CPT code 44366: Enteroscopy hemostasis, bleeding control, no ileum2026 Medicare rate & RVUs in Oklahoma
Reports extended small-bowel endoscopy used to stop bleeding beyond the second portion of the duodenum when the examined segment does not include the ileum.
In Oklahoma, Medicare pays $201.14 for 44366 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44366 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 44366 covers
A gastroenterologist advances an enteroscope beyond the second portion of the duodenum to identify and treat a bleeding source in the small bowel, without examining the ileum. This service is used when bleeding is seen during enteroscopy, such as from a small-bowel vascular lesion or ulcer. Hemostasis may involve an endoscopic technique such as injection, thermal treatment, or mechanical clipping.
Report this code when the endoscopy includes active treatment to control bleeding, rather than diagnostic inspection alone, biopsy alone, or removal of a lesion as the primary service. The procedure note should support the extent examined, the bleeding site, and the hemostasis method. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and 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 Oklahoma compares for 44366
Across 109 of 109 payment localities, the facility rate for 44366 runs from $195.32 in Arkansas to $277.26 in Alaska. Oklahoma pays $201.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oklahoma · this page$201.14
- Los Angeles, CA · California$221.26+$20.12
- Washington, DC area · District of Columbia$229.55+$28.41
- Miami, FL · Florida$235.68+$34.54
- Chicago, IL · Illinois$231.15+$30.01
- Manhattan, NY · New York$237.17+$36.03
- Alaska · Alaska$277.26+$76.12
Other areas in Oklahoma first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $196.97 |
| ArkansasArkansas | — | $195.32 |
| ArizonaArizona | — | $206.54 |
| Bakersfield, CACalifornia | — | $212.53 |
| Chico, CACalifornia | — | $211.15 |
| El Centro, CACalifornia | — | $211.23 |
| Fresno, CACalifornia | — | $211.15 |
| Hanford, CACalifornia | — | $211.15 |
| Madera, CACalifornia | — | $211.15 |
| Merced, CACalifornia | — | $211.15 |
| Modesto, CACalifornia | — | $211.15 |
| Napa, CACalifornia | — | $229.48 |
| Oxnard, CACalifornia | — | $218.77 |
| Redding, CACalifornia | — | $211.15 |
| Rest of CaliforniaCalifornia | — | $211.15 |
| Riverside, CACalifornia | — | $216.06 |
| Sacramento, CACalifornia | — | $217.53 |
| Salinas, CACalifornia | — | $216.61 |
| San Diego, CACalifornia | — | $218.61 |
| Marin County, CACalifornia | — | $238.32 |
| San Francisco, CACalifornia | — | $237.81 |
| San Benito County, CACalifornia | — | $243.35 |
| Santa Clara County, CACalifornia | — | $241.26 |
| San Luis Obispo, CACalifornia | — | $213.54 |
| Santa Cruz, CACalifornia | — | $218.31 |
| Santa Maria, CACalifornia | — | $216.57 |
| Santa Rosa, CACalifornia | — | $220.29 |
| Stockton, CACalifornia | — | $211.15 |
| Vallejo, CACalifornia | — | $228.74 |
| Visalia, CACalifornia | — | $211.15 |
| Yuba City, CACalifornia | — | $211.15 |
| ColoradoColorado | — | $212.36 |
| ConnecticutConnecticut | — | $220.65 |
| DelawareDelaware | — | $208.94 |
| Fort Lauderdale, FLFlorida | — | $223.29 |
| Rest of FloridaFlorida | — | $215.55 |
| Atlanta, GAGeorgia | — | $214.75 |
| Rest of GeorgiaGeorgia | — | $207.32 |
| Hawaii, Guam, HIHawaii | — | $211.69 |
| IowaIowa | — | $196.65 |
| IdahoIdaho | — | $198.07 |
| East St. Louis, ILIllinois | — | $221.23 |
| Rest of IllinoisIllinois | — | $214.06 |
| Suburban Chicago, ILIllinois | — | $224.51 |
| IndianaIndiana | — | $198.65 |
| KansasKansas | — | $197.65 |
| KentuckyKentucky | — | $202.99 |
| New Orleans, LALouisiana | — | $209.20 |
| Rest of LouisianaLouisiana | — | $203.42 |
| Metropolitan Boston, MAMassachusetts | — | $225.27 |
| Rest of MassachusettsMassachusetts | — | $212.55 |
| Baltimore area, MDMaryland | — | $220.27 |
| Rest of MarylandMaryland | — | $211.26 |
| Rest of MaineMaine | — | $200.31 |
| Southern Maine, MEMaine | — | $204.38 |
| Detroit, MIMichigan | — | $218.80 |
| Rest of MichiganMichigan | — | $207.54 |
| MinnesotaMinnesota | — | $201.45 |
| Metropolitan Kansas City, MOMissouri | — | $206.70 |
| Metropolitan St. Louis, MOMissouri | — | $207.79 |
| Rest of MissouriMissouri | — | $202.38 |
| MississippiMississippi | — | $198.80 |
| MontanaMontana | — | $210.40 |
| North CarolinaNorth Carolina | — | $201.28 |
| North DakotaNorth Dakota | — | $201.50 |
| NebraskaNebraska | — | $196.81 |
| New HampshireNew Hampshire | — | $210.82 |
| Northern New JerseyNew Jersey | — | $229.14 |
| Rest of New JerseyNew Jersey | — | $222.58 |
| New MexicoNew Mexico | — | $208.84 |
| NevadaNevada | — | $207.97 |
| NYC suburbs and Long Island, NYNew York | — | $242.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $225.15 |
| Queens, NYNew York | — | $236.12 |
| Rest of New YorkNew York | — | $203.19 |
| OhioOhio | — | $205.72 |
| Portland, OROregon | — | $214.97 |
| Rest of OregonOregon | — | $205.74 |
| Metropolitan Philadelphia, PAPennsylvania | — | $218.12 |
| Rest of PennsylvaniaPennsylvania | — | $205.05 |
| Puerto RicoPuerto Rico | — | $210.81 |
| Rhode IslandRhode Island | — | $213.29 |
| South CarolinaSouth Carolina | — | $203.96 |
| South DakotaSouth Dakota | — | $200.45 |
| TennesseeTennessee | — | $198.42 |
| Austin, TXTexas | — | $212.21 |
| Beaumont, TXTexas | — | $204.37 |
| Brazoria, TXTexas | — | $207.74 |
| Dallas, TXTexas | — | $209.33 |
| Fort Worth, TXTexas | — | $208.97 |
| Galveston, TXTexas | — | $208.57 |
| Houston, TXTexas | — | $216.81 |
| Rest of TexasTexas | — | $206.14 |
| UtahUtah | — | $205.57 |
| VirginiaVirginia | — | $205.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $210.81 |
| VermontVermont | — | $202.45 |
| Rest of WashingtonWashington | — | $211.59 |
| King County, WAWashington | — | $227.26 |
| WisconsinWisconsin | — | $197.70 |
| West VirginiaWest Virginia | — | $209.64 |
| WyomingWyoming | — | $206.52 |
44366 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 44366 rate is calculated
Each of 44366’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 · 44366
RVUs × geographic indexes × conversion factor
Work4.19
4.19 RVUs× 1.000 GPCI
Practice expense1.66
1.66 RVUs× 1.000 GPCI
Malpractice0.45
0.45 RVUs× 1.000 GPCI
Adjusted RVUs
6.3000
Conversion factor
$33.4009
Medicare rate
$210.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Oklahoma inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,394
- Code
- 44366
- Physician work
- 4.19
- Practice expense
- 1.66
- Malpractice
- 0.45
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.19 | × 1.000 | 4.1900 |
| Practice expense | 1.66 | × 0.893 | 1.4824 |
| Malpractice | 0.45 | × 0.777 | 0.3497 |
| Total RVUs | 6.0220 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$201.14
Facility: (4.19 × 1 + 1.66 × 0.893 + 0.45 × 0.777) × $33.4009 = $201.14
Payment rules and modifiers for 44366
The CMS indicators that decide how 44366 is paid alongside other services.
CMS payment indicators · 44366
Enteroscopy hemostasis, bleeding control, no ileum
| 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) | 1 | Not paid (statutory restriction). |
| 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
44366 without 51 · national facility
$210.43
Enteroscopy hemostasis, bleeding control, no ileum
44366-51 · Second procedure: 50%
$105.22
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 44366 has changed in Oklahoma
44366 · 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 | $201.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $201.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $201.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $201.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $217.95 | RVU25D |
| 2025-07-01 | Not available in this setting | $217.95 | RVU25C |
| 2025-04-01 | Not available in this setting | $217.95 | RVU25B |
| 2025-01-01 | Not available in this setting | $217.95 | RVU25A |
| 2024-10-01 | Not available in this setting | $223.72 | RVU24D |
| 2024-07-01 | Not available in this setting | $223.72 | RVU24C |
| 2024-04-01 | Not available in this setting | $223.72 | RVU24B |
| 2024-03-09 | Not available in this setting | $223.72 | RVU24AR |
| 2024-01-01 | Not available in this setting | $220.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $226.22 | RVU23D |
| 2023-07-01 | Not available in this setting | $226.22 | RVU23C |
| 2023-04-01 | Not available in this setting | $226.22 | RVU23B |
| 2023-01-01 | Not available in this setting | $226.22 | RVU23A |
| 2022-10-01 | Not available in this setting | $229.28 | RVU22D |
| 2022-07-01 | Not available in this setting | $229.28 | RVU22C |
| 2022-04-01 | Not available in this setting | $229.28 | RVU22B |
| 2022-01-01 | Not available in this setting | $229.28 | RVU22A |
| 2021-10-01 | Not available in this setting | $230.56 | RVU21D |
| 2021-07-01 | Not available in this setting | $230.56 | RVU21C |
| 2021-04-01 | Not available in this setting | $230.56 | RVU21B |
| 2021-01-01 | Not available in this setting | $230.56 | RVU21A |
| 2020-10-01 | Not available in this setting | $238.98 | RVU20D |
| 2020-07-01 | Not available in this setting | $238.98 | RVU20C |
| 2020-04-01 | Not available in this setting | $238.98 | RVU20B |
| 2020-01-01 | Not available in this setting | $238.98 | RVU20A |
| 2019-10-01 | Not available in this setting | $243.54 | RVU19D |
| 2019-07-01 | Not available in this setting | $243.54 | RVU19C |
| 2019-04-01 | Not available in this setting | $243.54 | RVU19B |
| 2019-01-01 | Not available in this setting | $243.54 | RVU19A |
| 2018-10-01 | Not available in this setting | $244.55 | RVU18D |
| 2018-07-01 | Not available in this setting | $244.55 | RVU18C |
| 2018-04-01 | Not available in this setting | $244.55 | RVU18B |
| 2018-01-01 | Not available in this setting | $244.55 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $242.03 | RVU17D |
| 2017-07-01 | Not available in this setting | $242.03 | RVU17C |
| 2017-04-01 | Not available in this setting | $242.03 | RVU17B |
| 2017-01-01 | Not available in this setting | $242.03 | RVU17A |
| 2016-10-01 | Not available in this setting | $245.04 | RVU16D |
| 2016-07-01 | Not available in this setting | $245.04 | RVU16C |
| 2016-04-01 | Not available in this setting | $245.04 | RVU16B |
| 2016-01-01 | Not available in this setting | $245.04 | RVU16A |
| 2015-10-01 | Not available in this setting | $250.24 | RVU15D |
| 2015-07-01 | Not available in this setting | $250.24 | RVU15C |
| 2015-04-01 | Not available in this setting | $249.00 | RVU15B |
| 2015-01-01 | Not available in this setting | $249.00 | RVU15A |
| 2014-10-01 | Not available in this setting | $247.62 | RVU14D |
| 2014-07-01 | Not available in this setting | $247.62 | RVU14C |
| 2014-04-01 | Not available in this setting | $247.62 | RVU14B |
| 2014-01-01 | Not available in this setting | $247.62 | RVU14A |
| 2013-10-01 | Not available in this setting | $244.03 | RVU13D |
| 2013-07-01 | Not available in this setting | $244.03 | RVU13C |
| 2013-04-01 | Not available in this setting | $244.03 | RVU13B |
| 2013-01-01 | Not available in this setting | $244.03 | RVU13AR |
Where the Oklahoma rate applies
Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.
- Lahoma
- Achille
- Ada
- Adair
- Adams
- Adamson
- Addington
- Afton
44366 billing questions
When should 44366 be reported instead of a diagnostic enteroscopy?
Use 44366 when the enteroscopy includes endoscopic treatment to control bleeding. Diagnostic inspection without hemostasis is represented by 44360 when the examined segment does not include the ileum.
How does 44366 differ from 44365?
44366 is for controlling bleeding. 44365 describes removal of a lesion using hot biopsy forceps or bipolar cautery, rather than hemostasis as the reported service.
Can a separate diagnostic enteroscopy be billed with 44366?
When related endoscopies are performed together, CMS endoscopy-family pricing applies. The documentation should show the services performed and the distinct clinical work supporting any additional reported endoscopy.
Can modifier 50 or an assistant-at-surgery claim be used?
No. CMS identifies bilateral adjustment as inappropriate for this code and does not pay an assistant at surgery for it.
What documentation supports reporting 44366?
Document the small-bowel segment reached, the bleeding source or site, and the endoscopic method used to control bleeding. The documented extent should not include the ileum for this code.
What is the global period for 44366?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
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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