CPT code 44155: Colectomy, with proctectomy and ileostomy2026 Medicare rate & RVUs in South Dakota

Reports open removal of the colon and rectum with creation of an ileostomy, commonly for extensive colorectal disease when intestinal continuity is not restored.

CMS RVU26DEffective Oct 1, 2026One payment locality262 Medicare services in 2024

In South Dakota, Medicare pays $1,754.55 for 44155 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,754.55Hospital or facility

Check a contract rate as a % of Medicare · 44155 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 44155 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 44155 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 44155 covers

This code describes an abdominal operation removing the colon and rectum and creating an ileostomy, rather than connecting the remaining small bowel to the anus. Colorectal or general surgeons may perform it in a hospital for conditions such as severe ulcerative colitis, familial adenomatous polyposis, or colorectal disease requiring removal of both organs. The ileostomy provides the route for intestinal waste after the resection.

Report the code when the operative record supports total colectomy, proctectomy, and ileostomy creation as part of the same operation. Documentation should identify the organs removed and the reconstruction performed; an ileoanal anastomosis or pouch points to a different code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. 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 South Dakota compares for 44155

Across 109 of 109 payment localities, the facility rate for 44155 runs from $1,721.69 in Arkansas to $2,404.39 in Alaska. South Dakota pays $1,754.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

44155 in South Dakota vs other payment areas
  1. South Dakota · this page$1,754.55
  2. Los Angeles, CA · California$1,982.95+$228.40
  3. Washington, DC area · District of Columbia$2,106.80+$352.25
  4. Miami, FL · Florida$2,324.25+$569.70
  5. Chicago, IL · Illinois$2,253.92+$499.37
  6. Manhattan, NY · New York$2,227.23+$472.68
  7. Alaska · Alaska$2,404.39+$649.84

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

Every other payment area

44155 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,743.21
ArkansasArkansas—$1,721.69
ArizonaArizona—$1,867.25
Bakersfield, CACalifornia—$1,896.74
Chico, CACalifornia—$1,876.28
El Centro, CACalifornia—$1,877.53
Fresno, CACalifornia—$1,876.28
Hanford, CACalifornia—$1,876.28

44155 rates by state

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

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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
44155 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 44155 in every payment locality

How the 44155 rate is calculated

Each of 44155’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 · 44155

RVUs × geographic indexes × conversion factor

Office or facility?

Work33.56

33.56 RVUs× 1.000 GPCI

Practice expense16.46

16.46 RVUs× 1.000 GPCI

Malpractice7.47

7.47 RVUs× 1.000 GPCI

Adjusted RVUs

57.4900

Conversion factor

$33.4009

Medicare rate

$1,920.22

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,357

Code
44155
Physician work
33.56
Practice expense
16.46
Malpractice
7.47

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 44155 in South Dakota
ComponentRVULocality factorAdjusted
Physician work33.56× 1.00033.5600
Practice expense16.46× 1.00016.4600
Malpractice7.47× 0.3362.5099
Total RVUs52.5299
Conversion factor× 33.4009

Facility rate, South Dakota$1754.55

Facility: (33.56 × 1 + 16.46 × 1 + 7.47 × 0.336) × $33.4009 = $1754.55

Open 44155 in the RVU calculator

Payment rules and modifiers for 44155

44155 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44155

Colectomy, with proctectomy and 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 · 44155

Colectomy, with proctectomy and 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

44155 without 51 · national facility

$1,920.22

Colectomy, with proctectomy and ileostomy

44155-51 · Second procedure: 50%

$960.11

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 44155 has changed in South Dakota

44155 · 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$1,754.55RVU26D
2026-07-01Not available in this setting$1,754.55RVU26C
2026-04-01Not available in this setting$1,754.55RVU26B
2026-01-01Not available in this setting$1,754.55RVU26A
2025-10-01Not available in this setting$1,858.04RVU25D
2025-07-01Not available in this setting$1,858.04RVU25C
2025-04-01Not available in this setting$1,858.04RVU25B
2025-01-01Not available in this setting$1,858.04RVU25A
2024-10-01Not available in this setting$1,903.14RVU24D
2024-07-01Not available in this setting$1,903.14RVU24C
2024-04-01Not available in this setting$1,903.14RVU24B
2024-03-09Not available in this setting$1,903.14RVU24AR
2024-01-01Not available in this setting$1,872.08RVU24A
2023-10-01Not available in this setting$1,928.67RVU23D
2023-07-01Not available in this setting$1,928.67RVU23C
2023-04-01Not available in this setting$1,928.67RVU23B
2023-01-01Not available in this setting$1,928.67RVU23A
2022-10-01Not available in this setting$1,962.92RVU22D
2022-07-01Not available in this setting$1,962.92RVU22C
2022-04-01Not available in this setting$1,962.92RVU22B
2022-01-01Not available in this setting$1,962.92RVU22A
2021-10-01Not available in this setting$1,969.67RVU21D
2021-07-01Not available in this setting$1,969.67RVU21C
2021-04-01Not available in this setting$1,969.67RVU21B
2021-01-01Not available in this setting$1,969.67RVU21A
2020-10-01Not available in this setting$2,015.31RVU20D
2020-07-01Not available in this setting$2,015.31RVU20C
2020-04-01Not available in this setting$2,015.31RVU20B
2020-01-01Not available in this setting$2,015.31RVU20A
2019-10-01Not available in this setting$2,015.81RVU19D
2019-07-01Not available in this setting$2,015.81RVU19C
2019-04-01Not available in this setting$2,015.81RVU19B
2019-01-01Not available in this setting$2,015.81RVU19A
2018-10-01Not available in this setting$2,020.23RVU18D
2018-07-01Not available in this setting$2,020.23RVU18C
2018-04-01Not available in this setting$2,020.23RVU18B
2018-01-01Not available in this setting$2,020.23RVU18AR1
2017-10-01Not available in this setting$2,017.78RVU17D
2017-07-01Not available in this setting$2,017.78RVU17C
2017-04-01Not available in this setting$2,017.78RVU17B
2017-01-01Not available in this setting$2,017.78RVU17A
2016-10-01Not available in this setting$2,012.27RVU16D
2016-07-01Not available in this setting$2,012.27RVU16C
2016-04-01Not available in this setting$2,012.27RVU16B
2016-01-01Not available in this setting$2,012.27RVU16A
2015-10-01Not available in this setting$2,018.53RVU15D
2015-07-01Not available in this setting$2,018.53RVU15C
2015-04-01Not available in this setting$2,008.48RVU15B
2015-01-01Not available in this setting$2,008.48RVU15A
2014-10-01Not available in this setting$2,010.05RVU14D
2014-07-01Not available in this setting$2,010.05RVU14C
2014-04-01Not available in this setting$2,010.05RVU14B
2014-01-01Not available in this setting$2,010.05RVU14A
2013-10-01Not available in this setting$1,979.48RVU13D
2013-07-01Not available in this setting$1,979.48RVU13C
2013-04-01Not available in this setting$1,979.48RVU13B
2013-01-01Not available in this setting$1,979.48RVU13AR

Price 44155 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

44155 billing questions

How is this different from 44150?

44150 describes total abdominal colectomy without proctectomy. Use 44155 when the operation also removes the rectum and creates an ileostomy.

When would 44151 be the better choice?

44151 describes total colectomy without proctectomy with a continent ileostomy. This code describes proctectomy with ileostomy creation, not a continent reservoir.

Can an ileoanal anastomosis be reported with 44155?

No. An ileoanal reconstruction is a distinguishing feature of codes such as 44156 through 44158; 44155 describes an ileostomy.

What supports reporting 44155?

The operative report should document removal of the colon and rectum and creation of an ileostomy. It should distinguish this reconstruction from an ileoanal anastomosis or pouch.

How do the global period and assistant rules affect billing?

The 90-day global includes the day-before preoperative visit and related postoperative care. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.

Should modifier 50 be used?

No. Modifier 50 is inappropriate for this operation; report the procedure based on the documented resection and reconstruction.

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 44155PPRRVU2026_Oct_nonQPP.csv, line 5,357 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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