CPT code 44203: Small bowel resection, each additional resection2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $215.96 for 44203 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44203 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 44203 covers

Code 44203 captures an additional laparoscopic resection and reconnection of small intestine during the same operative session as the primary small-bowel resection. Multiple separate diseased segments, such as skip areas of Crohn disease or separate ischemic segments, may require additional resections and anastomoses. General and colorectal surgeons typically perform this work in an operating room using laparoscopic access.

Report 44203 only with the primary procedure, 44202. Count additional resection-and-anastomosis work, not the length of bowel removed or the number of pathology specimens. The operative report should identify the laparoscopic approach and describe each additional small-bowel segment resected and reconstructed. CMS classifies 44203 as an add-on code: it is billed only with a primary procedure, and payment is within that procedure’s global period.

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 Puerto Rico compares for 44203

Across 109 of 109 payment localities, the facility rate for 44203 runs from $189.87 in Wisconsin to $274.69 in Alaska. Puerto Rico pays $215.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44203 rates by state

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

See 44203 in every payment locality

How the 44203 rate is calculated

Each of 44203’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 44203

The CMS indicators that decide how 44203 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 44203

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

How 44203 has changed in Puerto Rico

Price 44203 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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