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CPT code 44314: Ileostomy revision, complicated reconstruction2026 Medicare rate & RVUs

Reports operative reconstruction of an existing ileostomy when substantial revision, such as bowel resection and re-anastomosis, is required.

CMS RVU26DEffective Oct 1, 2026109 payment localities593 Medicare services in 2024

Medicare pays $935.56 for 44314 nationally in a facility.

Medicare rate · 44314

Ileostomy revision, complicated reconstruction

Office or facility?

Work RVUs
16.32
Total RVUs
28.01
Global days
090

National rate · 2026

$935.56

Facility setting, before claim adjustments.

See every locality for 44314 →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 44314 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 44314 covers

A complicated ileostomy revision reconstructs an existing ileal stoma when a limited local repair is not sufficient. The surgeon may remove a diseased or unusable segment of bowel and reconnect bowel as part of refashioning the stoma. Clinical problems prompting revision can include stenosis, retraction, or prolapse when operative reconstruction is needed. General or colorectal surgeons typically perform the operation in a hospital operating room.

Report this code for the more extensive revision, not for creation of a new ileostomy or a simple revision. The operative report should identify the problem with the existing stoma and describe the reconstruction, including any bowel resection or re-anastomosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this single ileostomy revision. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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.

Where 44314 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

44314 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$852.07
AlaskaUnavailable$1,175.81
ArizonaUnavailable$910.77
ArkansasUnavailable$841.90
Atlanta, GAUnavailable$964.20
Austin, TXUnavailable$939.99
Bakersfield, CAUnavailable$928.75
Baltimore area, MDUnavailable$991.19
Beaumont, TXUnavailable$902.55
Brazoria, TXUnavailable$912.73

44314 rates by state

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

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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
44314 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 44314 rate is calculated

Each of 44314’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 · 44314

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.32

16.32 RVUs× 1.000 GPCI

Practice expense8.33

8.33 RVUs× 1.000 GPCI

Malpractice3.36

3.36 RVUs× 1.000 GPCI

Adjusted RVUs

28.0100

Conversion factor

$33.4009

Medicare rate

$935.56

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

Payment rules and modifiers for 44314

44314 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44314

Ileostomy revision, complicated reconstruction

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 44314

Ileostomy revision, complicated reconstruction

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44314 without 51 · national facility

$935.56

Ileostomy revision, complicated reconstruction

44314-51 · Second procedure: 50%

$467.78

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%).

When to use modifier 51

44314 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 44314

    Ileostomy revision, complicated reconstruction16.32 wRVU

    Not priced

  • 44312

    Ileostomy revision, simple revision9.19 wRVU

    Not priced

  • 44310

    Small-bowel stoma, non-tube creation17.15 wRVU

    Not priced

  • 44340

    Colostomy revision, simple, skin-level9.05 wRVU

    Not priced

  • 44316

    Continent ileostomy, reservoir pouch creation23 wRVU

    Not priced

How to choose

44312Ileostomy revisionSimple revision
44312 is the simpler ileostomy revision. Choose 44314 when the operative work is a complicated reconstruction, such as with bowel resection and re-anastomosis.
44310Small-bowel stomaNon-tube creation
44310 is for forming an ileostomy or jejunostomy. Code 44314 revises an ileostomy that already exists.
44340Colostomy revisionSimple, skin-level
44340 concerns revision of a colostomy. Code 44314 is for revision of an ileostomy.
44316Continent ileostomyReservoir pouch creation
44316 is for creating a continent ileostomy, not revising an existing ileostomy.

Codes related to 44314

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

Codes related to 44314
CodeHow it relatesNational office range
Same family
44312Ileostomy revision, simple revisionSimpler revision of an existing ileostomy; distinguish from complicated reconstruction.No office rate
Used instead
44310Small-bowel stoma, non-tube creationFor creating an ileostomy rather than revising an existing one.No office rate
44340Colostomy revision, simple, skin-levelRevision code for a colostomy, rather than an ileostomy.No office rate

44314 billing questions

How does this differ from 44312?

Use 44314 for a complicated reconstruction, such as one involving bowel resection and re-anastomosis. Code 44312 describes a simpler ileostomy revision.

Can this be reported for creating a new ileostomy?

No. This code concerns revision of an existing ileostomy; creation of an ileostomy is represented by a different code, such as 44310.

What documentation supports the complicated revision?

Document the existing stoma problem and the operative work used to reconstruct it. Describe bowel resection or re-anastomosis when performed.

Does the service have a 90-day global period?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used?

No. Modifier 50 is not appropriate for this ileostomy revision.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.

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 44314PPRRVU2026_Oct_nonQPP.csv, line 5,382 (RVU26D)

Open CMS sourceHow we calculate rates

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