CPT code 44360: Small-bowel exam, diagnostic, without biopsy2026 Medicare rate & RVUs in Arkansas

Reports diagnostic enteroscopy beyond the second portion of the duodenum, when the examination evaluates the small bowel without biopsy or therapeutic intervention.

CMS RVU26DEffective Oct 1, 2026One payment locality6.4K Medicare services in 2024

In Arkansas, Medicare pays $118.06 for 44360 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$118.06Hospital or facility

Check a contract rate as a % of Medicare · 44360 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 44360 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 44360 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 44360 covers

This service is a diagnostic endoscopic examination of the small bowel beyond the second portion of the duodenum, without entering the ileum. A gastroenterologist typically performs it in an endoscopy suite or hospital setting to evaluate concerns such as suspected small-bowel bleeding or abnormal findings on prior testing. The code includes specimen collection by brushing or washing when performed; it does not describe tissue sampling by biopsy.

Report this code when the documented examination is diagnostic and does not include a separately specified intervention such as biopsy, lesion removal, or bleeding control. The procedure note should identify the extent reached, findings, and any brushing or washing. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures in the same session qualify for the standard reduction, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this single-route anatomy. CMS does not pay an assistant at surgery and does not permit co-surgeon or team-surgery reporting for this service.

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 Arkansas compares for 44360

Across 109 of 109 payment localities, the facility rate for 44360 runs from $118.06 in Arkansas to $166.73 in Alaska. Arkansas pays $118.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

44360 in Arkansas vs other payment areas
  1. Arkansas · this page$118.06
  2. Los Angeles, CA · California$134.91+$16.85
  3. Washington, DC area · District of Columbia$139.67+$21.61
  4. Miami, FL · Florida$142.42+$24.36
  5. Chicago, IL · Illinois$139.59+$21.53
  6. Manhattan, NY · New York$143.99+$25.93
  7. Alaska · Alaska$166.73+$48.67

Other areas in Arkansas first, then benchmark localities. Bars start at $0.

Every other payment area

44360 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$119.10
ArizonaArizona—$125.17
Bakersfield, CACalifornia—$129.36
Chico, CACalifornia—$128.57
El Centro, CACalifornia—$128.61
Fresno, CACalifornia—$128.57
Hanford, CACalifornia—$128.57
Madera, CACalifornia—$128.57

44360 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
44360 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

See 44360 in every payment locality

How the 44360 rate is calculated

Each of 44360’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 · 44360

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.43

2.43 RVUs× 1.000 GPCI

Practice expense1.13

1.13 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

3.8200

Conversion factor

$33.4009

Medicare rate

$127.59

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,389

Code
44360
Physician work
2.43
Practice expense
1.13
Malpractice
0.26

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 44360 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.43× 1.0002.4300
Practice expense1.13× 0.8590.9707
Malpractice0.26× 0.5150.1339
Total RVUs3.5346
Conversion factor× 33.4009

Facility rate, Arkansas$118.06

Facility: (2.43 × 1 + 1.13 × 0.859 + 0.26 × 0.515) × $33.4009 = $118.06

Open 44360 in the RVU calculator

Payment rules and modifiers for 44360

The CMS indicators that decide how 44360 is paid alongside other services.

CMS payment indicators · 44360

Small-bowel exam, diagnostic, without biopsy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44360 without 51 · national facility

$127.59

Small-bowel exam, diagnostic, without biopsy

44360-51 · Second procedure: 50%

$63.80

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

How 44360 has changed in Arkansas

44360 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$118.06RVU26D
2026-07-01Not available in this setting$118.06RVU26C
2026-04-01Not available in this setting$118.06RVU26B
2026-01-01Not available in this setting$118.06RVU26A
2025-10-01Not available in this setting$126.29RVU25D
2025-07-01Not available in this setting$126.29RVU25C
2025-04-01Not available in this setting$126.29RVU25B
2025-01-01Not available in this setting$126.29RVU25A
2024-10-01Not available in this setting$129.85RVU24D
2024-07-01Not available in this setting$129.85RVU24C
2024-04-01Not available in this setting$129.85RVU24B
2024-03-09Not available in this setting$129.85RVU24AR
2024-01-01Not available in this setting$127.74RVU24A
2023-10-01Not available in this setting$130.55RVU23D
2023-07-01Not available in this setting$130.55RVU23C
2023-04-01Not available in this setting$130.55RVU23B
2023-01-01Not available in this setting$130.55RVU23A
2022-10-01Not available in this setting$132.43RVU22D
2022-07-01Not available in this setting$132.43RVU22C
2022-04-01Not available in this setting$132.43RVU22B
2022-01-01Not available in this setting$132.43RVU22A
2021-10-01Not available in this setting$133.07RVU21D
2021-07-01Not available in this setting$133.07RVU21C
2021-04-01Not available in this setting$133.07RVU21B
2021-01-01Not available in this setting$133.07RVU21A
2020-10-01Not available in this setting$137.72RVU20D
2020-07-01Not available in this setting$137.72RVU20C
2020-04-01Not available in this setting$137.72RVU20B
2020-01-01Not available in this setting$137.72RVU20A
2019-10-01Not available in this setting$140.06RVU19D
2019-07-01Not available in this setting$140.06RVU19C
2019-04-01Not available in this setting$140.06RVU19B
2019-01-01Not available in this setting$140.06RVU19A
2018-10-01Not available in this setting$140.64RVU18D
2018-07-01Not available in this setting$140.64RVU18C
2018-04-01Not available in this setting$140.64RVU18B
2018-01-01Not available in this setting$140.64RVU18AR1
2017-10-01Not available in this setting$140.07RVU17D
2017-07-01Not available in this setting$140.07RVU17C
2017-04-01Not available in this setting$140.07RVU17B
2017-01-01Not available in this setting$140.07RVU17A
2016-10-01Not available in this setting$144.05RVU16D
2016-07-01Not available in this setting$144.05RVU16C
2016-04-01Not available in this setting$144.05RVU16B
2016-01-01Not available in this setting$144.05RVU16A
2015-10-01Not available in this setting$146.71RVU15D
2015-07-01Not available in this setting$146.71RVU15C
2015-04-01Not available in this setting$145.98RVU15B
2015-01-01Not available in this setting$145.98RVU15A
2014-10-01Not available in this setting$146.28RVU14D
2014-07-01Not available in this setting$146.28RVU14C
2014-04-01Not available in this setting$146.28RVU14B
2014-01-01Not available in this setting$146.28RVU14A
2013-10-01Not available in this setting$144.56RVU13D
2013-07-01Not available in this setting$144.56RVU13C
2013-04-01Not available in this setting$144.56RVU13B
2013-01-01Not available in this setting$144.56RVU13AR

Price 44360 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

44360 billing questions

When should 44360 be reported instead of 44361?

Use 44360 for a diagnostic examination that may include brushing or washing. Use 44361 when the enteroscopy includes biopsy.

Does brushing or washing require a different code?

No. Collection of specimens by brushing or washing is included in 44360 when performed.

Can 44360 be reported when the endoscopist removes a lesion?

A lesion-removal service is represented by a therapeutic enteroscopy code, such as 44364 for snare removal, rather than this diagnostic code alone.

How many units are generally reported for one examination?

Report one unit for the diagnostic enteroscopy, including any brushing or washing performed during that examination.

What documentation supports 44360?

Document the indication, the small-bowel extent examined, findings, and whether specimens were collected by brushing or washing. If biopsy or therapy was performed, document the specific intervention.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

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 44360PPRRVU2026_Oct_nonQPP.csv, line 5,389 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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