CPT code 44361: Small bowel endoscopy, biopsy, ileum excluded2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $135.43 for 44361 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44361 nationwide

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

What 44361 covers

A gastroenterologist or other qualified endoscopist advances an enteroscope beyond the second portion of the duodenum to examine the small bowel and obtain tissue samples. The examined segment may include the jejunum, but this code excludes examination of the ileum. Biopsies may be taken from abnormal-appearing mucosa or to investigate suspected small-bowel disease, such as a cause of malabsorption or unexplained anemia. These procedures are commonly performed in a hospital outpatient department or ambulatory endoscopy center.

Report 44361 when the endoscopist obtains one or more tissue biopsies during the qualifying examination; the number of samples does not create separate procedure units. The report should support the route and extent of the examination, the biopsy sites, and the reason for sampling. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted. Bilateral adjustment does not apply, and modifier 50 is inappropriate.

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 Vermont compares for 44361

Across 109 of 109 payment localities, the facility rate for 44361 runs from $130.17 in Arkansas to $184.01 in Alaska. Vermont pays $135.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44361 rates by state

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

See 44361 in every payment locality

How the 44361 rate is calculated

Each of 44361’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.

Payment rules and modifiers for 44361

The CMS indicators that decide how 44361 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 44361

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

How 44361 has changed in Vermont

Price 44361 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates