CPT code 44186: Jejunostomy, laparoscopic feeding access2026 Medicare rate & RVUs in Alaska

In Alaska, Medicare pays $768.12 for 44186 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44186 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 44186 covers

A surgeon uses laparoscopic access to create an opening into the jejunum and place a feeding tube for enteral nutrition. The procedure is used when a patient needs nutrition delivered to the small intestine, such as when gastric feeding is not suitable. It is generally performed in an operating room, commonly during a facility-based surgical admission.

Report this code when the operative record supports laparoscopic jejunostomy tube placement; distinguish it from a laparoscopic non-tube ileostomy or jejunostomy. Documentation should identify the approach, jejunal site, tube placement, and clinical reason for feeding access. The day-before preoperative visit and 90 days of related postoperative care are included in the global 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 multiple procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, 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 Alaska compares for 44186

Across 109 of 109 payment localities, the facility rate for 44186 runs from $554.72 in Arkansas to $768.12 in Alaska. Alaska pays $768.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44186 rates by state

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

See 44186 in every payment locality

How the 44186 rate is calculated

Each of 44186’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 44186

44186 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 44186

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

How 44186 has changed in Alaska

Price 44186 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

• Adak
• Akhiok
• Akiachak
• Akiak
• Akutan
• Alakanuk
• Alatna
• Alcan Border

Browse all communities in Alaska

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