CPT code 44380: Ileoscopy, through a stoma, diagnostic2026 Medicare rate & RVUs in Virginia
Reports diagnostic endoscopic inspection of the ileum through an ileostomy, including specimen collection by brushing or washing when performed.
In Virginia, Medicare pays $219.63 for 44380 in the office and $51.85 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $219.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$219.63
- Los Angeles, CA · California$259.15+$39.52
- Washington, DC area · District of Columbia$259.90+$40.27
- Miami, FL · Florida$236.27+$16.64
- Chicago, IL · Illinois$228.84+$9.21
- Manhattan, NY · New York$258.53+$38.90
- Alaska · Alaska$249.14+$29.51
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $241.34 | $54.28 |
| Merced, CACalifornia | $241.34 | $54.28 |
| Modesto, CACalifornia | $241.34 | $54.28 |
| Napa, CACalifornia | $285.28 | $60.32 |
| Oxnard, CACalifornia | $258.46 | $56.72 |
| Redding, CACalifornia | $241.34 | $54.28 |
| Rest of CaliforniaCalifornia | $241.34 | $54.28 |
| Riverside, CACalifornia | $242.32 | $55.26 |
| Sacramento, CACalifornia | $254.77 | $56.27 |
| Salinas, CACalifornia | $253.86 | $56.04 |
| San Diego, CACalifornia | $260.97 | $56.84 |
| Marin County, CACalifornia | $303.74 | $63.08 |
| San Francisco, CACalifornia | $303.63 | $62.98 |
| San Benito County, CACalifornia | $310.55 | $64.43 |
| Santa Clara County, CACalifornia | $310.13 | $64.01 |
| San Luis Obispo, CACalifornia | $249.62 | $55.21 |
| Santa Cruz, CACalifornia | $264.35 | $56.98 |
| Santa Maria, CACalifornia | $255.12 | $56.11 |
| Santa Rosa, CACalifornia | $267.11 | $57.51 |
| Stockton, CACalifornia | $241.34 | $54.28 |
| Vallejo, CACalifornia | $285.13 | $60.17 |
| Visalia, CACalifornia | $241.34 | $54.28 |
| Yuba City, CACalifornia | $241.34 | $54.28 |
| ColoradoColorado | $235.78 | $54.18 |
| ConnecticutConnecticut | $239.80 | $55.98 |
| DelawareDelaware | $221.32 | $52.69 |
| Fort Lauderdale, FLFlorida | $228.72 | $55.82 |
| Rest of FloridaFlorida | $216.83 | $53.66 |
| Atlanta, GAGeorgia | $227.55 | $54.14 |
| Rest of GeorgiaGeorgia | $203.59 | $51.34 |
| Hawaii, Guam, HIHawaii | $248.88 | $54.82 |
| IowaIowa | $205.62 | $49.45 |
| IdahoIdaho | $206.81 | $49.79 |
| East St. Louis, ILIllinois | $211.44 | $54.42 |
| Rest of IllinoisIllinois | $208.74 | $52.91 |
| Suburban Chicago, ILIllinois | $231.50 | $56.21 |
| IndianaIndiana | $208.20 | $49.98 |
| KansasKansas | $203.83 | $49.53 |
| KentuckyKentucky | $202.18 | $50.44 |
| New Orleans, LALouisiana | $212.84 | $52.24 |
| Rest of LouisianaLouisiana | $201.54 | $50.48 |
| Metropolitan Boston, MAMassachusetts | $261.94 | $58.15 |
| Rest of MassachusettsMassachusetts | $233.83 | $54.10 |
| Baltimore area, MDMaryland | $239.00 | $55.86 |
| Rest of MarylandMaryland | $226.13 | $53.41 |
| Rest of MaineMaine | $207.26 | $50.23 |
| Southern Maine, MEMaine | $220.95 | $51.80 |
| Detroit, MIMichigan | $219.11 | $54.41 |
| Rest of MichiganMichigan | $207.44 | $51.61 |
| MinnesotaMinnesota | $227.25 | $51.62 |
| Metropolitan Kansas City, MOMissouri | $211.98 | $51.71 |
| Metropolitan St. Louis, MOMissouri | $214.56 | $52.07 |
| Rest of MissouriMissouri | $197.16 | $50.03 |
| MississippiMississippi | $196.26 | $49.31 |
| MontanaMontana | $223.78 | $53.10 |
| North CarolinaNorth Carolina | $209.81 | $50.57 |
| North DakotaNorth Dakota | $222.00 | $51.32 |
| NebraskaNebraska | $207.10 | $49.57 |
| New HampshireNew Hampshire | $231.30 | $53.62 |
| Northern New JerseyNew Jersey | $256.56 | $58.57 |
| Rest of New JerseyNew Jersey | $242.91 | $56.53 |
| New MexicoNew Mexico | $208.42 | $51.91 |
| NevadaNevada | $223.48 | $52.63 |
| NYC suburbs and Long Island, NYNew York | $264.54 | $61.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $243.97 | $57.08 |
| Queens, NYNew York | $261.95 | $60.20 |
| Rest of New YorkNew York | $213.27 | $51.13 |
| OhioOhio | $207.07 | $51.24 |
| OklahomaOklahoma | $202.53 | $50.11 |
| Portland, OROregon | $244.83 | $55.20 |
| Rest of OregonOregon | $222.12 | $52.13 |
| Metropolitan Philadelphia, PAPennsylvania | $232.77 | $55.09 |
| Rest of PennsylvaniaPennsylvania | $207.84 | $51.16 |
| Puerto RicoPuerto Rico | $225.86 | $53.30 |
| Rhode IslandRhode Island | $230.35 | $54.04 |
| South CarolinaSouth Carolina | $208.71 | $51.01 |
| South DakotaSouth Dakota | $221.79 | $51.11 |
| TennesseeTennessee | $204.89 | $49.74 |
| Austin, TXTexas | $234.66 | $54.08 |
| Beaumont, TXTexas | $206.26 | $50.94 |
| Brazoria, TXTexas | $221.62 | $52.48 |
| Dallas, TXTexas | $222.85 | $52.85 |
| Fort Worth, TXTexas | $220.96 | $52.67 |
| Galveston, TXTexas | $222.15 | $52.67 |
| Houston, TXTexas | $223.80 | $54.31 |
| Rest of TexasTexas | $213.68 | $51.71 |
| UtahUtah | $211.94 | $51.50 |
| Virgin Islands, VIUnited States Virgin Islands | $225.86 | $53.30 |
| VermontVermont | $220.38 | $51.41 |
| Rest of WashingtonWashington | $233.63 | $53.91 |
| King County, WAWashington | $268.33 | $58.91 |
| WisconsinWisconsin | $213.63 | $50.12 |
| West VirginiaWest Virginia | $199.88 | $51.56 |
| WyomingWyoming | $223.00 | $52.33 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $249.14 | 1 |
| AL | $198.43 | 1 |
| AR | $195.20 | 1 |
| AZ | $217.39 | 1 |
| CA | $241.34–$310.55 | 29 |
| CO | $235.78 | 1 |
| CT | $239.80 | 1 |
| DC | $259.90 | 1 |
| DE | $221.32 | 1 |
| FL | $216.83–$236.27 | 3 |
| GA | $203.59–$227.55 | 2 |
| GU | $248.88 | 1 |
| HI | $248.88 | 1 |
| IA | $205.62 | 1 |
| ID | $206.81 | 1 |
| IL | $208.74–$231.50 | 4 |
| IN | $208.20 | 1 |
| KS | $203.83 | 1 |
| KY | $202.18 | 1 |
| LA | $201.54–$212.84 | 2 |
| MA | $233.83–$261.94 | 2 |
| MD | $226.13–$259.90 | 3 |
| ME | $207.26–$220.95 | 2 |
| MI | $207.44–$219.11 | 2 |
| MN | $227.25 | 1 |
| MO | $197.16–$214.56 | 3 |
| MS | $196.26 | 1 |
| MT | $223.78 | 1 |
| NC | $209.81 | 1 |
| ND | $222.00 | 1 |
| NE | $207.10 | 1 |
| NH | $231.30 | 1 |
| NJ | $242.91–$256.56 | 2 |
| NM | $208.42 | 1 |
| NV | $223.48 | 1 |
| NY | $213.27–$264.54 | 5 |
| OH | $207.07 | 1 |
| OK | $202.53 | 1 |
| OR | $222.12–$244.83 | 2 |
| PA | $207.84–$232.77 | 2 |
| PR | $225.86 | 1 |
| RI | $230.35 | 1 |
| SC | $208.71 | 1 |
| SD | $221.79 | 1 |
| TN | $204.89 | 1 |
| TX | $206.26–$234.66 | 8 |
| UT | $211.94 | 1 |
| VA | $219.63–$259.90 | 2 |
| VI | $225.86 | 1 |
| VT | $220.38 | 1 |
| WA | $233.63–$268.33 | 2 |
| WI | $213.63 | 1 |
| WV | $199.88 | 1 |
| WY | $223.00 | 1 |
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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.85 | × 1.000 | 0.8500 |
| Practice expense | 5.76 | × 0.983 | 5.6621 |
| Malpractice | 0.09 | × 0.706 | 0.0635 |
| Total RVUs | 6.5756 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$219.63
Office: (0.85 × 1 + 5.76 × 0.983 + 0.09 × 0.706) × $33.4009 = $219.63
Facility: (0.85 × 1 + 0.65 × 0.983 + 0.09 × 0.706) × $33.4009 = $51.85
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
| 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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
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%).
How 44380 has changed in Virginia
44380 · Office / nonfacility
$219.63
Effective 2026-10-01
The base rate is $32.86 higher than on 2025-10-01, moving from $186.77 to $219.63 (17.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$186.77changed to$219.63
- 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 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$193.26changed to$186.77
- 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.
March 9, 2024
RVU24AR
$190.11changed to$193.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$197.28changed to$190.11
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.91 changed to 4.93
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$205.72changed to$197.28
- 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 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$205.34changed to$205.72
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.95 changed to 5.01
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$185.97changed to$205.34
- 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 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$176.74changed to$185.97
- 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 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$170.51changed to$176.74
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.82 changed to 3.99
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$168.62changed to$170.51
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.79 changed to 3.82
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$220.17changed to$168.62
- 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 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$220.17
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $219.63 | $51.85 | RVU26D |
| 2026-07-01 | $219.63 | $51.85 | RVU26C |
| 2026-04-01 | $219.63 | $51.85 | RVU26B |
| 2026-01-01 | $219.63 | $51.85 | RVU26A |
| 2025-10-01 | $186.77 | $54.68 | RVU25D |
| 2025-07-01 | $186.77 | $54.68 | RVU25C |
| 2025-04-01 | $186.77 | $54.68 | RVU25B |
| 2025-01-01 | $186.77 | $54.68 | RVU25A |
| 2024-10-01 | $193.26 | $55.69 | RVU24D |
| 2024-07-01 | $193.26 | $55.69 | RVU24C |
| 2024-04-01 | $193.26 | $55.69 | RVU24B |
| 2024-03-09 | $193.26 | $55.69 | RVU24AR |
| 2024-01-01 | $190.11 | $54.78 | RVU24A |
| 2023-10-01 | $197.28 | $56.04 | RVU23D |
| 2023-07-01 | $197.28 | $56.04 | RVU23C |
| 2023-04-01 | $197.28 | $56.04 | RVU23B |
| 2023-01-01 | $197.28 | $56.04 | RVU23A |
| 2022-10-01 | $205.72 | $56.63 | RVU22D |
| 2022-07-01 | $205.72 | $56.63 | RVU22C |
| 2022-04-01 | $205.72 | $56.63 | RVU22B |
| 2022-01-01 | $205.72 | $56.63 | RVU22A |
| 2021-10-01 | $205.34 | $56.75 | RVU21D |
| 2021-07-01 | $205.34 | $56.75 | RVU21C |
| 2021-04-01 | $205.34 | $56.75 | RVU21B |
| 2021-01-01 | $205.34 | $56.75 | RVU21A |
| 2020-10-01 | $185.97 | $57.58 | RVU20D |
| 2020-07-01 | $185.97 | $57.58 | RVU20C |
| 2020-04-01 | $185.97 | $57.58 | RVU20B |
| 2020-01-01 | $185.97 | $57.58 | RVU20A |
| 2019-10-01 | $176.74 | $58.41 | RVU19D |
| 2019-07-01 | $176.74 | $58.41 | RVU19C |
| 2019-04-01 | $176.74 | $58.41 | RVU19B |
| 2019-01-01 | $176.74 | $58.41 | RVU19A |
| 2018-10-01 | $170.51 | $59.05 | RVU18D |
| 2018-07-01 | $170.51 | $59.05 | RVU18C |
| 2018-04-01 | $170.51 | $59.05 | RVU18B |
| 2018-01-01 | $170.51 | $59.05 | RVU18AR1 |
| 2017-10-01 | $168.62 | $58.33 | RVU17D |
| 2017-07-01 | $168.62 | $58.33 | RVU17C |
| 2017-04-01 | $168.62 | $58.33 | RVU17B |
| 2017-01-01 | $168.62 | $58.33 | RVU17A |
| 2016-10-01 | $220.17 | $63.55 | RVU16D |
| 2016-07-01 | $220.17 | $63.55 | RVU16C |
| 2016-04-01 | $220.17 | $63.55 | RVU16B |
| 2016-01-01 | $220.17 | $63.55 | RVU16A |
| 2015-10-01 | Not available in this setting | $69.02 | RVU15D |
| 2015-07-01 | Not available in this setting | $69.02 | RVU15C |
| 2015-04-01 | Not available in this setting | $68.67 | RVU15B |
| 2015-01-01 | Not available in this setting | $68.67 | RVU15A |
| 2014-10-01 | Not available in this setting | $67.92 | RVU14D |
| 2014-07-01 | Not available in this setting | $67.92 | RVU14C |
| 2014-04-01 | Not available in this setting | $67.92 | RVU14B |
| 2014-01-01 | Not available in this setting | $67.92 | RVU14A |
| 2013-10-01 | Not available in this setting | $67.13 | RVU13D |
| 2013-07-01 | Not available in this setting | $67.13 | RVU13C |
| 2013-04-01 | Not available in this setting | $67.13 | RVU13B |
| 2013-01-01 | Not available in this setting | $67.13 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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