CPT code 44156: Colectomy, proctectomy, continent ileostomy2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $2,041.30 for 44156 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44156 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 44156 covers

A colorectal surgeon removes the entire colon and rectum through an abdominal operation and forms a continent ileostomy from the small bowel. The internal reservoir connects to a catheterizable abdominal stoma, allowing the patient to empty it by catheter rather than use a conventional external ileostomy appliance. This reconstruction may be performed for extensive disease such as ulcerative colitis or familial adenomatous polyposis when proctectomy and a continent diversion are planned.

Report this code when the operative record supports total colectomy, proctectomy, and creation of the continent ileostomy; a conventional end ileostomy or ileoanal reconstruction represents a different operation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Virginia compares for 44156

Across 109 of 109 payment localities, the facility rate for 44156 runs from $1,896.10 in Wisconsin to $2,672.34 in Miami, FL. Virginia pays $2,041.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44156 rates by state

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

See 44156 in every payment locality

How the 44156 rate is calculated

Each of 44156’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.

Payment rules and modifiers for 44156

44156 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 44156

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 44156 has changed in Virginia

Price 44156 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates