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

In Puerto Rico, 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.

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 Puerto Rico 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. Puerto Rico pays $164.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44213 rates by state

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

See 44213 in every payment locality

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.

Payment rules and modifiers for 44213

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

What modifiers do to the payment

When to use modifier 80

Codes related to 44213

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

How 44213 has changed in Puerto Rico

Price 44213 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