting$2,136.97RVU17C
2017-04-01Not available in this setting$2,136.97RVU17B
2017-01-01Not available in this setting$2,136.97RVU17A
2016-10-01Not available in this setting$2,139.66RVU16D
2016-07-01Not available in this setting$2,139.66RVU16C
2016-04-01Not available in this setting$2,139.66RVU16B
2016-01-01Not available in this setting$2,139.66RVU16A
2015-10-01Not available in this setting$2,140.07RVU15D
2015-07-01Not available in this setting$2,140.07RVU15C
2015-04-01Not available in this setting$2,129.43RVU15B
2015-01-01Not available in this setting$2,129.43RVU15A
2014-10-01Not available in this setting$2,082.44RVU14D
2014-07-01Not available in this setting$2,082.44RVU14C
2014-04-01Not available in this setting$2,082.44RVU14B
2014-01-01Not available in this setting$2,082.44RVU14A
2013-10-01Not available in this setting$2,040.80RVU13D
2013-07-01Not available in this setting$2,040.80RVU13C
2013-04-01Not available in this setting$2,040.80RVU13B
2013-01-01Not available in this setting$2,040.80RVU13AR

Price 44141 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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