CPT code 44213: Splenic flexure, laparoscopic add-on mobilization2026 Medicare rate & RVUs in Montana
Reports laparoscopic release of the splenic flexure to facilitate a partial colectomy, such as completing a colorectal resection or allowing a tension-free anastomosis.
In Montana, Medicare pays $164.95 for 44213 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44213 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 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.
How Montana compares for 44213
Across 109 of 109 payment localities, the facility rate for 44213 runs from $147.66 in Wisconsin to $213.25 in Alaska. Montana pays $164.95. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$164.95
- Los Angeles, CA · California$166.89+$1.94
- Washington, DC area · District of Columbia$178.73+$13.78
- Miami, FL · Florida$201.89+$36.94
- Chicago, IL · Illinois$196.21+$31.26
- Manhattan, NY · New York$190.48+$25.53
- Alaska · Alaska$213.25+$48.30
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $151.39 |
| ArkansasArkansas | — | $149.75 |
| ArizonaArizona | — | $160.77 |
| Bakersfield, CACalifornia | — | $160.68 |
| Chico, CACalifornia | — | $158.75 |
| El Centro, CACalifornia | — | $158.87 |
| Fresno, CACalifornia | — | $158.75 |
| Hanford, CACalifornia | — | $158.75 |
| Madera, CACalifornia | — | $158.75 |
| Merced, CACalifornia | — | $158.75 |
| Modesto, CACalifornia | — | $158.75 |
| Napa, CACalifornia | — | $169.49 |
| Oxnard, CACalifornia | — | $164.42 |
| Redding, CACalifornia | — | $158.75 |
| Rest of CaliforniaCalifornia | — | $158.75 |
| Riverside, CACalifornia | — | $166.28 |
| Sacramento, CACalifornia | — | $162.77 |
| Salinas, CACalifornia | — | $162.09 |
| San Diego, CACalifornia | — | $163.14 |
| Marin County, CACalifornia | — | $174.54 |
| San Francisco, CACalifornia | — | $173.74 |
| San Benito County, CACalifornia | — | $178.93 |
| Santa Clara County, CACalifornia | — | $175.68 |
| San Luis Obispo, CACalifornia | — | $159.94 |
| Santa Cruz, CACalifornia | — | $162.50 |
| Santa Maria, CACalifornia | — | $161.94 |
| Santa Rosa, CACalifornia | — | $163.89 |
| Stockton, CACalifornia | — | $158.75 |
| Vallejo, CACalifornia | — | $168.34 |
| Visalia, CACalifornia | — | $158.75 |
| Yuba City, CACalifornia | — | $158.75 |
| ColoradoColorado | — | $163.02 |
| ConnecticutConnecticut | — | $174.32 |
| DelawareDelaware | — | $162.88 |
| Fort Lauderdale, FLFlorida | — | $184.25 |
| Rest of FloridaFlorida | — | $175.54 |
| Atlanta, GAGeorgia | — | $170.49 |
| Rest of GeorgiaGeorgia | — | $166.50 |
| Hawaii, Guam, HIHawaii | — | $158.96 |
| IowaIowa | — | $148.55 |
| IdahoIdaho | — | $150.46 |
| East St. Louis, ILIllinois | — | $186.49 |
| Rest of IllinoisIllinois | — | $175.75 |
| Suburban Chicago, ILIllinois | — | $184.60 |
| IndianaIndiana | — | $150.96 |
| KansasKansas | — | $150.74 |
| KentuckyKentucky | — | $159.94 |
| New Orleans, LALouisiana | — | $166.54 |
| Rest of LouisianaLouisiana | — | $160.83 |
| Metropolitan Boston, MAMassachusetts | — | $172.48 |
| Rest of MassachusettsMassachusetts | — | $163.55 |
| Baltimore area, MDMaryland | — | $174.39 |
| Rest of MarylandMaryland | — | $164.55 |
| Rest of MaineMaine | — | $153.94 |
| Southern Maine, MEMaine | — | $156.12 |
| Detroit, MIMichigan | — | $180.07 |
| Rest of MichiganMichigan | — | $165.60 |
| MinnesotaMinnesota | — | $149.34 |
| Metropolitan Kansas City, MOMissouri | — | $162.77 |
| Metropolitan St. Louis, MOMissouri | — | $163.72 |
| Rest of MissouriMissouri | — | $160.57 |
| MississippiMississippi | — | $155.04 |
| North CarolinaNorth Carolina | — | $154.70 |
| North DakotaNorth Dakota | — | $151.11 |
| NebraskaNebraska | — | $148.32 |
| New HampshireNew Hampshire | — | $163.21 |
| Northern New JerseyNew Jersey | — | $178.20 |
| Rest of New JerseyNew Jersey | — | $174.37 |
| New MexicoNew Mexico | — | $167.40 |
| NevadaNevada | — | $161.12 |
| NYC suburbs and Long Island, NYNew York | — | $197.57 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $177.67 |
| Queens, NYNew York | — | $187.67 |
| Rest of New YorkNew York | — | $156.67 |
| OhioOhio | — | $162.78 |
| OklahomaOklahoma | — | $156.82 |
| Portland, OROregon | — | $163.91 |
| Rest of OregonOregon | — | $157.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $172.70 |
| Rest of PennsylvaniaPennsylvania | — | $161.44 |
| Puerto RicoPuerto Rico | — | $164.95 |
| Rhode IslandRhode Island | — | $165.55 |
| South CarolinaSouth Carolina | — | $159.39 |
| South DakotaSouth Dakota | — | $149.48 |
| TennesseeTennessee | — | $151.65 |
| Austin, TXTexas | — | $164.17 |
| Beaumont, TXTexas | — | $160.85 |
| Brazoria, TXTexas | — | $160.52 |
| Dallas, TXTexas | — | $162.59 |
| Fort Worth, TXTexas | — | $162.62 |
| Galveston, TXTexas | — | $161.70 |
| Houston, TXTexas | — | $174.51 |
| Rest of TexasTexas | — | $161.32 |
| UtahUtah | — | $160.95 |
| VirginiaVirginia | — | $157.66 |
| Virgin Islands, VIUnited States Virgin Islands | — | $164.95 |
| VermontVermont | — | $153.17 |
| Rest of WashingtonWashington | — | $162.36 |
| King County, WAWashington | — | $172.71 |
| WisconsinWisconsin | — | $147.66 |
| West VirginiaWest Virginia | — | $171.45 |
| WyomingWyoming | — | $158.92 |
44213 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 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
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,376
- Code
- 44213
- Physician work
- 3.41
- Practice expense
- 0.83
- Malpractice
- 0.70
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 0.83 | × 1.000 | 0.8300 |
| Malpractice | 0.70 | × 0.998 | 0.6986 |
| Total RVUs | 4.9386 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$164.95
Facility: (3.41 × 1 + 0.83 × 1 + 0.7 × 0.998) × $33.4009 = $164.95
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
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.
How 44213 has changed in Montana
44213 · 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 | $164.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $164.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $164.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $164.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $178.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $178.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $178.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $178.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $182.89 | RVU24D |
| 2024-07-01 | Not available in this setting | $182.89 | RVU24C |
| 2024-04-01 | Not available in this setting | $182.89 | RVU24B |
| 2024-03-09 | Not available in this setting | $182.89 | RVU24AR |
| 2024-01-01 | Not available in this setting | $179.91 | RVU24A |
| 2023-10-01 | Not available in this setting | $185.53 | RVU23D |
| 2023-07-01 | Not available in this setting | $185.53 | RVU23C |
| 2023-04-01 | Not available in this setting | $185.53 | RVU23B |
| 2023-01-01 | Not available in this setting | $185.53 | RVU23A |
| 2022-10-01 | Not available in this setting | $190.45 | RVU22D |
| 2022-07-01 | Not available in this setting | $190.45 | RVU22C |
| 2022-04-01 | Not available in this setting | $190.45 | RVU22B |
| 2022-01-01 | Not available in this setting | $190.45 | RVU22A |
| 2021-10-01 | Not available in this setting | $190.66 | RVU21D |
| 2021-07-01 | Not available in this setting | $190.66 | RVU21C |
| 2021-04-01 | Not available in this setting | $190.66 | RVU21B |
| 2021-01-01 | Not available in this setting | $190.66 | RVU21A |
| 2020-10-01 | Not available in this setting | $203.32 | RVU20D |
| 2020-07-01 | Not available in this setting | $203.32 | RVU20C |
| 2020-04-01 | Not available in this setting | $203.32 | RVU20B |
| 2020-01-01 | Not available in this setting | $203.32 | RVU20A |
| 2019-10-01 | Not available in this setting | $212.33 | RVU19D |
| 2019-07-01 | Not available in this setting | $212.33 | RVU19C |
| 2019-04-01 | Not available in this setting | $212.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $212.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $213.05 | RVU18D |
| 2018-07-01 | Not available in this setting | $213.05 | RVU18C |
| 2018-04-01 | Not available in this setting | $213.05 | RVU18B |
| 2018-01-01 | Not available in this setting | $213.05 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $207.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $207.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $207.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $207.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $201.68 | RVU16D |
| 2016-07-01 | Not available in this setting | $201.68 | RVU16C |
| 2016-04-01 | Not available in this setting | $201.68 | RVU16B |
| 2016-01-01 | Not available in this setting | $201.68 | RVU16A |
| 2015-10-01 | Not available in this setting | $202.68 | RVU15D |
| 2015-07-01 | Not available in this setting | $202.68 | RVU15C |
| 2015-04-01 | Not available in this setting | $201.67 | RVU15B |
| 2015-01-01 | Not available in this setting | $201.67 | RVU15A |
| 2014-10-01 | Not available in this setting | $197.94 | RVU14D |
| 2014-07-01 | Not available in this setting | $197.94 | RVU14C |
| 2014-04-01 | Not available in this setting | $197.94 | RVU14B |
| 2014-01-01 | Not available in this setting | $197.94 | RVU14A |
| 2013-10-01 | Not available in this setting | $191.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $191.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $191.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $191.52 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
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