CPT code 44369: Small-bowel enteroscopy, endoscopic mucosal resection2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $206.32 for 44369 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44369 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 44369 covers

This service combines an antegrade examination of the small intestine with endoscopic mucosal resection of a lesion. The endoscope passes through the mouth and beyond the second part of the duodenum, but the examination does not extend into the ileum. A gastroenterologist typically performs the procedure in a hospital outpatient department or ambulatory surgery center. The procedure report should identify the lesion’s location and describe the mucosal resection technique, which may include lifting the lesion and removing it with a snare.

Select this code from the documented technique, rather than from the presence of a polyp or a pathology specimen alone. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate for this anatomy. Medicare pays an assistant at surgery only when medical necessity is documented; co-surgeon and team-surgery reporting 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 North Carolina compares for 44369

Across 109 of 109 payment localities, the facility rate for 44369 runs from $200.20 in Arkansas to $284.20 in Alaska. North Carolina pays $206.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44369 rates by state

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

See 44369 in every payment locality

How the 44369 rate is calculated

Each of 44369’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 44369

The CMS indicators that decide how 44369 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 44369

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

How 44369 has changed in North Carolina

Price 44369 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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