CPT code 44376: Small-bowel enteroscopy, diagnostic, including ileum2026 Medicare rate & RVUs in Indiana

In Indiana, Medicare pays $234.65 for 44376 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44376 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 44376 covers

A gastroenterologist or other endoscopist advances an enteroscope through the upper gastrointestinal tract to examine small bowel beyond the second portion of the duodenum, including the ileum. The procedure can help evaluate suspected small-bowel sources of gastrointestinal bleeding or mucosal disease when the area is not accessible with routine upper endoscopy. Brushing or washing specimens may be collected as part of the diagnostic service.

Select this code when the documented examination includes the ileum and no separately described therapeutic maneuver determines a different code. The report should support the route and extent of examination, findings, and any brushing or washing performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment requires documentation of 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 Indiana compares for 44376

Across 109 of 109 payment localities, the facility rate for 44376 runs from $230.90 in Arkansas to $328.32 in Alaska. Indiana pays $234.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44376 rates by state

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

See 44376 in every payment locality

How the 44376 rate is calculated

Each of 44376’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 44376

The CMS indicators that decide how 44376 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 44376

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

How 44376 has changed in Indiana

Price 44376 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Abington
• Adams
• Adams Lake
• Advance
• Akron
• Alamo
• Albany

Browse all communities in Indiana

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