CPT code 44143: Partial colectomy, end colostomy, closed distal segment2026 Medicare rate & RVUs in Montana
Reports open removal of part of the colon with an end colostomy and closure of the remaining distal bowel, commonly as a Hartmann procedure.
In Montana, Medicare pays $1,530.32 for 44143 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44143 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 44143 covers
The surgeon removes a diseased portion of colon, brings the upstream bowel through the abdominal wall as an end colostomy, and closes the downstream bowel segment inside the abdomen. This open operation is commonly performed for sigmoid disease, such as perforated diverticulitis or an obstructing lesion, when the surgeon does not create an immediate bowel reconnection. General and colorectal surgeons typically perform it in a hospital operating room.
Select this code when the operative report supports partial colectomy, end colostomy, and closure of the distal segment; a colostomy alone or a resection with another reconstruction is not enough. The record should identify the resection and the resulting bowel configuration. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery services 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 Montana compares for 44143
Across 109 of 109 payment localities, the facility rate for 44143 runs from $1,361.20 in Wisconsin to $1,910.70 in Alaska. Montana pays $1,530.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,530.32
- Los Angeles, CA · California$1,567.95+$37.63
- Washington, DC area · District of Columbia$1,676.67+$146.35
- Miami, FL · Florida$1,884.44+$354.12
- Chicago, IL · Illinois$1,824.60+$294.28
- Manhattan, NY · New York$1,783.51+$253.19
- Alaska · Alaska$1,910.70+$380.38
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,384.45 |
| ArkansasArkansas | — | $1,366.72 |
| ArizonaArizona | — | $1,486.46 |
| Bakersfield, CACalifornia | — | $1,500.66 |
| Chico, CACalifornia | — | $1,482.76 |
| El Centro, CACalifornia | — | $1,483.86 |
| Fresno, CACalifornia | — | $1,482.76 |
| Hanford, CACalifornia | — | $1,482.76 |
| Madera, CACalifornia | — | $1,482.76 |
| Merced, CACalifornia | — | $1,482.76 |
| Modesto, CACalifornia | — | $1,482.76 |
| Napa, CACalifornia | — | $1,608.17 |
| Oxnard, CACalifornia | — | $1,546.74 |
| Redding, CACalifornia | — | $1,482.76 |
| Rest of CaliforniaCalifornia | — | $1,482.76 |
| Riverside, CACalifornia | — | $1,553.55 |
| Sacramento, CACalifornia | — | $1,527.10 |
| Salinas, CACalifornia | — | $1,520.96 |
| San Diego, CACalifornia | — | $1,536.36 |
| Marin County, CACalifornia | — | $1,663.61 |
| San Francisco, CACalifornia | — | $1,656.11 |
| San Benito County, CACalifornia | — | $1,707.12 |
| Santa Clara County, CACalifornia | — | $1,676.48 |
| San Luis Obispo, CACalifornia | — | $1,500.18 |
| Santa Cruz, CACalifornia | — | $1,534.59 |
| Santa Maria, CACalifornia | — | $1,521.08 |
| Santa Rosa, CACalifornia | — | $1,548.01 |
| Stockton, CACalifornia | — | $1,482.76 |
| Vallejo, CACalifornia | — | $1,597.37 |
| Visalia, CACalifornia | — | $1,482.76 |
| Yuba City, CACalifornia | — | $1,482.76 |
| ColoradoColorado | — | $1,519.28 |
| ConnecticutConnecticut | — | $1,626.36 |
| DelawareDelaware | — | $1,508.16 |
| Fort Lauderdale, FLFlorida | — | $1,714.15 |
| Rest of FloridaFlorida | — | $1,623.82 |
| Atlanta, GAGeorgia | — | $1,584.27 |
| Rest of GeorgiaGeorgia | — | $1,529.33 |
| Hawaii, Guam, HIHawaii | — | $1,493.46 |
| IowaIowa | — | $1,363.40 |
| IdahoIdaho | — | $1,382.18 |
| East St. Louis, ILIllinois | — | $1,721.88 |
| Rest of IllinoisIllinois | — | $1,619.63 |
| Suburban Chicago, ILIllinois | — | $1,718.22 |
| IndianaIndiana | — | $1,387.88 |
| KansasKansas | — | $1,382.53 |
| KentuckyKentucky | — | $1,467.05 |
| New Orleans, LALouisiana | — | $1,536.84 |
| Rest of LouisianaLouisiana | — | $1,474.91 |
| Metropolitan Boston, MAMassachusetts | — | $1,622.23 |
| Rest of MassachusettsMassachusetts | — | $1,521.97 |
| Baltimore area, MDMaryland | — | $1,627.07 |
| Rest of MarylandMaryland | — | $1,526.60 |
| Rest of MaineMaine | — | $1,415.02 |
| Southern Maine, MEMaine | — | $1,445.77 |
| Detroit, MIMichigan | — | $1,667.81 |
| Rest of MichiganMichigan | — | $1,523.95 |
| MinnesotaMinnesota | — | $1,387.32 |
| Metropolitan Kansas City, MOMissouri | — | $1,500.98 |
| Metropolitan St. Louis, MOMissouri | — | $1,511.76 |
| Rest of MissouriMissouri | — | $1,469.12 |
| MississippiMississippi | — | $1,416.91 |
| North CarolinaNorth Carolina | — | $1,424.04 |
| North DakotaNorth Dakota | — | $1,399.82 |
| NebraskaNebraska | — | $1,362.45 |
| New HampshireNew Hampshire | — | $1,519.82 |
| Northern New JerseyNew Jersey | — | $1,667.60 |
| Rest of New JerseyNew Jersey | — | $1,625.63 |
| New MexicoNew Mexico | — | $1,541.45 |
| NevadaNevada | — | $1,494.35 |
| NYC suburbs and Long Island, NYNew York | — | $1,854.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,656.28 |
| Queens, NYNew York | — | $1,759.87 |
| Rest of New YorkNew York | — | $1,445.03 |
| OhioOhio | — | $1,497.28 |
| OklahomaOklahoma | — | $1,438.25 |
| Portland, OROregon | — | $1,533.78 |
| Rest of OregonOregon | — | $1,463.67 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,606.21 |
| Rest of PennsylvaniaPennsylvania | — | $1,485.42 |
| Puerto RicoPuerto Rico | — | $1,531.91 |
| Rhode IslandRhode Island | — | $1,537.52 |
| South CarolinaSouth Carolina | — | $1,466.90 |
| South DakotaSouth Dakota | — | $1,384.39 |
| TennesseeTennessee | — | $1,391.83 |
| Austin, TXTexas | — | $1,530.94 |
| Beaumont, TXTexas | — | $1,478.65 |
| Brazoria, TXTexas | — | $1,485.86 |
| Dallas, TXTexas | — | $1,505.99 |
| Fort Worth, TXTexas | — | $1,504.80 |
| Galveston, TXTexas | — | $1,497.25 |
| Houston, TXTexas | — | $1,618.06 |
| Rest of TexasTexas | — | $1,488.72 |
| UtahUtah | — | $1,483.97 |
| VirginiaVirginia | — | $1,459.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,531.91 |
| VermontVermont | — | $1,417.81 |
| Rest of WashingtonWashington | — | $1,511.32 |
| King County, WAWashington | — | $1,627.65 |
| WisconsinWisconsin | — | $1,361.20 |
| West VirginiaWest Virginia | — | $1,572.70 |
| WyomingWyoming | — | $1,473.45 |
44143 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 44143 rate is calculated
Each of 44143’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 · 44143
RVUs × geographic indexes × conversion factor
Work27.10
27.10 RVUs× 1.000 GPCI
Practice expense12.13
12.13 RVUs× 1.000 GPCI
Malpractice6.60
6.60 RVUs× 1.000 GPCI
Adjusted RVUs
45.8300
Conversion factor
$33.4009
Medicare rate
$1,530.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,350
- Code
- 44143
- Physician work
- 27.10
- Practice expense
- 12.13
- Malpractice
- 6.60
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.10 | × 1.000 | 27.1000 |
| Practice expense | 12.13 | × 1.000 | 12.1300 |
| Malpractice | 6.60 | × 0.998 | 6.5868 |
| Total RVUs | 45.8168 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1530.32
Facility: (27.1 × 1 + 12.13 × 1 + 6.6 × 0.998) × $33.4009 = $1530.32
Payment rules and modifiers for 44143
44143 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44143
Partial colectomy, end colostomy, closed distal segment
| 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 · 44143
Partial colectomy, end colostomy, closed distal segment
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
44143 without 51 · national facility
$1,530.76
Partial colectomy, end colostomy, closed distal segment
44143-51 · Second procedure: 50%
$765.38
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 44143 has changed in Montana
44143 · 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 | $1,530.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,530.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,530.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,530.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,596.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,596.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,596.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,596.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,637.61 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,637.61 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,637.61 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,637.61 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,610.88 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,662.82 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,662.82 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,662.82 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,662.82 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,699.21 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,699.21 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,699.21 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,699.21 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,705.07 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,705.07 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,705.07 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,705.07 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,815.78 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,815.78 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,815.78 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,815.78 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,882.65 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,882.65 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,882.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,882.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,878.95 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,878.95 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,878.95 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,878.95 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,829.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,829.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,829.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,829.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,781.53 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,781.53 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,781.53 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,781.53 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,782.23 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,782.23 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,773.36 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,773.36 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,734.75 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,734.75 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,734.75 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,734.75 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,697.45 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,697.45 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,697.45 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,697.45 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
44143 billing questions
How does this differ from 44140?
44143 describes partial colectomy with an end colostomy and a closed distal segment. 44140 describes partial colectomy with bowel anastomosis.
Can the surgeon report a colostomy separately?
The end colostomy is part of the resection and reconstruction represented by 44143. The operative report should show the resection, end stoma, and closure of the distal segment.
When is 44141 a better fit?
Use 44141 for partial colectomy with a skin-level cecostomy or colostomy. Use 44143 when the surgeon creates an end colostomy and closes the distal bowel segment.
Can 44139 be reported with 44143?
44139 may be reported as an add-on when splenic flexure mobilization is performed with the colectomy and documented. The note should support that additional mobilization.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for resection on both sides?
No. Modifier 50 is inappropriate for this code; the colon resection and reconstruction are reported as a single procedure.
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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