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.

CMS RVU26DEffective Oct 1, 2026One payment locality5.2K Medicare services in 2024

In Oklahoma, Medicare pays $201.14 for 44366 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$201.14Hospital or facility

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.

We’ll open 44366 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 44366 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 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.

44366 in Oklahoma vs other payment areas
  1. Oklahoma · this page$201.14
  2. Los Angeles, CA · California$221.26+$20.12
  3. Washington, DC area · District of Columbia$229.55+$28.41
  4. Miami, FL · Florida$235.68+$34.54
  5. Chicago, IL · Illinois$231.15+$30.01
  6. Manhattan, NY · New York$237.17+$36.03
  7. Alaska · Alaska$277.26+$76.12

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

Every other payment area

44366 in every other Medicare payment locality
Payment localityOfficeFacility
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

44366 rates by state

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

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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
44366 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 44366 in every payment locality

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

Office or facility?

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
Facility calculation for 44366 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work4.19× 1.0004.1900
Practice expense1.66× 0.8931.4824
Malpractice0.45× 0.7770.3497
Total RVUs6.0220
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

Open 44366 in the RVU calculator

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

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)1Not paid (statutory restriction).
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

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%).

When to use modifier 51

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.

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$201.14RVU26D
2026-07-01Not available in this setting$201.14RVU26C
2026-04-01Not available in this setting$201.14RVU26B
2026-01-01Not available in this setting$201.14RVU26A
2025-10-01Not available in this setting$217.95RVU25D
2025-07-01Not available in this setting$217.95RVU25C
2025-04-01Not available in this setting$217.95RVU25B
2025-01-01Not available in this setting$217.95RVU25A
2024-10-01Not available in this setting$223.72RVU24D
2024-07-01Not available in this setting$223.72RVU24C
2024-04-01Not available in this setting$223.72RVU24B
2024-03-09Not available in this setting$223.72RVU24AR
2024-01-01Not available in this setting$220.07RVU24A
2023-10-01Not available in this setting$226.22RVU23D
2023-07-01Not available in this setting$226.22RVU23C
2023-04-01Not available in this setting$226.22RVU23B
2023-01-01Not available in this setting$226.22RVU23A
2022-10-01Not available in this setting$229.28RVU22D
2022-07-01Not available in this setting$229.28RVU22C
2022-04-01Not available in this setting$229.28RVU22B
2022-01-01Not available in this setting$229.28RVU22A
2021-10-01Not available in this setting$230.56RVU21D
2021-07-01Not available in this setting$230.56RVU21C
2021-04-01Not available in this setting$230.56RVU21B
2021-01-01Not available in this setting$230.56RVU21A
2020-10-01Not available in this setting$238.98RVU20D
2020-07-01Not available in this setting$238.98RVU20C
2020-04-01Not available in this setting$238.98RVU20B
2020-01-01Not available in this setting$238.98RVU20A
2019-10-01Not available in this setting$243.54RVU19D
2019-07-01Not available in this setting$243.54RVU19C
2019-04-01Not available in this setting$243.54RVU19B
2019-01-01Not available in this setting$243.54RVU19A
2018-10-01Not available in this setting$244.55RVU18D
2018-07-01Not available in this setting$244.55RVU18C
2018-04-01Not available in this setting$244.55RVU18B
2018-01-01Not available in this setting$244.55RVU18AR1
2017-10-01Not available in this setting$242.03RVU17D
2017-07-01Not available in this setting$242.03RVU17C
2017-04-01Not available in this setting$242.03RVU17B
2017-01-01Not available in this setting$242.03RVU17A
2016-10-01Not available in this setting$245.04RVU16D
2016-07-01Not available in this setting$245.04RVU16C
2016-04-01Not available in this setting$245.04RVU16B
2016-01-01Not available in this setting$245.04RVU16A
2015-10-01Not available in this setting$250.24RVU15D
2015-07-01Not available in this setting$250.24RVU15C
2015-04-01Not available in this setting$249.00RVU15B
2015-01-01Not available in this setting$249.00RVU15A
2014-10-01Not available in this setting$247.62RVU14D
2014-07-01Not available in this setting$247.62RVU14C
2014-04-01Not available in this setting$247.62RVU14B
2014-01-01Not available in this setting$247.62RVU14A
2013-10-01Not available in this setting$244.03RVU13D
2013-07-01Not available in this setting$244.03RVU13C
2013-04-01Not available in this setting$244.03RVU13B
2013-01-01Not available in this setting$244.03RVU13AR

Price 44366 for an earlier date of service

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

Browse all communities in Oklahoma

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
RVUs for 44366PPRRVU2026_Oct_nonQPP.csv, line 5,394 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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