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CPT code 44213: Splenic flexure, laparoscopic add-on mobilization2026 Medicare rate & RVUs

Reports laparoscopic release of the splenic flexure to facilitate a partial colectomy, such as completing a colorectal resection or allowing a tension-free anastomosis.

CMS RVU26DEffective Oct 1, 2026109 payment localities10.6K Medicare services in 2024

Medicare pays $165.00 for 44213 nationally in a facility.

Medicare rate · 44213

Splenic flexure, laparoscopic add-on mobilization

Office or facility?

Work RVUs
3.41
Total RVUs
4.94
Global days
ZZZ

National rate · 2026

$165.00

Facility setting, before claim adjustments.

See every locality for 44213 →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 44213 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 44213 covers

During laparoscopic colon surgery, the surgeon frees the splenic flexure from its attachments so the left colon can reach the planned resection or reconstruction site. This additional dissection may help provide adequate length for a colorectal anastomosis. It is performed by a general or colorectal surgeon in the operating room as part of a laparoscopic partial colectomy; it is not the colectomy itself.

Report 44213 only with an eligible primary procedure, such as a laparoscopic partial colectomy. The operative note should describe the flexure mobilization, rather than merely documenting routine exposure or the colon resection. CMS classifies this as an add-on code: it is billed with the primary procedure, and its payment is handled within that procedure's global period. The primary code identifies the colectomy and its reconstruction; 44213 identifies the separately documented flexure work.

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 44213 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

44213 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$151.39
AlaskaUnavailable$213.25
ArizonaUnavailable$160.77
ArkansasUnavailable$149.75
Atlanta, GAUnavailable$170.49
Austin, TXUnavailable$164.17
Bakersfield, CAUnavailable$160.68
Baltimore area, MDUnavailable$174.39
Beaumont, TXUnavailable$160.85
Brazoria, TXUnavailable$160.52

44213 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
44213 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 44213 rate is calculated

Each of 44213’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 · 44213

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense0.83

0.83 RVUs× 1.000 GPCI

Malpractice0.70

0.70 RVUs× 1.000 GPCI

Adjusted RVUs

4.9400

Conversion factor

$33.4009

Medicare rate

$165.00

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

Payment rules and modifiers for 44213

The CMS indicators that decide how 44213 is paid alongside other services.

CMS payment indicators · 44213

Splenic flexure, laparoscopic add-on mobilization

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

44213 without 80 · national facility

$165.00

Splenic flexure, laparoscopic add-on mobilization

44213-80 · Assistant: 16%

$26.40

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

44213 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 44213

    Splenic flexure, laparoscopic add-on mobilization3.41 wRVU

    Not priced

  • 44204

    Partial colectomy, laparoscopic with anastomosis25.76 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
44204 reports the laparoscopic partial colectomy with anastomosis. Add 44213 only when the surgeon also performs and documents splenic flexure mobilization.
44207ColectomyLow pelvic anastomosis
44207 identifies a laparoscopic left colectomy with coloproctostomy. It is the primary resection and reconstruction code; 44213 reports additional flexure mobilization.
44208ColectomyLow pelvic anastomosis with colostomy
44208 describes a laparoscopic left colectomy with coloproctostomy and colostomy. It does not replace 44213 when separately documented flexure mobilization is performed.

Codes related to 44213

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

Codes related to 44213
CodeHow it relatesNational office range
Add-on codes
44204Partial colectomy, laparoscopic with anastomosisLaparoscopic partial colectomy with anastomosis; a primary procedure for the flexure mobilization add-on.No office rate
44205Colectomy, terminal ileum with ileocolostomyLaparoscopic partial colectomy with terminal ileum removal and ileocolostomy; a primary procedure for the add-on.No office rate
44206Partial colectomy, end colostomy, closed distal segmentLaparoscopic partial colectomy with end colostomy; a primary procedure for the add-on.No office rate
44207Colectomy, low pelvic anastomosisLaparoscopic left colectomy with coloproctostomy; a primary procedure for the add-on.No office rate
44208Colectomy, low pelvic anastomosis with colostomyLaparoscopic left colectomy with coloproctostomy and colostomy; a primary procedure for the add-on.No office rate

44213 billing questions

Can 44213 be billed by itself?

No. It is an add-on and must be reported with a qualifying primary procedure, such as a laparoscopic partial colectomy.

Does every laparoscopic partial colectomy include 44213?

No. Report it when the surgeon performs and documents splenic flexure mobilization; a colectomy alone does not establish that this additional work occurred.

What documentation supports 44213?

The operative report should describe the laparoscopic dissection and release of the splenic flexure, in addition to the primary colectomy and reconstruction.

Which code describes the colectomy itself?

The primary colectomy code describes the resection and reconstruction, such as 44204 or 44207. Code 44213 identifies the additional flexure mobilization.

How does the global period affect 44213?

CMS treats 44213 as an add-on paid within the primary procedure's global period. Report it with the primary procedure rather than as an independent service.

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 44213PPRRVU2026_Oct_nonQPP.csv, line 5,376 (RVU26D)

Open CMS sourceHow we calculate rates

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