CPT code 44204: Partial colectomy, laparoscopic with anastomosis2026 Medicare rate & RVUs in South Dakota
Reports laparoscopic removal of a colon segment with reconnection of the remaining bowel, selected according to the resection and reconstruction performed.
In South Dakota, Medicare pays $1,285.67 for 44204 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44204 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 44204 covers
A colorectal or general surgeon uses laparoscopic instruments to remove a diseased portion of the colon and reconnect the remaining bowel. Common clinical settings include resection for colon cancer or complicated diverticular disease. The operative report should identify the colon segment removed and describe the resulting anastomosis; the code is not selected solely from the diagnosis or specimen label.
Choose this service for a partial colon resection with anastomosis that is not one of the separately specified terminal-ileum or colon-to-rectum configurations. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery services may be paid; co-surgeons require 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 South Dakota compares for 44204
Across 109 of 109 payment localities, the facility rate for 44204 runs from $1,265.14 in Wisconsin to $1,780.61 in Alaska. South Dakota pays $1,285.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,285.67
- Los Angeles, CA · California$1,449.95+$164.28
- Washington, DC area · District of Columbia$1,545.57+$259.90
- Miami, FL · Florida$1,721.63+$435.96
- Chicago, IL · Illinois$1,669.73+$384.06
- Manhattan, NY · New York$1,639.24+$353.57
- Alaska · Alaska$1,780.61+$494.94
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,284.75 |
| ArkansasArkansas | — | $1,269.18 |
| ArizonaArizona | — | $1,374.35 |
| Bakersfield, CACalifornia | — | $1,389.08 |
| Chico, CACalifornia | — | $1,373.34 |
| El Centro, CACalifornia | — | $1,374.30 |
| Fresno, CACalifornia | — | $1,373.34 |
| Hanford, CACalifornia | — | $1,373.34 |
| Madera, CACalifornia | — | $1,373.34 |
| Merced, CACalifornia | — | $1,373.34 |
| Modesto, CACalifornia | — | $1,373.34 |
| Napa, CACalifornia | — | $1,487.62 |
| Oxnard, CACalifornia | — | $1,430.53 |
| Redding, CACalifornia | — | $1,373.34 |
| Rest of CaliforniaCalifornia | — | $1,373.34 |
| Riverside, CACalifornia | — | $1,435.08 |
| Sacramento, CACalifornia | — | $1,413.85 |
| Salinas, CACalifornia | — | $1,408.11 |
| San Diego, CACalifornia | — | $1,421.75 |
| Marin County, CACalifornia | — | $1,538.93 |
| San Francisco, CACalifornia | — | $1,532.40 |
| San Benito County, CACalifornia | — | $1,578.17 |
| Santa Clara County, CACalifornia | — | $1,551.47 |
| San Luis Obispo, CACalifornia | — | $1,388.85 |
| Santa Cruz, CACalifornia | — | $1,419.70 |
| Santa Maria, CACalifornia | — | $1,408.05 |
| Santa Rosa, CACalifornia | — | $1,432.14 |
| Stockton, CACalifornia | — | $1,373.34 |
| Vallejo, CACalifornia | — | $1,478.21 |
| Visalia, CACalifornia | — | $1,373.34 |
| Yuba City, CACalifornia | — | $1,373.34 |
| ColoradoColorado | — | $1,404.54 |
| ConnecticutConnecticut | — | $1,498.51 |
| DelawareDelaware | — | $1,393.77 |
| Fort Lauderdale, FLFlorida | — | $1,573.06 |
| Rest of FloridaFlorida | — | $1,493.92 |
| Atlanta, GAGeorgia | — | $1,460.15 |
| Rest of GeorgiaGeorgia | — | $1,411.11 |
| Hawaii, Guam, HIHawaii | — | $1,381.76 |
| IowaIowa | — | $1,266.72 |
| IdahoIdaho | — | $1,283.12 |
| East St. Louis, ILIllinois | — | $1,579.08 |
| Rest of IllinoisIllinois | — | $1,489.94 |
| Suburban Chicago, ILIllinois | — | $1,577.22 |
| IndianaIndiana | — | $1,288.14 |
| KansasKansas | — | $1,283.30 |
| KentuckyKentucky | — | $1,356.83 |
| New Orleans, LALouisiana | — | $1,418.03 |
| Rest of LouisianaLouisiana | — | $1,363.64 |
| Metropolitan Boston, MAMassachusetts | — | $1,497.32 |
| Rest of MassachusettsMassachusetts | — | $1,407.09 |
| Baltimore area, MDMaryland | — | $1,498.81 |
| Rest of MarylandMaryland | — | $1,410.38 |
| Rest of MaineMaine | — | $1,311.74 |
| Southern Maine, MEMaine | — | $1,339.08 |
| Detroit, MIMichigan | — | $1,532.32 |
| Rest of MichiganMichigan | — | $1,406.58 |
| MinnesotaMinnesota | — | $1,288.45 |
| Metropolitan Kansas City, MOMissouri | — | $1,386.77 |
| Metropolitan St. Louis, MOMissouri | — | $1,396.26 |
| Rest of MissouriMissouri | — | $1,358.42 |
| MississippiMississippi | — | $1,312.92 |
| MontanaMontana | — | $1,412.81 |
| North CarolinaNorth Carolina | — | $1,319.69 |
| North DakotaNorth Dakota | — | $1,299.11 |
| NebraskaNebraska | — | $1,265.96 |
| New HampshireNew Hampshire | — | $1,403.98 |
| Northern New JerseyNew Jersey | — | $1,538.17 |
| Rest of New JerseyNew Jersey | — | $1,499.42 |
| New MexicoNew Mexico | — | $1,421.85 |
| NevadaNevada | — | $1,381.48 |
| NYC suburbs and Long Island, NYNew York | — | $1,701.03 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,526.51 |
| Queens, NYNew York | — | $1,618.80 |
| Rest of New YorkNew York | — | $1,338.12 |
| OhioOhio | — | $1,383.35 |
| OklahomaOklahoma | — | $1,331.77 |
| Portland, OROregon | — | $1,417.83 |
| Rest of OregonOregon | — | $1,354.71 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,480.54 |
| Rest of PennsylvaniaPennsylvania | — | $1,373.05 |
| Puerto RicoPuerto Rico | — | $1,414.28 |
| Rhode IslandRhode Island | — | $1,420.70 |
| South CarolinaSouth Carolina | — | $1,356.97 |
| TennesseeTennessee | — | $1,291.44 |
| Austin, TXTexas | — | $1,413.94 |
| Beaumont, TXTexas | — | $1,367.09 |
| Brazoria, TXTexas | — | $1,374.58 |
| Dallas, TXTexas | — | $1,392.22 |
| Fort Worth, TXTexas | — | $1,391.11 |
| Galveston, TXTexas | — | $1,384.52 |
| Houston, TXTexas | — | $1,489.76 |
| Rest of TexasTexas | — | $1,376.17 |
| UtahUtah | — | $1,371.96 |
| VirginiaVirginia | — | $1,350.60 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,414.28 |
| VermontVermont | — | $1,314.71 |
| Rest of WashingtonWashington | — | $1,397.59 |
| King County, WAWashington | — | $1,502.95 |
| WisconsinWisconsin | — | $1,265.14 |
| West VirginiaWest Virginia | — | $1,448.71 |
| WyomingWyoming | — | $1,363.26 |
44204 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 44204 rate is calculated
Each of 44204’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.
How the rate is built · 44204
RVUs × geographic indexes × conversion factor
Work25.76
25.76 RVUs× 1.000 GPCI
Practice expense10.80
10.80 RVUs× 1.000 GPCI
Malpractice5.75
5.75 RVUs× 1.000 GPCI
Adjusted RVUs
42.3100
Conversion factor
$33.4009
Medicare rate
$1,413.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,368
- Code
- 44204
- Physician work
- 25.76
- Practice expense
- 10.80
- Malpractice
- 5.75
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.76 | × 1.000 | 25.7600 |
| Practice expense | 10.80 | × 1.000 | 10.8000 |
| Malpractice | 5.75 | × 0.336 | 1.9320 |
| Total RVUs | 38.4920 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$1285.67
Facility: (25.76 × 1 + 10.8 × 1 + 5.75 × 0.336) × $33.4009 = $1285.67
Payment rules and modifiers for 44204
44204 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44204
Partial colectomy, laparoscopic with anastomosis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44204
Partial colectomy, laparoscopic with anastomosis
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44204 without 51 · national facility
$1,413.19
Partial colectomy, laparoscopic with anastomosis
44204-51 · Second procedure: 50%
$706.60
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 44204 has changed in South Dakota
44204 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,285.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,285.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,285.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,285.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,374.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,374.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,374.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,374.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,406.69 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,406.69 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,406.69 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,406.69 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,383.73 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,425.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,425.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,425.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,425.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,447.73 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,447.73 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,447.73 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,447.73 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,450.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,450.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,450.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,450.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,487.07 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,487.07 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,487.07 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,487.07 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,484.39 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,484.39 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,484.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,484.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,482.93 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,482.93 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,482.93 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,482.93 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,479.33 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,479.33 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,479.33 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,479.33 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,476.64 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,476.64 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,476.64 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,476.64 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,481.25 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,481.25 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,473.88 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,473.88 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,474.82 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,474.82 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,474.82 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,474.82 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,450.38 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,450.38 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,450.38 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,450.38 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
44204 billing questions
How does this differ from 44205?
Use 44205 when the resection includes removal of terminal ileum and an ileocolic connection. This code describes a partial colon resection with anastomosis without that specified configuration.
When is 44213 reported with this procedure?
44213 is an add-on for laparoscopic mobilization of the splenic flexure performed with a qualifying partial colectomy. The operative report should support that the mobilization was performed.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
CMS may pay for an assistant at surgery with this procedure. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports this code?
Document the laparoscopic approach, the colon segment resected, and the anastomosis performed. These details distinguish this service from resections involving terminal ileum, a coloproctostomy, or a stoma configuration.
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
Show the CMS file lines behind this rate
Fee sheets
Put 44204 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet