CPT code 44364: Small-bowel endoscopy, snare lesion removal2026 Medicare rate & RVUs in New Mexico

Enteroscopy beyond the duodenum removes small-bowel polyps or other lesions with a snare during the examination.

CMS RVU26DEffective Oct 1, 2026One payment locality548 Medicare services in 2024

In New Mexico, Medicare pays $178.91 for 44364 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$178.91Hospital or facility

Check a contract rate as a % of Medicare · 44364 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 44364 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 44364 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 44364 covers

A gastroenterologist or other endoscopist advances an enteroscope beyond the second portion of the duodenum to examine the small bowel and remove a polyp or other lesion with a snare. The service is typically performed in a hospital outpatient department or ambulatory surgery center when a small-bowel lesion identified during enteroscopy requires endoscopic removal.

Report this code when the documented therapeutic work is snare removal, rather than inspection alone, biopsy, or removal by hot biopsy forceps. The report should identify the small-bowel extent reached, the lesion treated, and the snare technique. 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 documented 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 New Mexico compares for 44364

Across 109 of 109 payment localities, the facility rate for 44364 runs from $167.12 in Arkansas to $236.83 in Alaska. New Mexico pays $178.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

44364 in New Mexico vs other payment areas
  1. New Mexico · this page$178.91
  2. Los Angeles, CA · California$189.82+$10.91
  3. Washington, DC area · District of Columbia$196.96+$18.05
  4. Miami, FL · Florida$202.30+$23.39
  5. Chicago, IL · Illinois$198.31+$19.40
  6. Manhattan, NY · New York$203.52+$24.61
  7. Alaska · Alaska$236.83+$57.92

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

Every other payment area

44364 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$168.57
ArkansasArkansas—$167.12
ArizonaArizona—$176.97
Bakersfield, CACalifornia—$182.23
Chico, CACalifornia—$181.04
El Centro, CACalifornia—$181.11
Fresno, CACalifornia—$181.04
Hanford, CACalifornia—$181.04

44364 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
44364 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 44364 in every payment locality

How the 44364 rate is calculated

Each of 44364’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 · 44364

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.54

3.54 RVUs× 1.000 GPCI

Practice expense1.47

1.47 RVUs× 1.000 GPCI

Malpractice0.39

0.39 RVUs× 1.000 GPCI

Adjusted RVUs

5.4000

Conversion factor

$33.4009

Medicare rate

$180.36

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,392

Code
44364
Physician work
3.54
Practice expense
1.47
Malpractice
0.39

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 44364 in New Mexico
ComponentRVULocality factorAdjusted
Physician work3.54× 1.0003.5400
Practice expense1.47× 0.9171.3480
Malpractice0.39× 1.2010.4684
Total RVUs5.3564
Conversion factor× 33.4009

Facility rate, New Mexico$178.91

Facility: (3.54 × 1 + 1.47 × 0.917 + 0.39 × 1.201) × $33.4009 = $178.91

Open 44364 in the RVU calculator

Payment rules and modifiers for 44364

The CMS indicators that decide how 44364 is paid alongside other services.

CMS payment indicators · 44364

Small-bowel endoscopy, snare lesion removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
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

44364 without 51 · national facility

$180.36

Small-bowel endoscopy, snare lesion removal

44364-51 · Second procedure: 50%

$90.18

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 44364 has changed in New Mexico

44364 · 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$178.91RVU26D
2026-07-01Not available in this setting$178.91RVU26C
2026-04-01Not available in this setting$178.91RVU26B
2026-01-01Not available in this setting$178.91RVU26A
2025-10-01Not available in this setting$191.87RVU25D
2025-07-01Not available in this setting$191.87RVU25C
2025-04-01Not available in this setting$191.87RVU25B
2025-01-01Not available in this setting$191.87RVU25A
2024-10-01Not available in this setting$196.76RVU24D
2024-07-01Not available in this setting$196.76RVU24C
2024-04-01Not available in this setting$196.76RVU24B
2024-03-09Not available in this setting$196.76RVU24AR
2024-01-01Not available in this setting$193.55RVU24A
2023-10-01Not available in this setting$198.95RVU23D
2023-07-01Not available in this setting$198.95RVU23C
2023-04-01Not available in this setting$198.95RVU23B
2023-01-01Not available in this setting$198.95RVU23A
2022-10-01Not available in this setting$201.91RVU22D
2022-07-01Not available in this setting$201.91RVU22C
2022-04-01Not available in this setting$201.91RVU22B
2022-01-01Not available in this setting$201.91RVU22A
2021-10-01Not available in this setting$202.56RVU21D
2021-07-01Not available in this setting$202.56RVU21C
2021-04-01Not available in this setting$202.56RVU21B
2021-01-01Not available in this setting$202.56RVU21A
2020-10-01Not available in this setting$209.60RVU20D
2020-07-01Not available in this setting$209.60RVU20C
2020-04-01Not available in this setting$209.60RVU20B
2020-01-01Not available in this setting$209.60RVU20A
2019-10-01Not available in this setting$214.56RVU19D
2019-07-01Not available in this setting$214.56RVU19C
2019-04-01Not available in this setting$214.56RVU19B
2019-01-01Not available in this setting$214.56RVU19A
2018-10-01Not available in this setting$215.44RVU18D
2018-07-01Not available in this setting$215.44RVU18C
2018-04-01Not available in this setting$215.44RVU18B
2018-01-01Not available in this setting$215.44RVU18AR1
2017-10-01Not available in this setting$213.55RVU17D
2017-07-01Not available in this setting$213.55RVU17C
2017-04-01Not available in this setting$213.55RVU17B
2017-01-01Not available in this setting$213.55RVU17A
2016-10-01Not available in this setting$217.25RVU16D
2016-07-01Not available in this setting$217.25RVU16C
2016-04-01Not available in this setting$217.25RVU16B
2016-01-01Not available in this setting$217.25RVU16A
2015-10-01Not available in this setting$222.43RVU15D
2015-07-01Not available in this setting$222.43RVU15C
2015-04-01Not available in this setting$221.33RVU15B
2015-01-01Not available in this setting$221.33RVU15A
2014-10-01Not available in this setting$220.15RVU14D
2014-07-01Not available in this setting$220.15RVU14C
2014-04-01Not available in this setting$220.15RVU14B
2014-01-01Not available in this setting$220.15RVU14A
2013-10-01Not available in this setting$216.59RVU13D
2013-07-01Not available in this setting$216.59RVU13C
2013-04-01Not available in this setting$216.59RVU13B
2013-01-01Not available in this setting$216.59RVU13AR

Price 44364 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

44364 billing questions

When should this code be chosen over the biopsy code?

Use this code when a small-bowel lesion is removed with a snare. Biopsy without snare removal is represented by the small-bowel endoscopy biopsy code, 44361.

How does this differ from 44363?

Both describe small-bowel lesion removal, but 44364 is for snare technique. Code 44363 represents removal with hot biopsy forceps.

How are related endoscopies priced when performed together?

CMS endoscopy-family pricing applies when related endoscopies are performed together. Report the services supported by the procedure documentation and account for that family pricing.

Can modifier 50 be reported?

No. The descriptor or anatomy makes a bilateral adjustment inappropriate for this service.

What documentation supports reporting this service?

Document the small-bowel extent examined, the lesion removed, and that a snare was used. Same-day preoperative and postoperative care is included in the 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 44364PPRRVU2026_Oct_nonQPP.csv, line 5,392 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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