CPT code 44205: Colectomy, terminal ileum with ileocolostomy2026 Medicare rate & RVUs in Arizona
Laparoscopic removal of a colonic segment with terminal ileum and ileocolic reconstruction, reported when the operative resection includes this specific anatomy.
In Arizona, Medicare pays $1,193.27 for 44205 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44205 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 44205 covers
This code describes laparoscopic resection of part of the colon that also removes the terminal ileum, followed by joining the remaining small bowel to the colon. It commonly represents a right-sided resection for colon cancer, Crohn disease, or another condition affecting the ileocecal region. A colorectal or general surgeon typically performs the operation in a hospital or other surgical facility. The operative report should establish the laparoscopic approach, the bowel removed, and the reconstruction performed.
Report this code when the documented resection includes terminal ileum and the ileocolic connection; a partial colectomy with a different reconstruction may fall under a neighboring code. 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 others at 50%. Modifier 50 is inappropriate. An assistant at surgery 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 Arizona compares for 44205
Across 109 of 109 payment localities, the facility rate for 44205 runs from $1,102.27 in Wisconsin to $1,548.95 in Alaska. Arizona pays $1,193.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$1,193.27
- Los Angeles, CA · California$1,261.52+$68.25
- Washington, DC area · District of Columbia$1,341.33+$148.06
- Miami, FL · Florida$1,483.34+$290.07
- Chicago, IL · Illinois$1,439.73+$246.46
- Manhattan, NY · New York$1,419.22+$225.95
- Alaska · Alaska$1,548.95+$355.68
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,116.98 |
| ArkansasArkansas | — | $1,103.74 |
| Bakersfield, CACalifornia | — | $1,208.55 |
| Chico, CACalifornia | — | $1,195.40 |
| El Centro, CACalifornia | — | $1,196.19 |
| Fresno, CACalifornia | — | $1,195.40 |
| Hanford, CACalifornia | — | $1,195.40 |
| Madera, CACalifornia | — | $1,195.40 |
| Merced, CACalifornia | — | $1,195.40 |
| Modesto, CACalifornia | — | $1,195.40 |
| Napa, CACalifornia | — | $1,296.12 |
| Oxnard, CACalifornia | — | $1,244.94 |
| Redding, CACalifornia | — | $1,195.40 |
| Rest of CaliforniaCalifornia | — | $1,195.40 |
| Riverside, CACalifornia | — | $1,246.75 |
| Sacramento, CACalifornia | — | $1,230.97 |
| Salinas, CACalifornia | — | $1,225.96 |
| San Diego, CACalifornia | — | $1,237.97 |
| Marin County, CACalifornia | — | $1,341.57 |
| San Francisco, CACalifornia | — | $1,336.14 |
| San Benito County, CACalifornia | — | $1,375.28 |
| Santa Clara County, CACalifornia | — | $1,353.09 |
| San Luis Obispo, CACalifornia | — | $1,209.11 |
| Santa Cruz, CACalifornia | — | $1,236.34 |
| Santa Maria, CACalifornia | — | $1,225.95 |
| Santa Rosa, CACalifornia | — | $1,247.22 |
| Stockton, CACalifornia | — | $1,195.40 |
| Vallejo, CACalifornia | — | $1,288.30 |
| Visalia, CACalifornia | — | $1,195.40 |
| Yuba City, CACalifornia | — | $1,195.40 |
| ColoradoColorado | — | $1,220.57 |
| ConnecticutConnecticut | — | $1,299.19 |
| DelawareDelaware | — | $1,209.93 |
| Fort Lauderdale, FLFlorida | — | $1,359.30 |
| Rest of FloridaFlorida | — | $1,292.42 |
| Atlanta, GAGeorgia | — | $1,265.58 |
| Rest of GeorgiaGeorgia | — | $1,222.35 |
| Hawaii, Guam, HIHawaii | — | $1,202.63 |
| IowaIowa | — | $1,102.76 |
| IdahoIdaho | — | $1,116.49 |
| East St. Louis, ILIllinois | — | $1,362.52 |
| Rest of IllinoisIllinois | — | $1,288.28 |
| Suburban Chicago, ILIllinois | — | $1,363.25 |
| IndianaIndiana | — | $1,120.80 |
| KansasKansas | — | $1,116.34 |
| KentuckyKentucky | — | $1,177.17 |
| New Orleans, LALouisiana | — | $1,229.04 |
| Rest of LouisianaLouisiana | — | $1,182.76 |
| Metropolitan Boston, MAMassachusetts | — | $1,301.11 |
| Rest of MassachusettsMassachusetts | — | $1,222.60 |
| Baltimore area, MDMaryland | — | $1,299.23 |
| Rest of MarylandMaryland | — | $1,224.36 |
| Rest of MaineMaine | — | $1,140.28 |
| Southern Maine, MEMaine | — | $1,164.36 |
| Detroit, MIMichigan | — | $1,324.51 |
| Rest of MichiganMichigan | — | $1,218.99 |
| MinnesotaMinnesota | — | $1,123.00 |
| Metropolitan Kansas City, MOMissouri | — | $1,203.02 |
| Metropolitan St. Louis, MOMissouri | — | $1,211.16 |
| Rest of MissouriMissouri | — | $1,177.98 |
| MississippiMississippi | — | $1,140.14 |
| MontanaMontana | — | $1,225.83 |
| North CarolinaNorth Carolina | — | $1,147.14 |
| North DakotaNorth Dakota | — | $1,131.31 |
| NebraskaNebraska | — | $1,102.28 |
| New HampshireNew Hampshire | — | $1,219.27 |
| Northern New JerseyNew Jersey | — | $1,335.13 |
| Rest of New JerseyNew Jersey | — | $1,300.88 |
| New MexicoNew Mexico | — | $1,231.76 |
| NevadaNevada | — | $1,199.80 |
| NYC suburbs and Long Island, NYNew York | — | $1,471.10 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,323.62 |
| Queens, NYNew York | — | $1,402.61 |
| Rest of New YorkNew York | — | $1,162.78 |
| OhioOhio | — | $1,199.67 |
| OklahomaOklahoma | — | $1,156.41 |
| Portland, OROregon | — | $1,232.64 |
| Rest of OregonOregon | — | $1,177.45 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,283.49 |
| Rest of PennsylvaniaPennsylvania | — | $1,191.21 |
| Puerto RicoPuerto Rico | — | $1,227.26 |
| Rhode IslandRhode Island | — | $1,233.63 |
| South CarolinaSouth Carolina | — | $1,177.96 |
| South DakotaSouth Dakota | — | $1,120.14 |
| TennesseeTennessee | — | $1,123.20 |
| Austin, TXTexas | — | $1,227.94 |
| Beaumont, TXTexas | — | $1,186.10 |
| Brazoria, TXTexas | — | $1,194.13 |
| Dallas, TXTexas | — | $1,208.93 |
| Fort Worth, TXTexas | — | $1,207.81 |
| Galveston, TXTexas | — | $1,202.43 |
| Houston, TXTexas | — | $1,289.93 |
| Rest of TexasTexas | — | $1,194.39 |
| UtahUtah | — | $1,190.72 |
| VirginiaVirginia | — | $1,173.79 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,227.26 |
| VermontVermont | — | $1,144.09 |
| Rest of WashingtonWashington | — | $1,214.61 |
| King County, WAWashington | — | $1,306.71 |
| WisconsinWisconsin | — | $1,102.27 |
| West VirginiaWest Virginia | — | $1,253.17 |
| WyomingWyoming | — | $1,184.64 |
44205 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 44205 rate is calculated
Each of 44205’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 · 44205
RVUs × geographic indexes × conversion factor
Work22.38
22.38 RVUs× 1.000 GPCI
Practice expense9.55
9.55 RVUs× 1.000 GPCI
Malpractice4.78
4.78 RVUs× 1.000 GPCI
Adjusted RVUs
36.7100
Conversion factor
$33.4009
Medicare rate
$1,226.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,369
- Code
- 44205
- Physician work
- 22.38
- Practice expense
- 9.55
- Malpractice
- 4.78
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.38 | × 1.000 | 22.3800 |
| Practice expense | 9.55 | × 0.969 | 9.2539 |
| Malpractice | 4.78 | × 0.856 | 4.0917 |
| Total RVUs | 35.7256 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$1193.27
Facility: (22.38 × 1 + 9.55 × 0.969 + 4.78 × 0.856) × $33.4009 = $1193.27
Payment rules and modifiers for 44205
44205 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44205
Colectomy, terminal ileum with ileocolostomy
| 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 · 44205
Colectomy, terminal ileum with ileocolostomy
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
44205 without 51 · national facility
$1,226.15
Colectomy, terminal ileum with ileocolostomy
44205-51 · Second procedure: 50%
$613.08
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 44205 has changed in Arizona
44205 · 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 | $1,193.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,193.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,193.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,193.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,259.94 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,259.94 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,259.94 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,259.94 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,290.23 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,290.23 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,290.23 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,290.23 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,269.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,304.47 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,304.47 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,304.47 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,304.47 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,324.94 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,324.94 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,324.94 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,324.94 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,325.14 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,325.14 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,325.14 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,325.14 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,359.28 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,359.28 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,359.28 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,359.28 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,356.85 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,356.85 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,356.85 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,356.85 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,355.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,355.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,355.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,355.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,362.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,362.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,362.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,362.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,368.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,368.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,368.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,368.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,371.38 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,371.38 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,364.56 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,364.56 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,361.82 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,361.82 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,361.82 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,361.82 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,343.51 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,343.51 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,343.51 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,343.51 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
44205 billing questions
How is this distinguished from 44204?
Use 44205 when the resection includes terminal ileum and the reconstruction joins small bowel to colon. A partial colectomy with a different anastomosis may fit 44204 instead.
Is the ileocolic connection separately reported?
The connection is part of the resection service described by this code; it is not a separate service solely because the surgeon documents the anastomosis.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used to indicate bilateral surgery.
What supports reporting 44205?
The operative report should document the laparoscopic approach, removal of terminal ileum along with colon, and the ileocolic reconstruction.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. An assistant may be paid; co-surgeons require supporting documentation.
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
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