CPT code 44210: Total colectomy, laparoscopic, rectum retained2026 Medicare rate & RVUs in Alaska

Reports laparoscopic removal of the entire colon while retaining the rectum, with an ileostomy or an ileal connection to the rectum.

CMS RVU26DEffective Oct 1, 2026One payment locality474 Medicare services in 2024

In Alaska, Medicare pays $2,064.77 for 44210 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,064.77Hospital or facility

Check a contract rate as a % of Medicare · 44210 nationwide

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

We’ll open 44210 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 44210 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 44210 covers

A surgeon removes the colon through laparoscopic access while leaving the rectum in place. The reconstruction includes an ileostomy or a connection between the ileum and retained rectum. Colorectal and general surgeons typically perform this operation in a hospital operating room for patients who need removal of the entire colon but do not have the rectum removed. This is distinct from laparoscopic procedures that remove only part of the colon or also remove the rectum.

Report the code when the operative record supports laparoscopic removal of the entire colon, rectal preservation, and the documented reconstruction. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. 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.

How Alaska compares for 44210

Across 109 of 109 payment localities, the facility rate for 44210 runs from $1,472.77 in Arkansas to $2,064.77 in Alaska. Alaska pays $2,064.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

44210 in Alaska vs other payment areas
  1. Alaska · this page$2,064.77
  2. Los Angeles, CA · California$1,690.46−$374.31
  3. Washington, DC area · District of Columbia$1,783.82−$280.95
  4. Miami, FL · Florida$1,929.02−$135.75
  5. Chicago, IL · Illinois$1,876.00−$188.77
  6. Manhattan, NY · New York$1,873.58−$191.19
  7. Alabama · Alabama$1,489.60−$575.17

Other areas in Alaska first, then benchmark localities. Bars start at $0.

Every other payment area

44210 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,472.77
ArizonaArizona—$1,586.68
Bakersfield, CACalifornia—$1,618.47
Chico, CACalifornia—$1,603.02
El Centro, CACalifornia—$1,603.95
Fresno, CACalifornia—$1,603.02
Hanford, CACalifornia—$1,603.02
Madera, CACalifornia—$1,603.02

44210 rates by state

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

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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
44210 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

See 44210 in every payment locality

How the 44210 rate is calculated

Each of 44210’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 · 44210

RVUs × geographic indexes × conversion factor

Office or facility?

Work29.34

29.34 RVUs× 1.000 GPCI

Practice expense13.86

13.86 RVUs× 1.000 GPCI

Malpractice5.53

5.53 RVUs× 1.000 GPCI

Adjusted RVUs

48.7300

Conversion factor

$33.4009

Medicare rate

$1,627.63

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,373

Code
44210
Physician work
29.34
Practice expense
13.86
Malpractice
5.53

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Facility calculation for 44210 in Alaska
ComponentRVULocality factorAdjusted
Physician work29.34× 1.50044.0100
Practice expense13.86× 1.06514.7609
Malpractice5.53× 0.5513.0470
Total RVUs61.8179
Conversion factor× 33.4009

Facility rate, Alaska$2064.77

Facility: (29.34 × 1.5 + 13.86 × 1.065 + 5.53 × 0.551) × $33.4009 = $2064.77

Open 44210 in the RVU calculator

Payment rules and modifiers for 44210

44210 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44210

Total colectomy, laparoscopic, rectum retained

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 · 44210

Total colectomy, laparoscopic, rectum retained

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

44210 without 51 · national facility

$1,627.63

Total colectomy, laparoscopic, rectum retained

44210-51 · Second procedure: 50%

$813.82

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

How 44210 has changed in Alaska

44210 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,064.77RVU26D
2026-07-01Not available in this setting$2,064.77RVU26C
2026-04-01Not available in this setting$2,064.77RVU26B
2026-01-01Not available in this setting$2,064.77RVU26A
2025-10-01Not available in this setting$2,168.13RVU25D
2025-07-01Not available in this setting$2,168.13RVU25C
2025-04-01Not available in this setting$2,168.13RVU25B
2025-01-01Not available in this setting$2,168.13RVU25A
2024-10-01Not available in this setting$2,224.90RVU24D
2024-07-01Not available in this setting$2,224.90RVU24C
2024-04-01Not available in this setting$2,224.90RVU24B
2024-03-09Not available in this setting$2,224.90RVU24AR
2024-01-01Not available in this setting$2,188.58RVU24A
2023-10-01Not available in this setting$2,272.28RVU23D
2023-07-01Not available in this setting$2,272.28RVU23C
2023-04-01Not available in this setting$2,272.28RVU23B
2023-01-01Not available in this setting$2,272.28RVU23A
2022-10-01Not available in this setting$2,322.79RVU22D
2022-07-01Not available in this setting$2,322.79RVU22C
2022-04-01Not available in this setting$2,322.79RVU22B
2022-01-01Not available in this setting$2,322.79RVU22A
2021-10-01Not available in this setting$2,329.14RVU21D
2021-07-01Not available in this setting$2,329.14RVU21C
2021-04-01Not available in this setting$2,329.14RVU21B
2021-01-01Not available in this setting$2,329.14RVU21A
2020-10-01Not available in this setting$2,399.06RVU20D
2020-07-01Not available in this setting$2,399.06RVU20C
2020-04-01Not available in this setting$2,399.06RVU20B
2020-01-01Not available in this setting$2,399.06RVU20A
2019-10-01Not available in this setting$2,405.95RVU19D
2019-07-01Not available in this setting$2,405.95RVU19C
2019-04-01Not available in this setting$2,405.95RVU19B
2019-01-01Not available in this setting$2,405.95RVU19A
2018-10-01Not available in this setting$2,408.47RVU18D
2018-07-01Not available in this setting$2,408.47RVU18C
2018-04-01Not available in this setting$2,408.47RVU18B
2018-01-01Not available in this setting$2,408.47RVU18AR1
2017-10-01Not available in this setting$2,397.99RVU17D
2017-07-01Not available in this setting$2,397.99RVU17C
2017-04-01Not available in this setting$2,397.99RVU17B
2017-01-01Not available in this setting$2,397.99RVU17A
2016-10-01Not available in this setting$2,388.62RVU16D
2016-07-01Not available in this setting$2,388.62RVU16C
2016-04-01Not available in this setting$2,388.62RVU16B
2016-01-01Not available in this setting$2,388.62RVU16A
2015-10-01Not available in this setting$2,397.18RVU15D
2015-07-01Not available in this setting$2,397.18RVU15C
2015-04-01Not available in this setting$2,385.26RVU15B
2015-01-01Not available in this setting$2,385.26RVU15A
2014-10-01Not available in this setting$2,376.73RVU14D
2014-07-01Not available in this setting$2,376.73RVU14C
2014-04-01Not available in this setting$2,376.73RVU14B
2014-01-01Not available in this setting$2,376.73RVU14A
2013-10-01Not available in this setting$2,301.95RVU13D
2013-07-01Not available in this setting$2,301.95RVU13C
2013-04-01Not available in this setting$2,301.95RVU13B
2013-01-01Not available in this setting$2,301.95RVU13AR

Price 44210 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

44210 billing questions

How does this differ from 44211?

This code describes total abdominal colectomy with the rectum retained. Code 44211 is for a laparoscopic operation that also removes the rectum.

Can this code be reported for a partial colectomy?

No. The operative report must support removal of the entire colon. A laparoscopic partial colectomy is reported with a code matching the resection and reconstruction performed.

What documentation supports this code?

Document laparoscopic approach, removal of the entire colon, whether the rectum was retained, and the resulting ileostomy or ileal-to-rectal connection.

Is modifier 50 appropriate?

No. The anatomy and procedure are not bilateral for Medicare payment purposes.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 44210PPRRVU2026_Oct_nonQPP.csv, line 5,373 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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