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

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 Mississippi, Medicare pays $196.26 for 44380 in the office and $49.31 when it’s performed in a hospital or facility.

$196.26Office (non-facility)
$49.31Hospital or facility
−12.3%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 Mississippi
  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 Mississippi 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. Mississippi pays $196.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

44380 in Mississippi vs other payment areas
  1. Mississippi · this page$196.26
  2. Los Angeles, CA · California$259.15+$62.89
  3. Washington, DC area · District of Columbia$259.90+$63.64
  4. Miami, FL · Florida$236.27+$40.01
  5. Chicago, IL · Illinois$228.84+$32.58
  6. Manhattan, NY · New York$258.53+$62.27
  7. Alaska · Alaska$249.14+$52.88

Other areas in Mississippi 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 Mississippi 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

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 44380 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.85× 1.0000.8500
Practice expense5.76× 0.8614.9594
Malpractice0.09× 0.7390.0665
Total RVUs5.8759
Conversion factor× 33.4009

Office rate, Mississippi$196.26

Office: (0.85 × 1 + 5.76 × 0.861 + 0.09 × 0.739) × $33.4009 = $196.26

Facility: (0.85 × 1 + 0.65 × 0.861 + 0.09 × 0.739) × $33.4009 = $49.31

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 Mississippi

44380 · Office / nonfacility

$196.26

Effective 2026-10-01

The base rate is $30.37 higher than on 2025-10-01, moving from $165.89 to $196.26 (18.3%).

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

    $165.89changed to$196.26

    • 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
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $171.59changed to$165.89

    • 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

    $168.79changed to$171.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $173.09changed to$168.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.91 changed to 4.93
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $178.41changed to$173.09

    • 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
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $178.13changed to$178.41

    • 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

    $164.08changed to$178.13

    • 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
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $157.92changed to$164.08

    • 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
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $152.43changed to$157.92

    • 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

    $151.09changed to$152.43

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.79 changed to 3.82
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $197.21changed to$151.09

    • 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
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$197.21

    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$196.26$49.31RVU26D
2026-07-01$196.26$49.31RVU26C
2026-04-01$196.26$49.31RVU26B
2026-01-01$196.26$49.31RVU26A
2025-10-01$165.89$51.52RVU25D
2025-07-01$165.89$51.52RVU25C
2025-04-01$165.89$51.52RVU25B
2025-01-01$165.89$51.52RVU25A
2024-10-01$171.59$52.48RVU24D
2024-07-01$171.59$52.48RVU24C
2024-04-01$171.59$52.48RVU24B
2024-03-09$171.59$52.48RVU24AR
2024-01-01$168.79$51.62RVU24A
2023-10-01$173.09$52.26RVU23D
2023-07-01$173.09$52.26RVU23C
2023-04-01$173.09$52.26RVU23B
2023-01-01$173.09$52.26RVU23A
2022-10-01$178.41$52.24RVU22D
2022-07-01$178.41$52.24RVU22C
2022-04-01$178.41$52.24RVU22B
2022-01-01$178.41$52.24RVU22A
2021-10-01$178.13$52.38RVU21D
2021-07-01$178.13$52.38RVU21C
2021-04-01$178.13$52.38RVU21B
2021-01-01$178.13$52.38RVU21A
2020-10-01$164.08$53.17RVU20D
2020-07-01$164.08$53.17RVU20C
2020-04-01$164.08$53.17RVU20B
2020-01-01$164.08$53.17RVU20A
2019-10-01$157.92$53.51RVU19D
2019-07-01$157.92$53.51RVU19C
2019-04-01$157.92$53.51RVU19B
2019-01-01$157.92$53.51RVU19A
2018-10-01$152.43$54.08RVU18D
2018-07-01$152.43$54.08RVU18C
2018-04-01$152.43$54.08RVU18B
2018-01-01$152.43$54.08RVU18AR1
2017-10-01$151.09$54.01RVU17D
2017-07-01$151.09$54.01RVU17C
2017-04-01$151.09$54.01RVU17B
2017-01-01$151.09$54.01RVU17A
2016-10-01$197.21$59.55RVU16D
2016-07-01$197.21$59.55RVU16C
2016-04-01$197.21$59.55RVU16B
2016-01-01$197.21$59.55RVU16A
2015-10-01Not available in this setting$64.63RVU15D
2015-07-01Not available in this setting$64.63RVU15C
2015-04-01Not available in this setting$64.31RVU15B
2015-01-01Not available in this setting$64.31RVU15A
2014-10-01Not available in this setting$64.36RVU14D
2014-07-01Not available in this setting$64.36RVU14C
2014-04-01Not available in this setting$64.36RVU14B
2014-01-01Not available in this setting$64.36RVU14A
2013-10-01Not available in this setting$64.10RVU13D
2013-07-01Not available in this setting$64.10RVU13C
2013-04-01Not available in this setting$64.10RVU13B
2013-01-01Not available in this setting$64.10RVU13AR

Price 44380 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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 MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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