FeeBase
Log inGet started
Menu

CPT code 44206: Partial colectomy, end colostomy, closed distal segment2026 Medicare rate & RVUs

Reports laparoscopic removal of part of the colon when the surgeon creates an end colostomy and closes the remaining distal bowel segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.3K Medicare services in 2024

Medicare pays $1,600.57 for 44206 nationally in a facility.

Medicare rate · 44206

Partial colectomy, end colostomy, closed distal segment

Office or facility?

Work RVUs
29.05
Total RVUs
47.92
Global days
090

National rate · 2026

$1,600.57

Facility setting, before claim adjustments.

See every locality for 44206 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 44206 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 44206 covers

The surgeon removes a segment of colon using a laparoscopic approach, brings the proximal bowel through the abdominal wall as an end colostomy, and closes the distal bowel segment. This Hartmann-type operation is used when the surgeon does not restore intestinal continuity during the same procedure, such as in selected cases of complicated diverticular disease, obstruction, or perforation. It is typically performed by a general or colorectal surgeon in a hospital operating room.

Report 44206 when the operative documentation supports partial colon resection, laparoscopic technique, an end colostomy, and closure of the distal segment. Distinguish it from partial colectomy codes that include an anastomosis or a different reconstruction. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; 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.

Where 44206 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

44206 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,454.08
AlaskaUnavailable$2,014.06
ArizonaUnavailable$1,556.27
ArkansasUnavailable$1,436.33
Atlanta, GAUnavailable$1,654.10
Austin, TXUnavailable$1,601.38
Bakersfield, CAUnavailable$1,572.81
Baltimore area, MDUnavailable$1,698.04
Beaumont, TXUnavailable$1,548.01
Brazoria, TXUnavailable$1,556.43

44206 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
44206 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 44206 rate is calculated

Each of 44206’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 · 44206

RVUs × geographic indexes × conversion factor

Office or facility?

Work29.05

29.05 RVUs× 1.000 GPCI

Practice expense12.31

12.31 RVUs× 1.000 GPCI

Malpractice6.56

6.56 RVUs× 1.000 GPCI

Adjusted RVUs

47.9200

Conversion factor

$33.4009

Medicare rate

$1,600.57

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 44206

44206 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44206

Partial colectomy, end colostomy, closed distal segment

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 44206

Partial colectomy, end colostomy, closed distal segment

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44206 without 51 · national facility

$1,600.57

Partial colectomy, end colostomy, closed distal segment

44206-51 · Second procedure: 50%

$800.29

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%).

When to use modifier 51

44206 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 44206

    Partial colectomy, end colostomy, closed distal segment29.05 wRVU

    Not priced

  • 44204

    Partial colectomy, laparoscopic with anastomosis25.76 wRVU

    Not priced

  • 44205

    Colectomy, terminal ileum with ileocolostomy22.38 wRVU

    Not priced

  • 44207

    Colectomy, low pelvic anastomosis31.12 wRVU

    Not priced

  • 44208

    Colectomy, low pelvic anastomosis with colostomy33.14 wRVU

    Not priced

How to choose

44204Partial colectomyLaparoscopic with anastomosis
Use 44204 when the partial colectomy includes an anastomosis. Use 44206 when the surgeon creates an end colostomy and closes the distal segment.
44205ColectomyTerminal ileum with ileocolostomy
44205 includes removal of terminal ileum with ileocolic reconstruction; 44206 describes an end colostomy with closure of the distal bowel segment.
44207ColectomyLow pelvic anastomosis
44207 includes a coloproctostomy. Choose 44206 when there is no bowel anastomosis and the operation ends with an end colostomy and closed distal segment.
44208ColectomyLow pelvic anastomosis with colostomy
44208 includes a coloproctostomy plus a colostomy. 44206 instead describes an end colostomy with closure of the distal segment.

Codes related to 44206

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

Codes related to 44206
CodeHow it relatesNational office range
Same family
44204Partial colectomy, laparoscopic with anastomosisPartial colectomy with anastomosis rather than an end colostomy and closed distal segment.No office rate
44205Colectomy, terminal ileum with ileocolostomyPartial colectomy involving removal of terminal ileum and ileocolic reconstruction.No office rate
44207Colectomy, low pelvic anastomosisPartial colectomy with a coloproctostomy rather than the 44206 reconstruction.No office rate
44208Colectomy, low pelvic anastomosis with colostomyPartial colectomy with coloproctostomy and an additional colostomy.No office rate
Add-on codes
44213Splenic flexure, laparoscopic add-on mobilizationAdd-on for laparoscopic splenic flexure mobilization performed with partial colectomy.No office rate

44206 billing questions

How does 44206 differ from 44204?

44206 includes an end colostomy and closure of the distal bowel segment. 44204 describes partial colectomy with an anastomosis rather than this Hartmann-type reconstruction.

Can 44206 be reported when the surgeon reconnects the bowel?

No. When the surgeon creates a bowel anastomosis, select the code that matches the resection and reconstruction performed rather than 44206.

What operative details support 44206?

Document the laparoscopic approach, the colon segment removed, creation of the end colostomy, and closure of the distal bowel segment.

Can splenic flexure mobilization be reported with 44206?

When separately performed and supported by the operative report, laparoscopic splenic flexure mobilization may be reported with add-on code 44213.

Can modifier 50 be used with 44206?

Modifier 50 is inappropriate for this colectomy service; the code describes a single bowel resection and reconstruction.

How does the 90-day global period affect postoperative reporting?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. Medicare applies its standard multiple-procedure reduction when other procedures are performed in the same session.

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
RVUs for 44206PPRRVU2026_Oct_nonQPP.csv, line 5,370 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 44206 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 44206 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist