CPT code 44188: Colostomy, laparoscopic approach2026 Medicare rate & RVUs in Hawaii, Guam, HI

In Hawaii, Guam, HI, Medicare pays $1,130.96 for 44188 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44188 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 44188 covers

The surgeon uses laparoscopic access to bring a portion of the colon to the abdominal wall and form a stoma. Colorectal and general surgeons commonly perform this operation in a hospital operating room to divert stool around distal obstruction, injury, inflammation, or a healing colorectal repair. The stoma may be intended as temporary diversion or long-term fecal diversion; the code identifies colonic rather than small-bowel ostomy creation.

Select 44188 when laparoscopic colostomy creation is the service performed, rather than a more extensive bowel-resection procedure that includes ostomy construction. The operative report should identify the laparoscopic approach, the colonic stoma created, and the clinical reason for diversion. Related preoperative care on the day before surgery and 90 days of postoperative care are included in the 90-day global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; 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 Hawaii, Guam, HI compares for 44188

Across 109 of 109 payment localities, the facility rate for 44188 runs from $1,019.45 in Arkansas to $1,415.61 in Alaska. Hawaii, Guam, HI pays $1,130.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44188 rates by state

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

See 44188 in every payment locality

How the 44188 rate is calculated

Each of 44188’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 44188

44188 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 44188

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

How 44188 has changed in Hawaii, Guam, HI

Price 44188 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

• Ahuimanu
• Aiea
• Ainaloa
• Anahola
• Black Sands
• Captain Cook
• Discovery Harbour
• East Honolulu

Browse all communities in Hawaii

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