CPT code 44370: Small bowel endoscopy, endoscopic stent placement2026 Medicare rate & RVUs in Montana
Reports small-bowel endoscopy when the endoscopist places an intraluminal stent to treat a small-bowel narrowing or obstruction.
In Montana, Medicare pays $235.44 for 44370 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44370 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 44370 covers
A gastroenterologist or other qualified endoscopist uses an endoscope to reach the small bowel and place a stent within its lumen. A typical clinical purpose is to maintain passage through a narrowed or obstructed segment. The service is generally performed in a facility setting; CMS recorded facility services for this code in 2024 and no office services.
Report the code when the documented endoscopic service includes small-bowel stent placement, rather than diagnostic inspection alone, biopsy, or another therapeutic maneuver. The report should identify the treated small-bowel segment, the indication, and the stent placement. This is a minor procedure with 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 for this anatomy and descriptor. 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 Montana compares for 44370
Across 109 of 109 payment localities, the facility rate for 44370 runs from $218.17 in Arkansas to $308.77 in Alaska. Montana pays $235.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$235.44
- Los Angeles, CA · California$248.40+$12.96
- Washington, DC area · District of Columbia$257.40+$21.96
- Miami, FL · Florida$263.23+$27.79
- Chicago, IL · Illinois$258.07+$22.63
- Manhattan, NY · New York$265.60+$30.16
- Alaska · Alaska$308.77+$73.33
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $220.06 |
| ArkansasArkansas | — | $218.17 |
| ArizonaArizona | — | $231.06 |
| Bakersfield, CACalifornia | — | $238.36 |
| Chico, CACalifornia | — | $236.86 |
| El Centro, CACalifornia | — | $236.94 |
| Fresno, CACalifornia | — | $236.86 |
| Hanford, CACalifornia | — | $236.86 |
| Madera, CACalifornia | — | $236.86 |
| Merced, CACalifornia | — | $236.86 |
| Modesto, CACalifornia | — | $236.86 |
| Napa, CACalifornia | — | $258.18 |
| Oxnard, CACalifornia | — | $245.68 |
| Redding, CACalifornia | — | $236.86 |
| Rest of CaliforniaCalifornia | — | $236.86 |
| Riverside, CACalifornia | — | $242.20 |
| Sacramento, CACalifornia | — | $244.21 |
| Salinas, CACalifornia | — | $243.18 |
| San Diego, CACalifornia | — | $245.59 |
| Marin County, CACalifornia | — | $268.37 |
| San Francisco, CACalifornia | — | $267.82 |
| San Benito County, CACalifornia | — | $274.05 |
| Santa Clara County, CACalifornia | — | $271.78 |
| San Luis Obispo, CACalifornia | — | $239.72 |
| Santa Cruz, CACalifornia | — | $245.38 |
| Santa Maria, CACalifornia | — | $243.19 |
| Santa Rosa, CACalifornia | — | $247.62 |
| Stockton, CACalifornia | — | $236.86 |
| Vallejo, CACalifornia | — | $257.38 |
| Visalia, CACalifornia | — | $236.86 |
| Yuba City, CACalifornia | — | $236.86 |
| ColoradoColorado | — | $237.98 |
| ConnecticutConnecticut | — | $247.08 |
| DelawareDelaware | — | $233.79 |
| Fort Lauderdale, FLFlorida | — | $249.56 |
| Rest of FloridaFlorida | — | $240.78 |
| Atlanta, GAGeorgia | — | $240.29 |
| Rest of GeorgiaGeorgia | — | $231.44 |
| Hawaii, Guam, HIHawaii | — | $237.69 |
| IowaIowa | — | $219.96 |
| IdahoIdaho | — | $221.53 |
| East St. Louis, ILIllinois | — | $246.75 |
| Rest of IllinoisIllinois | — | $238.91 |
| Suburban Chicago, ILIllinois | — | $250.97 |
| IndianaIndiana | — | $222.21 |
| KansasKansas | — | $220.98 |
| KentuckyKentucky | — | $226.71 |
| New Orleans, LALouisiana | — | $233.78 |
| Rest of LouisianaLouisiana | — | $227.15 |
| Metropolitan Boston, MAMassachusetts | — | $252.83 |
| Rest of MassachusettsMassachusetts | — | $238.12 |
| Baltimore area, MDMaryland | — | $246.65 |
| Rest of MarylandMaryland | — | $236.46 |
| Rest of MaineMaine | — | $223.97 |
| Southern Maine, MEMaine | — | $228.84 |
| Detroit, MIMichigan | — | $244.38 |
| Rest of MichiganMichigan | — | $231.80 |
| MinnesotaMinnesota | — | $225.88 |
| Metropolitan Kansas City, MOMissouri | — | $231.05 |
| Metropolitan St. Louis, MOMissouri | — | $232.32 |
| Rest of MissouriMissouri | — | $225.88 |
| MississippiMississippi | — | $221.97 |
| North CarolinaNorth Carolina | — | $225.11 |
| North DakotaNorth Dakota | — | $225.75 |
| NebraskaNebraska | — | $220.18 |
| New HampshireNew Hampshire | — | $236.16 |
| Northern New JerseyNew Jersey | — | $256.84 |
| Rest of New JerseyNew Jersey | — | $249.28 |
| New MexicoNew Mexico | — | $233.25 |
| NevadaNevada | — | $232.81 |
| NYC suburbs and Long Island, NYNew York | — | $271.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $252.10 |
| Queens, NYNew York | — | $264.58 |
| Rest of New YorkNew York | — | $227.29 |
| OhioOhio | — | $229.82 |
| OklahomaOklahoma | — | $224.71 |
| Portland, OROregon | — | $241.11 |
| Rest of OregonOregon | — | $230.35 |
| Metropolitan Philadelphia, PAPennsylvania | — | $244.11 |
| Rest of PennsylvaniaPennsylvania | — | $229.13 |
| Puerto RicoPuerto Rico | — | $235.96 |
| Rhode IslandRhode Island | — | $238.80 |
| South CarolinaSouth Carolina | — | $227.97 |
| South DakotaSouth Dakota | — | $224.61 |
| TennesseeTennessee | — | $221.85 |
| Austin, TXTexas | — | $237.77 |
| Beaumont, TXTexas | — | $228.33 |
| Brazoria, TXTexas | — | $232.50 |
| Dallas, TXTexas | — | $234.26 |
| Fort Worth, TXTexas | — | $233.81 |
| Galveston, TXTexas | — | $233.42 |
| Houston, TXTexas | — | $242.39 |
| Rest of TexasTexas | — | $230.50 |
| UtahUtah | — | $229.82 |
| VirginiaVirginia | — | $229.53 |
| Virgin Islands, VIUnited States Virgin Islands | — | $235.96 |
| VermontVermont | — | $226.73 |
| Rest of WashingtonWashington | — | $237.07 |
| King County, WAWashington | — | $255.20 |
| WisconsinWisconsin | — | $221.36 |
| West VirginiaWest Virginia | — | $233.82 |
| WyomingWyoming | — | $231.22 |
44370 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 44370 rate is calculated
Each of 44370’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 · 44370
RVUs × geographic indexes × conversion factor
Work4.57
4.57 RVUs× 1.000 GPCI
Practice expense1.99
1.99 RVUs× 1.000 GPCI
Malpractice0.49
0.49 RVUs× 1.000 GPCI
Adjusted RVUs
7.0500
Conversion factor
$33.4009
Medicare rate
$235.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,396
- Code
- 44370
- Physician work
- 4.57
- Practice expense
- 1.99
- Malpractice
- 0.49
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.57 | × 1.000 | 4.5700 |
| Practice expense | 1.99 | × 1.000 | 1.9900 |
| Malpractice | 0.49 | × 0.998 | 0.4890 |
| Total RVUs | 7.0490 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$235.44
Facility: (4.57 × 1 + 1.99 × 1 + 0.49 × 0.998) × $33.4009 = $235.44
Payment rules and modifiers for 44370
The CMS indicators that decide how 44370 is paid alongside other services.
CMS payment indicators · 44370
Small bowel endoscopy, endoscopic stent placement
| 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
44370 without 51 · national facility
$235.48
Small bowel endoscopy, endoscopic stent placement
44370-51 · Second procedure: 50%
$117.74
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 44370 has changed in Montana
44370 · 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 | $235.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $235.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $235.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $235.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $254.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $254.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $254.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $254.50 | RVU25A |
| 2024-10-01 | Not available in this setting | $261.57 | RVU24D |
| 2024-07-01 | Not available in this setting | $261.57 | RVU24C |
| 2024-04-01 | Not available in this setting | $261.57 | RVU24B |
| 2024-03-09 | Not available in this setting | $261.57 | RVU24AR |
| 2024-01-01 | Not available in this setting | $257.30 | RVU24A |
| 2023-10-01 | Not available in this setting | $264.59 | RVU23D |
| 2023-07-01 | Not available in this setting | $264.59 | RVU23C |
| 2023-04-01 | Not available in this setting | $264.59 | RVU23B |
| 2023-01-01 | Not available in this setting | $264.59 | RVU23A |
| 2022-10-01 | Not available in this setting | $269.17 | RVU22D |
| 2022-07-01 | Not available in this setting | $269.17 | RVU22C |
| 2022-04-01 | Not available in this setting | $269.17 | RVU22B |
| 2022-01-01 | Not available in this setting | $269.17 | RVU22A |
| 2021-10-01 | Not available in this setting | $269.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $269.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $269.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $269.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $283.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $283.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $283.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $283.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $295.89 | RVU19D |
| 2019-07-01 | Not available in this setting | $295.89 | RVU19C |
| 2019-04-01 | Not available in this setting | $295.89 | RVU19B |
| 2019-01-01 | Not available in this setting | $295.89 | RVU19A |
| 2018-10-01 | Not available in this setting | $296.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $296.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $296.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $296.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $291.22 | RVU17D |
| 2017-07-01 | Not available in this setting | $291.22 | RVU17C |
| 2017-04-01 | Not available in this setting | $291.22 | RVU17B |
| 2017-01-01 | Not available in this setting | $291.22 | RVU17A |
| 2016-10-01 | Not available in this setting | $291.77 | RVU16D |
| 2016-07-01 | Not available in this setting | $291.77 | RVU16C |
| 2016-04-01 | Not available in this setting | $291.77 | RVU16B |
| 2016-01-01 | Not available in this setting | $291.77 | RVU16A |
| 2015-10-01 | Not available in this setting | $298.18 | RVU15D |
| 2015-07-01 | Not available in this setting | $298.18 | RVU15C |
| 2015-04-01 | Not available in this setting | $296.70 | RVU15B |
| 2015-01-01 | Not available in this setting | $296.70 | RVU15A |
| 2014-10-01 | Not available in this setting | $295.14 | RVU14D |
| 2014-07-01 | Not available in this setting | $295.14 | RVU14C |
| 2014-04-01 | Not available in this setting | $295.14 | RVU14B |
| 2014-01-01 | Not available in this setting | $295.14 | RVU14A |
| 2013-10-01 | Not available in this setting | $293.31 | RVU13D |
| 2013-07-01 | Not available in this setting | $293.31 | RVU13C |
| 2013-04-01 | Not available in this setting | $293.31 | RVU13B |
| 2013-01-01 | Not available in this setting | $293.31 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
44370 billing questions
When should this code be selected instead of a diagnostic small-bowel endoscopy code?
Use this code when the endoscopist places an intraluminal stent during the small-bowel endoscopy. Diagnostic inspection without stent placement is represented by a different service.
What documentation supports reporting the stent service?
Document the small-bowel segment treated, the reason for stenting, and that the stent was placed endoscopically. The report should distinguish placement from diagnostic inspection or biopsy alone.
Can modifier 50 be reported for bilateral stent placement?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support modifier 50.
How are related endoscopies paid when performed together?
Endoscopy family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code's 0-day global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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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