CPT code 44310: Small-bowel stoma, non-tube creation2026 Medicare rate & RVUs in Santa Maria, CA
Reports operative creation of a non-tube ileostomy or jejunostomy when a surgeon brings small bowel to the abdominal wall for diversion.
In Santa Maria, CA, Medicare pays $968.19 for 44310 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44310 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 44310 covers
A surgeon creates an opening from the ileum or jejunum to the abdominal wall, bringing the bowel to the skin to divert intestinal contents. The stoma may be temporary or permanent and may be created during an abdominal operation or as the principal procedure. This code is for a non-tube stoma; it is not the code for placing a feeding or decompression tube into the bowel.
The operative report should identify the small-bowel site, the stoma created, and the indication for diversion. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require 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 Santa Maria, CA compares for 44310
Across 109 of 109 payment localities, the facility rate for 44310 runs from $867.14 in Nebraska to $1,213.60 in Alaska. Santa Maria, CA pays $968.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Santa Maria, CA · this page$968.19
- Bakersfield, CA · California$953.78−$14.41
- Chico, CA · California$943.25−$24.94
- El Centro, CA · California$943.89−$24.30
- Fresno, CA · California$943.25−$24.94
- Hanford, CA · California$943.25−$24.94
- Los Angeles, CA · California$996.62+$28.43
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $943.25 |
| Merced, CACalifornia | — | $943.25 |
| Modesto, CACalifornia | — | $943.25 |
| Napa, CACalifornia | — | $1,025.10 |
| Oxnard, CACalifornia | — | $983.63 |
| Redding, CACalifornia | — | $943.25 |
| Rest of CaliforniaCalifornia | — | $943.25 |
| Riverside, CACalifornia | — | $984.59 |
| Sacramento, CACalifornia | — | $971.97 |
| Salinas, CACalifornia | — | $968.04 |
| San Diego, CACalifornia | — | $978.09 |
| Marin County, CACalifornia | — | $1,061.62 |
| San Francisco, CACalifornia | — | $1,057.25 |
| San Benito County, CACalifornia | — | $1,088.63 |
| Santa Clara County, CACalifornia | — | $1,070.76 |
| San Luis Obispo, CACalifornia | — | $954.70 |
| Santa Cruz, CACalifornia | — | $977.22 |
| Santa Rosa, CACalifornia | — | $985.84 |
| Stockton, CACalifornia | — | $943.25 |
| Vallejo, CACalifornia | — | $1,018.80 |
| Visalia, CACalifornia | — | $943.25 |
| Yuba City, CACalifornia | — | $943.25 |
| Washington, DC areaDistrict of Columbia | — | $1,060.47 |
| Miami, FLFlorida | — | $1,175.16 |
| Chicago, ILIllinois | — | $1,139.49 |
| Manhattan, NYNew York | — | $1,122.77 |
| AlaskaAlaska | — | $1,213.60 |
| AlabamaAlabama | — | $878.54 |
| ArkansasArkansas | — | $867.72 |
| ArizonaArizona | — | $940.85 |
| ColoradoColorado | — | $963.37 |
| ConnecticutConnecticut | — | $1,026.58 |
| DelawareDelaware | — | $954.31 |
| Fort Lauderdale, FLFlorida | — | $1,074.99 |
| Rest of FloridaFlorida | — | $1,020.59 |
| Atlanta, GAGeorgia | — | $999.45 |
| Rest of GeorgiaGeorgia | — | $963.56 |
| Hawaii, Guam, HIHawaii | — | $949.96 |
| IowaIowa | — | $867.45 |
| IdahoIdaho | — | $878.56 |
| East St. Louis, ILIllinois | — | $1,076.72 |
| Rest of IllinoisIllinois | — | $1,016.86 |
| Suburban Chicago, ILIllinois | — | $1,078.10 |
| IndianaIndiana | — | $882.09 |
| KansasKansas | — | $878.29 |
| KentuckyKentucky | — | $927.14 |
| New Orleans, LALouisiana | — | $969.41 |
| Rest of LouisianaLouisiana | — | $931.61 |
| Metropolitan Boston, MAMassachusetts | — | $1,028.61 |
| Rest of MassachusettsMassachusetts | — | $964.79 |
| Baltimore area, MDMaryland | — | $1,026.70 |
| Rest of MarylandMaryland | — | $966.00 |
| Rest of MaineMaine | — | $897.72 |
| Southern Maine, MEMaine | — | $917.78 |
| Detroit, MIMichigan | — | $1,046.52 |
| Rest of MichiganMichigan | — | $961.05 |
| MinnesotaMinnesota | — | $884.81 |
| Metropolitan Kansas City, MOMissouri | — | $948.43 |
| Metropolitan St. Louis, MOMissouri | — | $955.10 |
| Rest of MissouriMissouri | — | $927.54 |
| MississippiMississippi | — | $897.06 |
| MontanaMontana | — | $967.37 |
| North CarolinaNorth Carolina | — | $903.37 |
| North DakotaNorth Dakota | — | $891.24 |
| NebraskaNebraska | — | $867.14 |
| New HampshireNew Hampshire | — | $962.46 |
| Northern New JerseyNew Jersey | — | $1,055.05 |
| Rest of New JerseyNew Jersey | — | $1,027.50 |
| New MexicoNew Mexico | — | $971.38 |
| NevadaNevada | — | $946.42 |
| NYC suburbs and Long Island, NYNew York | — | $1,164.80 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,045.70 |
| Queens, NYNew York | — | $1,109.57 |
| Rest of New YorkNew York | — | $916.12 |
| OhioOhio | — | $945.49 |
| OklahomaOklahoma | — | $910.46 |
| Portland, OROregon | — | $973.42 |
| Rest of OregonOregon | — | $928.37 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,013.67 |
| Rest of PennsylvaniaPennsylvania | — | $938.72 |
| Puerto RicoPuerto Rico | — | $968.62 |
| Rhode IslandRhode Island | — | $973.40 |
| South CarolinaSouth Carolina | — | $928.10 |
| South DakotaSouth Dakota | — | $882.24 |
| TennesseeTennessee | — | $883.86 |
| Austin, TXTexas | — | $969.55 |
| Beaumont, TXTexas | — | $934.54 |
| Brazoria, TXTexas | — | $941.52 |
| Dallas, TXTexas | — | $953.45 |
| Fort Worth, TXTexas | — | $952.46 |
| Galveston, TXTexas | — | $948.23 |
| Houston, TXTexas | — | $1,018.69 |
| Rest of TexasTexas | — | $941.57 |
| UtahUtah | — | $938.54 |
| VirginiaVirginia | — | $925.29 |
| Virgin Islands, VIUnited States Virgin Islands | — | $968.62 |
| VermontVermont | — | $901.44 |
| Rest of WashingtonWashington | — | $958.45 |
| King County, WAWashington | — | $1,033.16 |
| WisconsinWisconsin | — | $867.46 |
| West VirginiaWest Virginia | — | $988.17 |
| WyomingWyoming | — | $934.19 |
44310 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 44310 rate is calculated
Each of 44310’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 · 44310
RVUs × geographic indexes × conversion factor
Work17.15
17.15 RVUs× 1.000 GPCI
Practice expense7.97
7.97 RVUs× 1.000 GPCI
Malpractice3.85
3.85 RVUs× 1.000 GPCI
Adjusted RVUs
28.9700
Conversion factor
$33.4009
Medicare rate
$967.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Santa Maria, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,380
- Code
- 44310
- Physician work
- 17.15
- Practice expense
- 7.97
- Malpractice
- 3.85
GPCI2026.csv
30
- Locality
- Santa Maria, CA
- Physician work
- 1.028
- Practice expense
- 1.166
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.15 | × 1.028 | 17.6302 |
| Practice expense | 7.97 | × 1.166 | 9.2930 |
| Malpractice | 3.85 | × 0.536 | 2.0636 |
| Total RVUs | 28.9868 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Santa Maria, CA$968.19
Facility: (17.15 × 1.028 + 7.97 × 1.166 + 3.85 × 0.536) × $33.4009 = $968.19
Payment rules and modifiers for 44310
44310 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44310
Small-bowel stoma, non-tube creation
| 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 · 44310
Small-bowel stoma, non-tube creation
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
44310 without 51 · national facility
$967.62
Small-bowel stoma, non-tube creation
44310-51 · Second procedure: 50%
$483.81
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 44310 has changed in Santa Maria, CA
44310 · 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 | $968.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $968.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $968.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $968.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,026.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,026.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,026.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,026.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,048.83 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,048.83 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,048.83 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,048.83 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,031.71 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,071.38 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,071.38 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,071.38 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,071.38 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,098.06 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,098.06 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,098.06 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,098.06 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,090.17 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,090.17 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,090.17 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,090.17 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,104.74 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,104.74 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,104.74 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,104.74 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,091.94 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,091.94 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,091.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,091.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,083.42 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,083.42 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,083.42 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,083.42 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,078.13 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,078.13 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,078.13 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,078.13 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Santa Maria, CA rate applies
Santa Maria, CA is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Santa Barbara
- Santa Maria
- Ballard
- Buellton
- Carpinteria
- Casmalia
- Cuyama
- Eastern Goleta Valley
44310 billing questions
How is this different from code 44300?
Code 44310 describes creation of a non-tube small-bowel stoma. Code 44300 is used for placement of an enterostomy or cecostomy tube.
Can this code be used for a feeding jejunostomy tube?
No. This code describes a non-tube stoma; tube placement is represented by a different procedure code.
Should modifier 50 be appended for two stomas?
No. CMS identifies modifier 50 as inappropriate for this code; it is not reported as a bilateral service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What documentation supports reporting this code?
Document the indication for diversion, the small-bowel site, and the non-tube stoma created. The operative report should make clear that the service was stoma creation rather than tube placement or revision.
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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