CPT code 44365: Small bowel endoscopy, hot forceps or bipolar cautery2026 Medicare rate & RVUs in New Mexico
Reports small-bowel enteroscopy beyond the second portion of the duodenum when a tumor, polyp, or other lesion is removed using hot biopsy forceps or bipolar cautery.
In New Mexico, Medicare pays $159.63 for 44365 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44365 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 44365 covers
A gastroenterologist or surgeon uses an enteroscope to examine the small bowel beyond the second portion of the duodenum and remove a tumor, polyp, or other lesion with hot biopsy forceps or bipolar cautery. This therapeutic procedure is commonly performed in a hospital outpatient department or ambulatory surgery center to evaluate and treat a lesion identified during small-bowel examination.
Choose this code when the documented removal technique is hot biopsy forceps or bipolar cautery; snare removal and ablation have distinct codes in the endoscopy family. The report should identify the small-bowel extent examined, the lesion treated, and the technique used. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. 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 44365
Across 109 of 109 payment localities, the facility rate for 44365 runs from $149.01 in Arkansas to $210.93 in Alaska. New Mexico pays $159.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$159.63
- Los Angeles, CA · California$169.54+$9.91
- Washington, DC area · District of Columbia$175.93+$16.30
- Miami, FL · Florida$180.70+$21.07
- Chicago, IL · Illinois$177.09+$17.46
- Manhattan, NY · New York$181.78+$22.15
- Alaska · Alaska$210.93+$51.30
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $150.32 |
| ArkansasArkansas | — | $149.01 |
| ArizonaArizona | — | $157.92 |
| Bakersfield, CACalifornia | — | $162.70 |
| Chico, CACalifornia | — | $161.64 |
| El Centro, CACalifornia | — | $161.70 |
| Fresno, CACalifornia | — | $161.64 |
| Hanford, CACalifornia | — | $161.64 |
| Madera, CACalifornia | — | $161.64 |
| Merced, CACalifornia | — | $161.64 |
| Modesto, CACalifornia | — | $161.64 |
| Napa, CACalifornia | — | $176.06 |
| Oxnard, CACalifornia | — | $167.66 |
| Redding, CACalifornia | — | $161.64 |
| Rest of CaliforniaCalifornia | — | $161.64 |
| Riverside, CACalifornia | — | $165.45 |
| Sacramento, CACalifornia | — | $166.63 |
| Salinas, CACalifornia | — | $165.93 |
| San Diego, CACalifornia | — | $167.55 |
| Marin County, CACalifornia | — | $182.95 |
| San Francisco, CACalifornia | — | $182.55 |
| San Benito County, CACalifornia | — | $186.85 |
| Santa Clara County, CACalifornia | — | $185.23 |
| San Luis Obispo, CACalifornia | — | $163.57 |
| Santa Cruz, CACalifornia | — | $167.39 |
| Santa Maria, CACalifornia | — | $165.92 |
| Santa Rosa, CACalifornia | — | $168.91 |
| Stockton, CACalifornia | — | $161.64 |
| Vallejo, CACalifornia | — | $175.49 |
| Visalia, CACalifornia | — | $161.64 |
| Yuba City, CACalifornia | — | $161.64 |
| ColoradoColorado | — | $162.55 |
| ConnecticutConnecticut | — | $168.98 |
| DelawareDelaware | — | $159.80 |
| Fort Lauderdale, FLFlorida | — | $171.02 |
| Rest of FloridaFlorida | — | $164.90 |
| Atlanta, GAGeorgia | — | $164.37 |
| Rest of GeorgiaGeorgia | — | $158.40 |
| Hawaii, Guam, HIHawaii | — | $162.20 |
| IowaIowa | — | $150.14 |
| IdahoIdaho | — | $151.25 |
| East St. Louis, ILIllinois | — | $169.27 |
| Rest of IllinoisIllinois | — | $163.68 |
| Suburban Chicago, ILIllinois | — | $171.96 |
| IndianaIndiana | — | $151.72 |
| KansasKansas | — | $150.90 |
| KentuckyKentucky | — | $155.03 |
| New Orleans, LALouisiana | — | $159.94 |
| Rest of LouisianaLouisiana | — | $155.35 |
| Metropolitan Boston, MAMassachusetts | — | $172.68 |
| Rest of MassachusettsMassachusetts | — | $162.66 |
| Baltimore area, MDMaryland | — | $168.70 |
| Rest of MarylandMaryland | — | $161.62 |
| Rest of MaineMaine | — | $152.99 |
| Southern Maine, MEMaine | — | $156.28 |
| Detroit, MIMichigan | — | $167.45 |
| Rest of MichiganMichigan | — | $158.61 |
| MinnesotaMinnesota | — | $154.06 |
| Metropolitan Kansas City, MOMissouri | — | $157.99 |
| Metropolitan St. Louis, MOMissouri | — | $158.87 |
| Rest of MissouriMissouri | — | $154.51 |
| MississippiMississippi | — | $151.72 |
| MontanaMontana | — | $160.97 |
| North CarolinaNorth Carolina | — | $153.77 |
| North DakotaNorth Dakota | — | $154.05 |
| NebraskaNebraska | — | $150.27 |
| New HampshireNew Hampshire | — | $161.37 |
| Northern New JerseyNew Jersey | — | $175.53 |
| Rest of New JerseyNew Jersey | — | $170.43 |
| NevadaNevada | — | $159.08 |
| NYC suburbs and Long Island, NYNew York | — | $186.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $172.40 |
| Queens, NYNew York | — | $181.00 |
| Rest of New YorkNew York | — | $155.28 |
| OhioOhio | — | $157.19 |
| OklahomaOklahoma | — | $153.60 |
| Portland, OROregon | — | $164.64 |
| Rest of OregonOregon | — | $157.34 |
| Metropolitan Philadelphia, PAPennsylvania | — | $166.97 |
| Rest of PennsylvaniaPennsylvania | — | $156.68 |
| Puerto RicoPuerto Rico | — | $161.31 |
| Rhode IslandRhode Island | — | $163.19 |
| South CarolinaSouth Carolina | — | $155.84 |
| South DakotaSouth Dakota | — | $153.23 |
| TennesseeTennessee | — | $151.51 |
| Austin, TXTexas | — | $162.46 |
| Beaumont, TXTexas | — | $156.13 |
| Brazoria, TXTexas | — | $158.85 |
| Dallas, TXTexas | — | $160.09 |
| Fort Worth, TXTexas | — | $159.80 |
| Galveston, TXTexas | — | $159.50 |
| Houston, TXTexas | — | $165.91 |
| Rest of TexasTexas | — | $157.58 |
| UtahUtah | — | $157.11 |
| VirginiaVirginia | — | $156.79 |
| Virgin Islands, VIUnited States Virgin Islands | — | $161.31 |
| VermontVermont | — | $154.77 |
| Rest of WashingtonWashington | — | $161.93 |
| King County, WAWashington | — | $174.24 |
| WisconsinWisconsin | — | $151.02 |
| West VirginiaWest Virginia | — | $160.17 |
| WyomingWyoming | — | $157.95 |
44365 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 44365 rate is calculated
Each of 44365’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 · 44365
RVUs × geographic indexes × conversion factor
Work3.13
3.13 RVUs× 1.000 GPCI
Practice expense1.34
1.34 RVUs× 1.000 GPCI
Malpractice0.35
0.35 RVUs× 1.000 GPCI
Adjusted RVUs
4.8200
Conversion factor
$33.4009
Medicare rate
$160.99
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
5,393
- Code
- 44365
- Physician work
- 3.13
- Practice expense
- 1.34
- Malpractice
- 0.35
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.13 | × 1.000 | 3.1300 |
| Practice expense | 1.34 | × 0.917 | 1.2288 |
| Malpractice | 0.35 | × 1.201 | 0.4204 |
| Total RVUs | 4.7791 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$159.63
Facility: (3.13 × 1 + 1.34 × 0.917 + 0.35 × 1.201) × $33.4009 = $159.63
Payment rules and modifiers for 44365
The CMS indicators that decide how 44365 is paid alongside other services.
CMS payment indicators · 44365
Small bowel endoscopy, hot forceps or bipolar cautery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44365 without 51 · national facility
$160.99
Small bowel endoscopy, hot forceps or bipolar cautery
44365-51 · Second procedure: 50%
$80.50
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%).
How 44365 has changed in New Mexico
44365 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $159.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $159.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $159.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $159.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $171.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $171.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $171.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $171.19 | RVU25A |
| 2024-10-01 | Not available in this setting | $175.87 | RVU24D |
| 2024-07-01 | Not available in this setting | $175.87 | RVU24C |
| 2024-04-01 | Not available in this setting | $175.87 | RVU24B |
| 2024-03-09 | Not available in this setting | $175.87 | RVU24AR |
| 2024-01-01 | Not available in this setting | $173.00 | RVU24A |
| 2023-10-01 | Not available in this setting | $176.93 | RVU23D |
| 2023-07-01 | Not available in this setting | $176.93 | RVU23C |
| 2023-04-01 | Not available in this setting | $176.93 | RVU23B |
| 2023-01-01 | Not available in this setting | $176.93 | RVU23A |
| 2022-10-01 | Not available in this setting | $179.38 | RVU22D |
| 2022-07-01 | Not available in this setting | $179.38 | RVU22C |
| 2022-04-01 | Not available in this setting | $179.38 | RVU22B |
| 2022-01-01 | Not available in this setting | $179.38 | RVU22A |
| 2021-10-01 | Not available in this setting | $180.24 | RVU21D |
| 2021-07-01 | Not available in this setting | $180.24 | RVU21C |
| 2021-04-01 | Not available in this setting | $180.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $180.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $186.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $186.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $186.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $186.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $190.42 | RVU19D |
| 2019-07-01 | Not available in this setting | $190.42 | RVU19C |
| 2019-04-01 | Not available in this setting | $190.42 | RVU19B |
| 2019-01-01 | Not available in this setting | $190.42 | RVU19A |
| 2018-10-01 | Not available in this setting | $190.31 | RVU18D |
| 2018-07-01 | Not available in this setting | $190.31 | RVU18C |
| 2018-04-01 | Not available in this setting | $190.31 | RVU18B |
| 2018-01-01 | Not available in this setting | $190.31 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $187.88 | RVU17D |
| 2017-07-01 | Not available in this setting | $187.88 | RVU17C |
| 2017-04-01 | Not available in this setting | $187.88 | RVU17B |
| 2017-01-01 | Not available in this setting | $187.88 | RVU17A |
| 2016-10-01 | Not available in this setting | $190.56 | RVU16D |
| 2016-07-01 | Not available in this setting | $190.56 | RVU16C |
| 2016-04-01 | Not available in this setting | $190.56 | RVU16B |
| 2016-01-01 | Not available in this setting | $190.56 | RVU16A |
| 2015-10-01 | Not available in this setting | $193.07 | RVU15D |
| 2015-07-01 | Not available in this setting | $193.07 | RVU15C |
| 2015-04-01 | Not available in this setting | $192.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $192.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $195.61 | RVU14D |
| 2014-07-01 | Not available in this setting | $195.61 | RVU14C |
| 2014-04-01 | Not available in this setting | $195.61 | RVU14B |
| 2014-01-01 | Not available in this setting | $195.61 | RVU14A |
| 2013-10-01 | Not available in this setting | $193.13 | RVU13D |
| 2013-07-01 | Not available in this setting | $193.13 | RVU13C |
| 2013-04-01 | Not available in this setting | $193.13 | RVU13B |
| 2013-01-01 | Not available in this setting | $193.13 | RVU13AR |
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
44365 billing questions
Can a diagnostic small-bowel endoscopy also be billed separately?
When related endoscopies are performed together, CMS endoscopy family pricing applies. Document the therapeutic work and any other distinct endoscopic service performed.
What documentation supports reporting 44365?
Document the small-bowel extent examined, the lesion treated, and removal using hot biopsy forceps or bipolar cautery.
Should modifier 50 be reported for treatment on both sides?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
Does the 0-day global period include same-day care?
Yes. 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
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