CPT code 44143: Partial colectomy, end colostomy, closed distal segment2026 Medicare rate & RVUs in Texas
Reports open removal of part of the colon with an end colostomy and closure of the remaining distal bowel, commonly as a Hartmann procedure.
CMS doesn’t publish an office rate for 44143 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 44143 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,530.94 |
| Beaumont, TX | Unavailable | $1,478.65 |
| Brazoria, TX | Unavailable | $1,485.86 |
| Dallas, TX | Unavailable | $1,505.99 |
| Fort Worth, TX | Unavailable | $1,504.80 |
| Galveston, TX | Unavailable | $1,497.25 |
| Houston, TX | Unavailable | $1,618.06 |
| Rest of Texas | Unavailable | $1,488.72 |
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.
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%).
44143 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 44140Partial colectomyWith anastomosis
- 44140 describes partial colectomy with an anastomosis. Choose 44143 when the surgeon instead creates an end colostomy and closes the distal segment.
- 44141Partial colectomyWith skin-level bowel stoma
- 44141 involves a skin-level cecostomy or colostomy. 44143 involves an end colostomy with closure of the distal bowel segment.
- 44144Partial colectomyColostomy with distal closure
- 44144 includes creation of a mucous fistula with the stoma. 44143 describes an end colostomy with the distal segment closed.
- 44150Total colectomyRectum retained; ileostomy or ileoproctostomy
- 44150 is for removal of the colon, not the partial colectomy described by 44143.
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
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