CPT code 44380: Ileoscopy, through a stoma, diagnostic2026 Medicare rate & RVUs in Connecticut

Reports diagnostic endoscopic inspection of the ileum through an ileostomy, including specimen collection by brushing or washing when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Connecticut, Medicare pays $239.80 for 44380 in the office and $55.98 when it’s performed in a hospital or facility.

$239.80Office (non-facility)
$55.98Hospital or facility
+7.2%vs the national office rate ($223.79)

Check a contract rate as a % of Medicare · 44380 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 44380 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 44380 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 44380 covers

Code 44380 reports diagnostic inspection of the ileum by passing an endoscope through an existing ileostomy. Gastroenterologists and colorectal surgeons may use it to evaluate symptoms such as bleeding or pain, or suspected ileal inflammation, in a patient with a stoma. Collection of cells or fluid by brushing or washing may be part of the examination. This code is not for an examination that includes tissue biopsy or a therapeutic maneuver, and it is distinct from examination of an ileal pouch or colonoscopy through a stoma.

Document the stoma route, the ileal examination, the clinical indication, and any brushing or washing performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service; 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 Connecticut compares for 44380

Across 109 of 109 payment localities, the office rate for 44380 runs from $195.20 in Arkansas to $310.55 in San Benito County, CA. Connecticut pays $239.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

44380 in Connecticut vs other payment areas
  1. Connecticut · this page$239.80
  2. Los Angeles, CA · California$259.15+$19.35
  3. Washington, DC area · District of Columbia$259.90+$20.10
  4. Miami, FL · Florida$236.27−$3.53
  5. Chicago, IL · Illinois$228.84−$10.96
  6. Manhattan, NY · New York$258.53+$18.73
  7. Alaska · Alaska$249.14+$9.34

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

Every other payment area

44380 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$198.43$49.09
ArkansasArkansas$195.20$48.59
ArizonaArizona$217.39$52.00
Bakersfield, CACalifornia$241.62$54.56
Chico, CACalifornia$241.34$54.28
El Centro, CACalifornia$241.36$54.29
Fresno, CACalifornia$241.34$54.28
Hanford, CACalifornia$241.34$54.28

44380 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.

$195.20

$275.95

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
44380 office rate range by state
State / territoryOffice rate rangeLocalities
AK$249.141
AL$198.431
AR$195.201
AZ$217.391
CA$241.34–$310.5529
CO$235.781
CT$239.801
DC$259.901
DE$221.321
FL$216.83–$236.273
GA$203.59–$227.552
GU$248.881
HI$248.881
IA$205.621
ID$206.811
IL$208.74–$231.504
IN$208.201
KS$203.831
KY$202.181
LA$201.54–$212.842
MA$233.83–$261.942
MD$226.13–$259.903
ME$207.26–$220.952
MI$207.44–$219.112
MN$227.251
MO$197.16–$214.563
MS$196.261
MT$223.781
NC$209.811
ND$222.001
NE$207.101
NH$231.301
NJ$242.91–$256.562
NM$208.421
NV$223.481
NY$213.27–$264.545
OH$207.071
OK$202.531
OR$222.12–$244.832
PA$207.84–$232.772
PR$225.861
RI$230.351
SC$208.711
SD$221.791
TN$204.891
TX$206.26–$234.668
UT$211.941
VA$219.63–$259.902
VI$225.861
VT$220.381
WA$233.63–$268.332
WI$213.631
WV$199.881
WY$223.001

See 44380 in every payment locality

How the 44380 rate is calculated

Each of 44380’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 · 44380

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.85

0.85 RVUs× 1.000 GPCI

Practice expense5.76

5.76 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

6.7000

Conversion factor

$33.4009

Medicare rate

$223.79

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,403

Code
44380
Physician work
0.85
Practice expense
5.76
Malpractice
0.09

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 44380 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.85× 1.0200.8670
Practice expense5.76× 1.0776.2035
Malpractice0.09× 1.2100.1089
Total RVUs7.1794
Conversion factor× 33.4009

Office rate, Connecticut$239.80

Office: (0.85 × 1.02 + 5.76 × 1.077 + 0.09 × 1.21) × $33.4009 = $239.80

Facility: (0.85 × 1.02 + 0.65 × 1.077 + 0.09 × 1.21) × $33.4009 = $55.98

Open 44380 in the RVU calculator

Payment rules and modifiers for 44380

The CMS indicators that decide how 44380 is paid alongside other services.

CMS payment indicators · 44380

Ileoscopy, through a stoma, diagnostic

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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

44380 without 51 · national office

$223.79

Ileoscopy, through a stoma, diagnostic

44380-51 · Second procedure: 50%

$111.90

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 44380 has changed in Connecticut

44380 · Office / nonfacility

$239.80

Effective 2026-10-01

The base rate is $33.79 higher than on 2025-10-01, moving from $206.01 to $239.80 (16.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $206.01changed to$239.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.87 changed to 0.85
    • Practice expense RVU 4.89 changed to 5.76
    • Malpractice RVU 0.12 changed to 0.09
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $213.06changed to$206.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.93 changed to 4.89
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $209.58changed to$213.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $217.71changed to$209.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.91 changed to 4.93
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $227.60changed to$217.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.01 changed to 4.91
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $227.15changed to$227.60

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.95 changed to 5.01

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $206.17changed to$227.15

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.24 changed to 4.95
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $196.89changed to$206.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.99 changed to 4.24
    • Malpractice RVU 0.11 changed to 0.09
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $189.87changed to$196.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.82 changed to 3.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $188.78changed to$189.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.79 changed to 3.82
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $248.40changed to$188.78

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 0.97 changed to 0.87
    • Practice expense RVU 5.16 changed to 3.79
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$248.40

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$239.80$55.98RVU26D
2026-07-01$239.80$55.98RVU26C
2026-04-01$239.80$55.98RVU26B
2026-01-01$239.80$55.98RVU26A
2025-10-01$206.01$59.56RVU25D
2025-07-01$206.01$59.56RVU25C
2025-04-01$206.01$59.56RVU25B
2025-01-01$206.01$59.56RVU25A
2024-10-01$213.06$60.53RVU24D
2024-07-01$213.06$60.53RVU24C
2024-04-01$213.06$60.53RVU24B
2024-03-09$213.06$60.53RVU24AR
2024-01-01$209.58$59.54RVU24A
2023-10-01$217.71$60.50RVU23D
2023-07-01$217.71$60.50RVU23C
2023-04-01$217.71$60.50RVU23B
2023-01-01$217.71$60.50RVU23A
2022-10-01$227.60$60.67RVU22D
2022-07-01$227.60$60.67RVU22C
2022-04-01$227.60$60.67RVU22B
2022-01-01$227.60$60.67RVU22A
2021-10-01$227.15$60.78RVU21D
2021-07-01$227.15$60.78RVU21C
2021-04-01$227.15$60.78RVU21B
2021-01-01$227.15$60.78RVU21A
2020-10-01$206.17$61.97RVU20D
2020-07-01$206.17$61.97RVU20C
2020-04-01$206.17$61.97RVU20B
2020-01-01$206.17$61.97RVU20A
2019-10-01$196.89$63.44RVU19D
2019-07-01$196.89$63.44RVU19C
2019-04-01$196.89$63.44RVU19B
2019-01-01$196.89$63.44RVU19A
2018-10-01$189.87$64.17RVU18D
2018-07-01$189.87$64.17RVU18C
2018-04-01$189.87$64.17RVU18B
2018-01-01$189.87$64.17RVU18AR1
2017-10-01$188.78$63.71RVU17D
2017-07-01$188.78$63.71RVU17C
2017-04-01$188.78$63.71RVU17B
2017-01-01$188.78$63.71RVU17A
2016-10-01$248.40$69.80RVU16D
2016-07-01$248.40$69.80RVU16C
2016-04-01$248.40$69.80RVU16B
2016-01-01$248.40$69.80RVU16A
2015-10-01Not available in this setting$75.89RVU15D
2015-07-01Not available in this setting$75.89RVU15C
2015-04-01Not available in this setting$75.51RVU15B
2015-01-01Not available in this setting$75.51RVU15A
2014-10-01Not available in this setting$74.65RVU14D
2014-07-01Not available in this setting$74.65RVU14C
2014-04-01Not available in this setting$74.65RVU14B
2014-01-01Not available in this setting$74.65RVU14A
2013-10-01Not available in this setting$74.19RVU13D
2013-07-01Not available in this setting$74.19RVU13C
2013-04-01Not available in this setting$74.19RVU13B
2013-01-01Not available in this setting$74.19RVU13AR

Price 44380 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

44380 billing questions

When should 44380 be reported instead of 44381?

Use 44380 for diagnostic ileoscopy through a stoma when no tissue biopsy is performed. When the examination includes biopsy, use 44381.

Are brushing and washing included?

Yes. Collection of specimens by brushing or washing is included when performed during the diagnostic examination.

Does this code describe an examination of an ileal pouch?

No. Code 44380 is for ileoscopy through a stoma; ileal pouch endoscopy is represented by a different code family, including 44385 and 44386.

Should modifier 50 be appended for a bilateral examination?

No. The anatomy and descriptor make modifier 50 inappropriate for this service.

How does Medicare handle other procedures performed in the same session?

Medicare pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others. The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant, co-surgeon, or surgical team be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

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 44380PPRRVU2026_Oct_nonQPP.csv, line 5,403 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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