CPT code 44187: Laparoscopic ostomy, ileum or jejunum, non-tube2026 Medicare rate & RVUs in El Centro, CA

In El Centro, CA, Medicare pays $1,015.31 for 44187 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44187 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 44187 covers

The surgeon uses a laparoscopic approach to bring a segment of ileum or jejunum to the abdominal wall and create a non-tube stoma. This may provide intestinal diversion when the downstream bowel needs to be bypassed, such as to protect a distal anastomosis or manage obstruction. The code describes an ostomy, not placement of a feeding or decompression tube. It is generally performed by a general or colorectal surgeon in a hospital operating room.

Report the code when the operative documentation supports laparoscopic creation of a non-tube ileostomy or jejunostomy; document the bowel segment, approach, and stoma created. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. 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 El Centro, CA compares for 44187

Across 109 of 109 payment localities, the facility rate for 44187 runs from $921.11 in Arkansas to $1,279.54 in Alaska. El Centro, CA pays $1,015.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44187 rates by state

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

See 44187 in every payment locality

How the 44187 rate is calculated

Each of 44187’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 44187

44187 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 44187

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

How 44187 has changed in El Centro, CA

Price 44187 for an earlier date of service

Where the El Centro, CA rate applies

El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• El Centro
• Bombay Beach
• Brawley
• Calexico
• Calipatria
• Desert Shores
• El Centro Naval Air Facility
• Heber

Browse all communities in California

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