CPT code 44314: Ileostomy revision, complicated reconstruction2026 Medicare rate & RVUs in Sacramento, CA
Reports operative reconstruction of an existing ileostomy when substantial revision, such as bowel resection and re-anastomosis, is required.
In Sacramento, CA, Medicare pays $948.46 for 44314 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44314 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 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.
How Sacramento, CA compares for 44314
Across 109 of 109 payment localities, the facility rate for 44314 runs from $841.90 in Arkansas to $1,175.81 in Alaska. Sacramento, CA pays $948.46. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Sacramento, CA · this page$948.46
- Bakersfield, CA · California$928.75−$19.71
- Chico, CA · California$919.46−$29.00
- El Centro, CA · California$920.02−$28.44
- Fresno, CA · California$919.46−$29.00
- Hanford, CA · California$919.46−$29.00
- Los Angeles, CA · California$971.12+$22.66
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $919.46 |
| Merced, CACalifornia | — | $919.46 |
| Modesto, CACalifornia | — | $919.46 |
| Napa, CACalifornia | — | $1,003.16 |
| Oxnard, CACalifornia | — | $959.15 |
| Redding, CACalifornia | — | $919.46 |
| Rest of CaliforniaCalifornia | — | $919.46 |
| Riverside, CACalifornia | — | $955.58 |
| Salinas, CACalifornia | — | $944.62 |
| San Diego, CACalifornia | — | $955.05 |
| Marin County, CACalifornia | — | $1,040.70 |
| San Francisco, CACalifornia | — | $1,036.89 |
| San Benito County, CACalifornia | — | $1,066.42 |
| Santa Clara County, CACalifornia | — | $1,050.83 |
| San Luis Obispo, CACalifornia | — | $931.43 |
| Santa Cruz, CACalifornia | — | $954.75 |
| Santa Maria, CACalifornia | — | $944.93 |
| Santa Rosa, CACalifornia | — | $963.28 |
| Stockton, CACalifornia | — | $919.46 |
| Vallejo, CACalifornia | — | $997.66 |
| Visalia, CACalifornia | — | $919.46 |
| Yuba City, CACalifornia | — | $919.46 |
| Washington, DC areaDistrict of Columbia | — | $1,027.20 |
| Miami, FLFlorida | — | $1,118.56 |
| Chicago, ILIllinois | — | $1,086.10 |
| Manhattan, NYNew York | — | $1,081.28 |
| AlaskaAlaska | — | $1,175.81 |
| AlabamaAlabama | — | $852.07 |
| ArkansasArkansas | — | $841.90 |
| ArizonaArizona | — | $910.77 |
| ColoradoColorado | — | $935.33 |
| ConnecticutConnecticut | — | $991.45 |
| DelawareDelaware | — | $923.61 |
| Fort Lauderdale, FLFlorida | — | $1,029.86 |
| Rest of FloridaFlorida | — | $979.77 |
| Atlanta, GAGeorgia | — | $964.20 |
| Rest of GeorgiaGeorgia | — | $927.06 |
| Hawaii, Guam, HIHawaii | — | $926.43 |
| IowaIowa | — | $844.24 |
| IdahoIdaho | — | $854.16 |
| East St. Louis, ILIllinois | — | $1,027.10 |
| Rest of IllinoisIllinois | — | $974.54 |
| Suburban Chicago, ILIllinois | — | $1,033.53 |
| IndianaIndiana | — | $857.56 |
| KansasKansas | — | $853.18 |
| KentuckyKentucky | — | $895.14 |
| New Orleans, LALouisiana | — | $934.41 |
| Rest of LouisianaLouisiana | — | $898.85 |
| Metropolitan Boston, MAMassachusetts | — | $999.54 |
| Rest of MassachusettsMassachusetts | — | $936.24 |
| Baltimore area, MDMaryland | — | $991.19 |
| Rest of MarylandMaryland | — | $935.15 |
| Rest of MaineMaine | — | $870.88 |
| Southern Maine, MEMaine | — | $891.64 |
| Detroit, MIMichigan | — | $1,002.81 |
| Rest of MichiganMichigan | — | $925.83 |
| MinnesotaMinnesota | — | $864.62 |
| Metropolitan Kansas City, MOMissouri | — | $916.01 |
| Metropolitan St. Louis, MOMissouri | — | $922.43 |
| Rest of MissouriMissouri | — | $894.25 |
| MississippiMississippi | — | $867.59 |
| MontanaMontana | — | $935.33 |
| North CarolinaNorth Carolina | — | $876.40 |
| North DakotaNorth Dakota | — | $868.90 |
| NebraskaNebraska | — | $844.33 |
| New HampshireNew Hampshire | — | $932.94 |
| Northern New JerseyNew Jersey | — | $1,022.05 |
| Rest of New JerseyNew Jersey | — | $993.85 |
| New MexicoNew Mexico | — | $935.02 |
| NevadaNevada | — | $917.10 |
| NYC suburbs and Long Island, NYNew York | — | $1,119.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,010.09 |
| Queens, NYNew York | — | $1,070.69 |
| Rest of New YorkNew York | — | $888.32 |
| OhioOhio | — | $912.25 |
| OklahomaOklahoma | — | $880.76 |
| Portland, OROregon | — | $946.43 |
| Rest of OregonOregon | — | $901.11 |
| Metropolitan Philadelphia, PAPennsylvania | — | $978.44 |
| Rest of PennsylvaniaPennsylvania | — | $906.57 |
| Puerto RicoPuerto Rico | — | $936.94 |
| Rhode IslandRhode Island | — | $942.98 |
| South CarolinaSouth Carolina | — | $897.58 |
| South DakotaSouth Dakota | — | $861.04 |
| TennesseeTennessee | — | $858.28 |
| Austin, TXTexas | — | $939.99 |
| Beaumont, TXTexas | — | $902.55 |
| Brazoria, TXTexas | — | $912.73 |
| Dallas, TXTexas | — | $923.42 |
| Fort Worth, TXTexas | — | $922.09 |
| Galveston, TXTexas | — | $918.67 |
| Houston, TXTexas | — | $980.17 |
| Rest of TexasTexas | — | $910.48 |
| UtahUtah | — | $907.42 |
| VirginiaVirginia | — | $897.83 |
| Virgin Islands, VIUnited States Virgin Islands | — | $936.94 |
| VermontVermont | — | $877.34 |
| Rest of WashingtonWashington | — | $930.57 |
| King County, WAWashington | — | $1,005.43 |
| WisconsinWisconsin | — | $846.21 |
| West VirginiaWest Virginia | — | $947.48 |
| WyomingWyoming | — | $906.38 |
44314 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 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
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.
The exact Sacramento, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,382
- Code
- 44314
- Physician work
- 16.32
- Practice expense
- 8.33
- Malpractice
- 3.36
GPCI2026.csv
21
- Locality
- Sacramento, CA
- Physician work
- 1.036
- Practice expense
- 1.163
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.32 | × 1.036 | 16.9075 |
| Practice expense | 8.33 | × 1.163 | 9.6878 |
| Malpractice | 3.36 | × 0.536 | 1.8010 |
| Total RVUs | 28.3963 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Sacramento, CA$948.46
Facility: (16.32 × 1.036 + 8.33 × 1.163 + 3.36 × 0.536) × $33.4009 = $948.46
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
| 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 · 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.
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%).
How 44314 has changed in Sacramento, CA
44314 · 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 | $948.46 | RVU26D |
| 2026-07-01 | Not available in this setting | $948.46 | RVU26C |
| 2026-04-01 | Not available in this setting | $948.46 | RVU26B |
| 2026-01-01 | Not available in this setting | $948.46 | RVU26A |
| 2025-10-01 | Not available in this setting | $999.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $999.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $999.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $999.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,024.04 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,024.04 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,024.04 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,024.04 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,007.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,027.64 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,027.64 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,027.64 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,027.64 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,034.36 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,034.36 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,034.36 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,034.36 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,032.81 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,032.81 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,032.81 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,032.81 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,049.46 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,049.46 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,049.46 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,049.46 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,042.78 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,042.78 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,042.78 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,042.78 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,039.25 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,039.25 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,039.25 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,039.25 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,037.61 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,037.61 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,037.61 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,037.61 | 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 Sacramento, CA rate applies
Sacramento, CA is a Medicare payment area, not a city. Our Census mapping connects it to 89 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Folsom
- Roseville
- Sacramento
- Alta
- Antelope
- Arden-Arcade
- Auburn
- Auburn Lake Trails
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
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