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

In Virginia, Medicare pays $175.70 for 44364 in a facility. There’s no office rate.

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.

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 Virginia 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. Virginia pays $175.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44364 rates by state

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

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.

Payment rules and modifiers for 44364

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

What modifiers do to the payment

When to use modifier 51

Codes related to 44364

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

How 44364 has changed in Virginia

Price 44364 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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