CPT code 44151: Total colectomy, continent ileostomy2026 Medicare rate & RVUs in Minnesota

Reports removal of the colon while retaining the rectum, with construction of a continent ileal reservoir and catheterizable abdominal stoma.

CMS RVU26DEffective Oct 1, 2026One payment locality53 Medicare services in 2024

In Minnesota, Medicare pays $1,812.88 for 44151 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,812.88Hospital or facility

Check a contract rate as a % of Medicare · 44151 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 44151 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 44151 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 44151 covers

This operation removes the colon without removing the rectum and creates a continent ileostomy from the end of the small intestine. The surgeon forms an internal reservoir, commonly called a continent pouch, and brings it to the abdominal wall as a catheterizable stoma. It is performed by a colorectal or general surgeon, typically in a hospital operating room, for patients needing total colectomy who are candidates for this type of diversion.

Choose this code when the operative report supports total abdominal colectomy without proctectomy and creation of a continent ileostomy. Documentation should identify the bowel removed, confirm that the rectum was retained, and describe construction of the reservoir and stoma. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate for this operation, and team-surgery payment 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 Minnesota compares for 44151

Across 109 of 109 payment localities, the facility rate for 44151 runs from $1,776.15 in Wisconsin to $2,500.66 in Miami, FL. Minnesota pays $1,812.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

44151 in Minnesota vs other payment areas
  1. Minnesota · this page$1,812.88
  2. Los Angeles, CA · California$2,059.33+$246.45
  3. Washington, DC area · District of Columbia$2,208.19+$395.31
  4. Miami, FL · Florida$2,500.66+$687.78
  5. Chicago, IL · Illinois$2,416.78+$603.90
  6. Manhattan, NY · New York$2,354.70+$541.82
  7. Alaska · Alaska$2,479.77+$666.89

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

Every other payment area

44151 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,807.62
ArkansasArkansas—$1,782.96
ArizonaArizona—$1,949.52
Bakersfield, CACalifornia—$1,968.05
Chico, CACalifornia—$1,943.51
El Centro, CACalifornia—$1,945.04
Fresno, CACalifornia—$1,943.51
Hanford, CACalifornia—$1,943.51

44151 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
44151 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 44151 in every payment locality

How the 44151 rate is calculated

Each of 44151’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 · 44151

RVUs × geographic indexes × conversion factor

Office or facility?

Work34.05

34.05 RVUs× 1.000 GPCI

Practice expense17.03

17.03 RVUs× 1.000 GPCI

Malpractice9.13

9.13 RVUs× 1.000 GPCI

Adjusted RVUs

60.2100

Conversion factor

$33.4009

Medicare rate

$2,011.07

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,356

Code
44151
Physician work
34.05
Practice expense
17.03
Malpractice
9.13

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 44151 in Minnesota
ComponentRVULocality factorAdjusted
Physician work34.05× 1.00034.0500
Practice expense17.03× 1.02917.5239
Malpractice9.13× 0.2962.7025
Total RVUs54.2764
Conversion factor× 33.4009

Facility rate, Minnesota$1812.88

Facility: (34.05 × 1 + 17.03 × 1.029 + 9.13 × 0.296) × $33.4009 = $1812.88

Open 44151 in the RVU calculator

Payment rules and modifiers for 44151

44151 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44151

Total colectomy, continent ileostomy

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 · 44151

Total colectomy, continent ileostomy

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

44151 without 51 · national facility

$2,011.07

Total colectomy, continent ileostomy

44151-51 · Second procedure: 50%

$1,005.54

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 44151 has changed in Minnesota

44151 · 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$1,812.88RVU26D
2026-07-01Not available in this setting$1,812.88RVU26C
2026-04-01Not available in this setting$1,812.88RVU26B
2026-01-01Not available in this setting$1,812.88RVU26A
2025-10-01Not available in this setting$1,901.46RVU25D
2025-07-01Not available in this setting$1,901.46RVU25C
2025-04-01Not available in this setting$1,901.46RVU25B
2025-01-01Not available in this setting$1,901.46RVU25A
2024-10-01Not available in this setting$1,947.05RVU24D
2024-07-01Not available in this setting$1,947.05RVU24C
2024-04-01Not available in this setting$1,947.05RVU24B
2024-03-09Not available in this setting$1,947.05RVU24AR
2024-01-01Not available in this setting$1,915.27RVU24A
2023-10-01Not available in this setting$1,984.78RVU23D
2023-07-01Not available in this setting$1,984.78RVU23C
2023-04-01Not available in this setting$1,984.78RVU23B
2023-01-01Not available in this setting$1,984.78RVU23A
2022-10-01Not available in this setting$2,034.97RVU22D
2022-07-01Not available in this setting$2,034.97RVU22C
2022-04-01Not available in this setting$2,034.97RVU22B
2022-01-01Not available in this setting$2,034.97RVU22A
2021-10-01Not available in this setting$2,046.85RVU21D
2021-07-01Not available in this setting$2,046.85RVU21C
2021-04-01Not available in this setting$2,046.85RVU21B
2021-01-01Not available in this setting$2,046.85RVU21A
2020-10-01Not available in this setting$2,083.05RVU20D
2020-07-01Not available in this setting$2,083.05RVU20C
2020-04-01Not available in this setting$2,083.05RVU20B
2020-01-01Not available in this setting$2,083.05RVU20A
2019-10-01Not available in this setting$2,073.18RVU19D
2019-07-01Not available in this setting$2,073.18RVU19C
2019-04-01Not available in this setting$2,072.27RVU19B
2019-01-01Not available in this setting$2,072.27RVU19A
2018-10-01Not available in this setting$2,070.20RVU18D
2018-07-01Not available in this setting$2,070.20RVU18C
2018-04-01Not available in this setting$2,070.20RVU18B
2018-01-01Not available in this setting$2,070.20RVU18AR1
2017-10-01Not available in this setting$2,047.20RVU17D
2017-07-01Not available in this setting$2,047.20RVU17C
2017-04-01Not available in this setting$2,047.20RVU17B
2017-01-01Not available in this setting$2,047.20RVU17A
2016-10-01Not available in this setting$2,041.64RVU16D
2016-07-01Not available in this setting$2,041.64RVU16C
2016-04-01Not available in this setting$2,041.64RVU16B
2016-01-01Not available in this setting$2,041.64RVU16A
2015-10-01Not available in this setting$2,048.35RVU15D
2015-07-01Not available in this setting$2,048.35RVU15C
2015-04-01Not available in this setting$2,038.15RVU15B
2015-01-01Not available in this setting$2,038.15RVU15A
2014-10-01Not available in this setting$2,029.78RVU14D
2014-07-01Not available in this setting$2,029.78RVU14C
2014-04-01Not available in this setting$2,029.78RVU14B
2014-01-01Not available in this setting$2,029.78RVU14A
2013-10-01Not available in this setting$1,992.85RVU13D
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 44151 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

44151 billing questions

How does this differ from 44150?

44151 includes construction of a continent ileostomy. 44150 describes total abdominal colectomy without proctectomy with a different ileostomy or ileoproctostomy reconstruction.

When should 44156 be considered instead?

44156 describes total colectomy with proctectomy and a continent ileostomy. Use 44151 when the rectum is retained.

What operative details support reporting 44151?

The report should establish total colon removal, retention of the rectum, and creation of the continent ileal reservoir and catheterizable stoma.

Are related postoperative visits included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction.

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 44151PPRRVU2026_Oct_nonQPP.csv, line 5,356 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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