CPT code 44211: Proctocolectomy, ileoanal pouch reconstruction2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $1,930.64 for 44211 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44211 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 44211 covers

This laparoscopic restorative proctocolectomy removes the colon and rectum, forms an ileal reservoir, and connects it to the anus. Colorectal surgeons commonly perform it in an operating room for ulcerative colitis or familial adenomatous polyposis when ileoanal reconstruction is planned. A diverting loop ileostomy may be created as part of the operation.

Report 44211 when the completed procedure includes total colectomy with proctectomy, ileal pouch construction, and ileoanal anastomosis; the loop ileostomy, when performed, is included. The operative report should document the resection extent, pouch construction, anastomosis, and diversion. Medicare includes the day-before preoperative visit and related postoperative care through 90 days after surgery. When another procedure is performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Report the combined operation as one procedure, not as paired-side services. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 Puerto Rico compares for 44211

Across 109 of 109 payment localities, the facility rate for 44211 runs from $1,766.11 in Arkansas to $2,488.64 in Alaska. Puerto Rico pays $1,930.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44211 rates by state

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

See 44211 in every payment locality

How the 44211 rate is calculated

Each of 44211’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 44211

44211 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 44211

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

How 44211 has changed in Puerto Rico

Price 44211 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