CPT code 44300: Enterostomy tube, open bowel-to-skin access2026 Medicare rate & RVUs in Idaho
Open placement of a bowel-to-skin tube for enteral feeding or decompression, reported when a surgeon creates enteric access through an operative approach.
In Idaho, Medicare pays $717.79 for 44300 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44300 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 44300 covers
A surgeon creates an opening from the small bowel or cecum to the abdominal skin and places a tube through it. The tube may provide enteral feeding or bowel decompression. This service is generally performed in a facility operating room when open access is needed; a jejunostomy tube is a common form of enteral access, while cecostomy tubes may be used for decompression.
Report this code for open tube access, not for a non-tube ileostomy or jejunostomy. The operative note should identify the bowel segment, open approach, tube placement, and clinical purpose. The 90-day global includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this bowel-to-skin service. Assistant-at-surgery payment may be available; 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 Idaho compares for 44300
Across 109 of 109 payment localities, the facility rate for 44300 runs from $707.74 in Nebraska to $984.67 in Alaska. Idaho pays $717.79. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$717.79
- Los Angeles, CA · California$819.63+$101.84
- Washington, DC area · District of Columbia$875.11+$157.32
- Miami, FL · Florida$979.05+$261.26
- Chicago, IL · Illinois$947.22+$229.43
- Manhattan, NY · New York$929.39+$211.60
- Alaska · Alaska$984.67+$266.88
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $717.74 |
| ArkansasArkansas | — | $708.21 |
| ArizonaArizona | — | $772.68 |
| Bakersfield, CACalifornia | — | $783.09 |
| Chico, CACalifornia | — | $773.93 |
| El Centro, CACalifornia | — | $774.49 |
| Fresno, CACalifornia | — | $773.93 |
| Hanford, CACalifornia | — | $773.93 |
| Madera, CACalifornia | — | $773.93 |
| Merced, CACalifornia | — | $773.93 |
| Modesto, CACalifornia | — | $773.93 |
| Napa, CACalifornia | — | $843.56 |
| Oxnard, CACalifornia | — | $808.93 |
| Redding, CACalifornia | — | $773.93 |
| Rest of CaliforniaCalifornia | — | $773.93 |
| Riverside, CACalifornia | — | $810.27 |
| Sacramento, CACalifornia | — | $798.19 |
| Salinas, CACalifornia | — | $795.01 |
| San Diego, CACalifornia | — | $803.94 |
| Marin County, CACalifornia | — | $873.98 |
| San Francisco, CACalifornia | — | $870.13 |
| San Benito County, CACalifornia | — | $896.94 |
| Santa Clara County, CACalifornia | — | $881.20 |
| San Luis Obispo, CACalifornia | — | $784.04 |
| Santa Cruz, CACalifornia | — | $803.70 |
| Santa Maria, CACalifornia | — | $795.31 |
| Santa Rosa, CACalifornia | — | $810.79 |
| Stockton, CACalifornia | — | $773.93 |
| Vallejo, CACalifornia | — | $838.01 |
| Visalia, CACalifornia | — | $773.93 |
| Yuba City, CACalifornia | — | $773.93 |
| ColoradoColorado | — | $791.90 |
| ConnecticutConnecticut | — | $847.12 |
| DelawareDelaware | — | $784.26 |
| Fort Lauderdale, FLFlorida | — | $890.82 |
| Rest of FloridaFlorida | — | $842.89 |
| Atlanta, GAGeorgia | — | $824.14 |
| Rest of GeorgiaGeorgia | — | $792.62 |
| Hawaii, Guam, HIHawaii | — | $780.82 |
| IowaIowa | — | $708.01 |
| East St. Louis, ILIllinois | — | $892.28 |
| Rest of IllinoisIllinois | — | $839.57 |
| Suburban Chicago, ILIllinois | — | $893.17 |
| IndianaIndiana | — | $720.91 |
| KansasKansas | — | $717.54 |
| KentuckyKentucky | — | $760.55 |
| New Orleans, LALouisiana | — | $797.80 |
| Rest of LouisianaLouisiana | — | $764.48 |
| Metropolitan Boston, MAMassachusetts | — | $847.80 |
| Rest of MassachusettsMassachusetts | — | $792.92 |
| Baltimore area, MDMaryland | — | $847.44 |
| Rest of MarylandMaryland | — | $794.29 |
| Rest of MaineMaine | — | $734.67 |
| Southern Maine, MEMaine | — | $752.38 |
| Detroit, MIMichigan | — | $865.72 |
| Rest of MichiganMichigan | — | $790.43 |
| MinnesotaMinnesota | — | $723.38 |
| Metropolitan Kansas City, MOMissouri | — | $779.33 |
| Metropolitan St. Louis, MOMissouri | — | $785.22 |
| Rest of MissouriMissouri | — | $760.88 |
| MississippiMississippi | — | $734.04 |
| MontanaMontana | — | $796.05 |
| North CarolinaNorth Carolina | — | $739.65 |
| North DakotaNorth Dakota | — | $729.02 |
| NebraskaNebraska | — | $707.74 |
| New HampshireNew Hampshire | — | $791.76 |
| Northern New JerseyNew Jersey | — | $869.82 |
| Rest of New JerseyNew Jersey | — | $846.81 |
| New MexicoNew Mexico | — | $799.52 |
| NevadaNevada | — | $777.60 |
| NYC suburbs and Long Island, NYNew York | — | $966.42 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $862.55 |
| Queens, NYNew York | — | $917.79 |
| Rest of New YorkNew York | — | $750.89 |
| OhioOhio | — | $776.73 |
| OklahomaOklahoma | — | $745.87 |
| Portland, OROregon | — | $800.56 |
| Rest of OregonOregon | — | $761.71 |
| Metropolitan Philadelphia, PAPennsylvania | — | $835.83 |
| Rest of PennsylvaniaPennsylvania | — | $770.77 |
| Puerto RicoPuerto Rico | — | $797.17 |
| Rhode IslandRhode Island | — | $800.32 |
| South CarolinaSouth Carolina | — | $761.42 |
| South DakotaSouth Dakota | — | $721.09 |
| TennesseeTennessee | — | $722.45 |
| Austin, TXTexas | — | $797.90 |
| Beaumont, TXTexas | — | $767.08 |
| Brazoria, TXTexas | — | $772.83 |
| Dallas, TXTexas | — | $783.29 |
| Fort Worth, TXTexas | — | $782.41 |
| Galveston, TXTexas | — | $778.74 |
| Houston, TXTexas | — | $840.79 |
| Rest of TexasTexas | — | $773.30 |
| UtahUtah | — | $770.62 |
| VirginiaVirginia | — | $758.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $797.17 |
| VermontVermont | — | $737.99 |
| Rest of WashingtonWashington | — | $787.50 |
| King County, WAWashington | — | $851.33 |
| WisconsinWisconsin | — | $708.05 |
| West VirginiaWest Virginia | — | $814.28 |
| WyomingWyoming | — | $766.84 |
44300 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 44300 rate is calculated
Each of 44300’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 · 44300
RVUs × geographic indexes × conversion factor
Work13.41
13.41 RVUs× 1.000 GPCI
Practice expense7.04
7.04 RVUs× 1.000 GPCI
Malpractice3.39
3.39 RVUs× 1.000 GPCI
Adjusted RVUs
23.8400
Conversion factor
$33.4009
Medicare rate
$796.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,379
- Code
- 44300
- Physician work
- 13.41
- Practice expense
- 7.04
- Malpractice
- 3.39
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.41 | × 1.000 | 13.4100 |
| Practice expense | 7.04 | × 0.920 | 6.4768 |
| Malpractice | 3.39 | × 0.473 | 1.6035 |
| Total RVUs | 21.4903 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$717.79
Facility: (13.41 × 1 + 7.04 × 0.92 + 3.39 × 0.473) × $33.4009 = $717.79
Payment rules and modifiers for 44300
44300 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44300
Enterostomy tube, open bowel-to-skin access
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44300
Enterostomy tube, open bowel-to-skin access
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44300 without 51 · national facility
$796.28
Enterostomy tube, open bowel-to-skin access
44300-51 · Second procedure: 50%
$398.14
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%).
How 44300 has changed in Idaho
44300 · 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 | $717.79 | RVU26D |
| 2026-07-01 | Not available in this setting | $717.79 | RVU26C |
| 2026-04-01 | Not available in this setting | $717.79 | RVU26B |
| 2026-01-01 | Not available in this setting | $717.79 | RVU26A |
| 2025-10-01 | Not available in this setting | $738.94 | RVU25D |
| 2025-07-01 | Not available in this setting | $738.94 | RVU25C |
| 2025-04-01 | Not available in this setting | $738.94 | RVU25B |
| 2025-01-01 | Not available in this setting | $738.94 | RVU25A |
| 2024-10-01 | Not available in this setting | $756.21 | RVU24D |
| 2024-07-01 | Not available in this setting | $756.21 | RVU24C |
| 2024-04-01 | Not available in this setting | $756.21 | RVU24B |
| 2024-03-09 | Not available in this setting | $756.21 | RVU24AR |
| 2024-01-01 | Not available in this setting | $743.87 | RVU24A |
| 2023-10-01 | Not available in this setting | $759.70 | RVU23D |
| 2023-07-01 | Not available in this setting | $759.70 | RVU23C |
| 2023-04-01 | Not available in this setting | $759.70 | RVU23B |
| 2023-01-01 | Not available in this setting | $759.70 | RVU23A |
| 2022-10-01 | Not available in this setting | $767.16 | RVU22D |
| 2022-07-01 | Not available in this setting | $767.16 | RVU22C |
| 2022-04-01 | Not available in this setting | $767.16 | RVU22B |
| 2022-01-01 | Not available in this setting | $767.16 | RVU22A |
| 2021-10-01 | Not available in this setting | $768.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $768.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $768.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $768.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $792.99 | RVU20D |
| 2020-07-01 | Not available in this setting | $792.99 | RVU20C |
| 2020-04-01 | Not available in this setting | $792.99 | RVU20B |
| 2020-01-01 | Not available in this setting | $792.99 | RVU20A |
| 2019-10-01 | Not available in this setting | $797.64 | RVU19D |
| 2019-07-01 | Not available in this setting | $797.64 | RVU19C |
| 2019-04-01 | Not available in this setting | $797.64 | RVU19B |
| 2019-01-01 | Not available in this setting | $797.64 | RVU19A |
| 2018-10-01 | Not available in this setting | $795.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $795.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $795.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $795.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $791.70 | RVU17D |
| 2017-07-01 | Not available in this setting | $791.70 | RVU17C |
| 2017-04-01 | Not available in this setting | $791.70 | RVU17B |
| 2017-01-01 | Not available in this setting | $791.70 | RVU17A |
| 2016-10-01 | Not available in this setting | $790.41 | RVU16D |
| 2016-07-01 | Not available in this setting | $790.41 | RVU16C |
| 2016-04-01 | Not available in this setting | $790.41 | RVU16B |
| 2016-01-01 | Not available in this setting | $790.41 | RVU16A |
| 2015-10-01 | Not available in this setting | $790.88 | RVU15D |
| 2015-07-01 | Not available in this setting | $790.88 | RVU15C |
| 2015-04-01 | Not available in this setting | $786.94 | RVU15B |
| 2015-01-01 | Not available in this setting | $786.94 | RVU15A |
| 2014-10-01 | Not available in this setting | $788.02 | RVU14D |
| 2014-07-01 | Not available in this setting | $788.02 | RVU14C |
| 2014-04-01 | Not available in this setting | $788.02 | RVU14B |
| 2014-01-01 | Not available in this setting | $788.02 | RVU14A |
| 2013-10-01 | Not available in this setting | $780.89 | RVU13D |
| 2013-07-01 | Not available in this setting | $780.89 | RVU13C |
| 2013-04-01 | Not available in this setting | $780.89 | RVU13B |
| 2013-01-01 | Not available in this setting | $780.89 | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
44300 billing questions
How is this different from 44310?
This code includes placement of a tube through an open bowel-to-skin access. Code 44310 describes a non-tube ileostomy or jejunostomy.
Does the code include the tube placement?
Yes. The open enteric access and placement of the tube are part of the reported service; they are not separate portions of this procedure.
When is modifier 50 appropriate?
Modifier 50 is not appropriate because this bowel-to-skin procedure is not a paired bilateral service.
What documentation supports reporting this code?
Document the open operative approach, the bowel segment used, the tube placement, and whether access is for feeding or decompression.
How does the global period affect postoperative visits?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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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