CPT code 44363: Small bowel endoscopy, snare lesion removal2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $161.98 for 44363 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44363 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 44363 covers

A gastroenterologist or other qualified endoscopist advances an enteroscope beyond the second portion of the duodenum to examine the small bowel and remove a lesion with a snare. The service is commonly performed in a hospital or ambulatory endoscopy setting when a small-bowel lesion has been identified or is encountered during enteroscopy. The report should identify the extent of examination, the lesion treated, and the snare technique used.

Choose this code for snare removal, not for diagnostic examination alone, tissue sampling, or removal by another method. Document the target and treatment performed; the record should support that the instrument reached the small bowel beyond the second duodenal portion. CMS applies endoscopy-family pricing when related endoscopies are performed together. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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 North Carolina compares for 44363

Across 109 of 109 payment localities, the facility rate for 44363 runs from $156.97 in Arkansas to $222.27 in Alaska. North Carolina pays $161.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44363 rates by state

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

See 44363 in every payment locality

How the 44363 rate is calculated

Each of 44363’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 44363

The CMS indicators that decide how 44363 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 44363

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

How 44363 has changed in North Carolina

Price 44363 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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