CPT code 44381: Ileoscopy, through stoma, with biopsy2026 Medicare rate & RVUs in Delaware
Reports ileal examination through an existing stoma when the endoscopist obtains one or more tissue samples for diagnostic evaluation.
In Delaware, Medicare pays $1,054.94 for 44381 in the office and $76.82 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 44381 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 44381 covers
A flexible endoscope is passed through an existing ileostomy or other small-bowel stoma to examine the ileum and obtain one or more mucosal biopsies. Gastroenterologists and surgeons commonly perform this procedure in a hospital outpatient department or ambulatory surgery center. Biopsies may support evaluation of suspected inflammation, unexplained symptoms, or a known small-bowel condition; the report should identify the route, examined anatomy, and biopsy performed.
Choose this code when the examination is through a stoma and tissue is sampled, rather than reporting the diagnostic stoma ileoscopy code alone. Document the indication, findings, and biopsy site or sites. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Do not use modifier 50; CMS identifies bilateral adjustment as inappropriate for this anatomy and service. CMS payment is restricted for an assistant at surgery, and co-surgeon and team-surgery payment is 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 Delaware compares for 44381
Across 109 of 109 payment localities, the office rate for 44381 runs from $921.38 in Arkansas to $1,519.21 in San Benito County, CA. Delaware pays $1,054.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,054.94
- Los Angeles, CA · California$1,253.49+$198.55
- Washington, DC area · District of Columbia$1,251.55+$196.61
- Miami, FL · Florida$1,117.86+$62.92
- Chicago, IL · Illinois$1,080.25+$25.31
- Manhattan, NY · New York$1,238.42+$183.48
- Alaska · Alaska$1,153.58+$98.64
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $937.94 | $71.69 |
| ArkansasArkansas | $921.38 | $70.97 |
| ArizonaArizona | $1,035.16 | $75.84 |
| Bakersfield, CACalifornia | $1,163.73 | $78.69 |
| Chico, CACalifornia | $1,163.23 | $78.19 |
| El Centro, CACalifornia | $1,163.26 | $78.22 |
| Fresno, CACalifornia | $1,163.23 | $78.19 |
| Hanford, CACalifornia | $1,163.23 | $78.19 |
| Madera, CACalifornia | $1,163.23 | $78.19 |
| Merced, CACalifornia | $1,163.23 | $78.19 |
| Modesto, CACalifornia | $1,163.23 | $78.19 |
| Napa, CACalifornia | $1,390.86 | $86.03 |
| Oxnard, CACalifornia | $1,251.66 | $81.48 |
| Redding, CACalifornia | $1,163.23 | $78.19 |
| Rest of CaliforniaCalifornia | $1,163.23 | $78.19 |
| Riverside, CACalifornia | $1,165.08 | $80.03 |
| Sacramento, CACalifornia | $1,232.21 | $80.83 |
| Salinas, CACalifornia | $1,227.91 | $80.50 |
| San Diego, CACalifornia | $1,265.52 | $81.48 |
| Marin County, CACalifornia | $1,485.56 | $89.66 |
| San Francisco, CACalifornia | $1,485.37 | $89.46 |
| San Benito County, CACalifornia | $1,519.21 | $91.63 |
| Santa Clara County, CACalifornia | $1,518.42 | $90.84 |
| San Luis Obispo, CACalifornia | $1,206.95 | $79.34 |
| Santa Cruz, CACalifornia | $1,284.40 | $81.55 |
| Santa Maria, CACalifornia | $1,234.90 | $80.55 |
| Santa Rosa, CACalifornia | $1,298.02 | $82.30 |
| Stockton, CACalifornia | $1,163.23 | $78.19 |
| Vallejo, CACalifornia | $1,390.58 | $85.76 |
| Visalia, CACalifornia | $1,163.23 | $78.19 |
| Yuba City, CACalifornia | $1,163.23 | $78.19 |
| ColoradoColorado | $1,131.86 | $78.50 |
| ConnecticutConnecticut | $1,147.87 | $81.64 |
| Fort Lauderdale, FLFlorida | $1,085.30 | $82.43 |
| Rest of FloridaFlorida | $1,025.61 | $79.17 |
| Atlanta, GAGeorgia | $1,085.04 | $79.19 |
| Rest of GeorgiaGeorgia | $958.78 | $75.69 |
| Hawaii, Guam, HIHawaii | $1,204.39 | $78.76 |
| IowaIowa | $977.65 | $71.79 |
| IdahoIdaho | $983.16 | $72.36 |
| East St. Louis, ILIllinois | $991.91 | $81.11 |
| Rest of IllinoisIllinois | $982.23 | $78.36 |
| Suburban Chicago, ILIllinois | $1,099.64 | $82.91 |
| IndianaIndiana | $990.35 | $72.62 |
| KansasKansas | $967.07 | $72.11 |
| KentuckyKentucky | $954.15 | $74.04 |
| New Orleans, LALouisiana | $1,008.28 | $76.69 |
| Rest of LouisianaLouisiana | $950.33 | $74.18 |
| Metropolitan Boston, MAMassachusetts | $1,265.96 | $83.90 |
| Rest of MassachusettsMassachusetts | $1,120.95 | $78.48 |
| Baltimore area, MDMaryland | $1,143.78 | $81.51 |
| Rest of MarylandMaryland | $1,079.68 | $77.80 |
| Rest of MaineMaine | $984.01 | $73.21 |
| Southern Maine, MEMaine | $1,056.25 | $75.15 |
| Detroit, MIMichigan | $1,035.80 | $80.45 |
| Rest of MichiganMichigan | $979.77 | $75.90 |
| MinnesotaMinnesota | $1,092.98 | $74.27 |
| Metropolitan Kansas City, MOMissouri | $1,005.34 | $75.73 |
| Metropolitan St. Louis, MOMissouri | $1,018.70 | $76.22 |
| Rest of MissouriMissouri | $927.04 | $73.65 |
| MississippiMississippi | $924.69 | $72.29 |
| MontanaMontana | $1,067.48 | $77.48 |
| North CarolinaNorth Carolina | $997.32 | $73.65 |
| North DakotaNorth Dakota | $1,064.12 | $74.12 |
| NebraskaNebraska | $985.67 | $71.90 |
| New HampshireNew Hampshire | $1,108.47 | $77.88 |
| Northern New JerseyNew Jersey | $1,233.40 | $84.99 |
| Rest of New JerseyNew Jersey | $1,163.39 | $82.30 |
| New MexicoNew Mexico | $984.25 | $76.41 |
| NevadaNevada | $1,067.56 | $76.57 |
| NYC suburbs and Long Island, NYNew York | $1,267.41 | $90.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,167.30 | $83.25 |
| Queens, NYNew York | $1,257.93 | $87.75 |
| Rest of New YorkNew York | $1,014.97 | $74.47 |
| OhioOhio | $979.08 | $75.21 |
| OklahomaOklahoma | $957.44 | $73.36 |
| Portland, OROregon | $1,179.62 | $79.72 |
| Rest of OregonOregon | $1,061.74 | $75.70 |
| Metropolitan Philadelphia, PAPennsylvania | $1,111.09 | $80.49 |
| Rest of PennsylvaniaPennsylvania | $983.81 | $74.99 |
| Puerto RicoPuerto Rico | $1,078.59 | $77.70 |
| Rhode IslandRhode Island | $1,101.29 | $78.62 |
| South CarolinaSouth Carolina | $989.37 | $74.61 |
| South DakotaSouth Dakota | $1,063.72 | $73.72 |
| TennesseeTennessee | $972.34 | $72.43 |
| Austin, TXTexas | $1,125.91 | $78.48 |
| Beaumont, TXTexas | $975.58 | $74.68 |
| Brazoria, TXTexas | $1,057.45 | $76.36 |
| Dallas, TXTexas | $1,063.03 | $76.98 |
| Fort Worth, TXTexas | $1,052.93 | $76.79 |
| Galveston, TXTexas | $1,059.76 | $76.69 |
| Houston, TXTexas | $1,062.87 | $79.80 |
| Rest of TexasTexas | $1,015.09 | $75.58 |
| UtahUtah | $1,005.91 | $75.31 |
| VirginiaVirginia | $1,048.54 | $75.37 |
| Virgin Islands, VIUnited States Virgin Islands | $1,078.59 | $77.70 |
| VermontVermont | $1,054.52 | $74.42 |
| Rest of WashingtonWashington | $1,120.61 | $78.14 |
| King County, WAWashington | $1,299.50 | $84.77 |
| WisconsinWisconsin | $1,020.86 | $72.44 |
| West VirginiaWest Virginia | $936.75 | $76.44 |
| WyomingWyoming | $1,066.02 | $76.01 |
44381 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.
$921.38
$1,341.22
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 | $1,153.58 | 1 |
| AL | $937.94 | 1 |
| AR | $921.38 | 1 |
| AZ | $1,035.16 | 1 |
| CA | $1,163.23–$1,519.21 | 29 |
| CO | $1,131.86 | 1 |
| CT | $1,147.87 | 1 |
| DC | $1,251.55 | 1 |
| DE | $1,054.94 | 1 |
| FL | $1,025.61–$1,117.86 | 3 |
| GA | $958.78–$1,085.04 | 2 |
| GU | $1,204.39 | 1 |
| HI | $1,204.39 | 1 |
| IA | $977.65 | 1 |
| ID | $983.16 | 1 |
| IL | $982.23–$1,099.64 | 4 |
| IN | $990.35 | 1 |
| KS | $967.07 | 1 |
| KY | $954.15 | 1 |
| LA | $950.33–$1,008.28 | 2 |
| MA | $1,120.95–$1,265.96 | 2 |
| MD | $1,079.68–$1,251.55 | 3 |
| ME | $984.01–$1,056.25 | 2 |
| MI | $979.77–$1,035.80 | 2 |
| MN | $1,092.98 | 1 |
| MO | $927.04–$1,018.70 | 3 |
| MS | $924.69 | 1 |
| MT | $1,067.48 | 1 |
| NC | $997.32 | 1 |
| ND | $1,064.12 | 1 |
| NE | $985.67 | 1 |
| NH | $1,108.47 | 1 |
| NJ | $1,163.39–$1,233.40 | 2 |
| NM | $984.25 | 1 |
| NV | $1,067.56 | 1 |
| NY | $1,014.97–$1,267.41 | 5 |
| OH | $979.08 | 1 |
| OK | $957.44 | 1 |
| OR | $1,061.74–$1,179.62 | 2 |
| PA | $983.81–$1,111.09 | 2 |
| PR | $1,078.59 | 1 |
| RI | $1,101.29 | 1 |
| SC | $989.37 | 1 |
| SD | $1,063.72 | 1 |
| TN | $972.34 | 1 |
| TX | $975.58–$1,125.91 | 8 |
| UT | $1,005.91 | 1 |
| VA | $1,048.54–$1,251.55 | 2 |
| VI | $1,078.59 | 1 |
| VT | $1,054.52 | 1 |
| WA | $1,120.61–$1,299.50 | 2 |
| WI | $1,020.86 | 1 |
| WV | $936.75 | 1 |
| WY | $1,066.02 | 1 |
How the 44381 rate is calculated
Each of 44381’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 · 44381
RVUs × geographic indexes × conversion factor
Work1.35
1.35 RVUs× 1.000 GPCI
Practice expense30.44
30.44 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
31.9600
Conversion factor
$33.4009
Medicare rate
$1,067.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,404
- Code
- 44381
- Physician work
- 1.35
- Practice expense
- 30.44
- Malpractice
- 0.17
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.35 | × 1.005 | 1.3567 |
| Practice expense | 30.44 | × 0.988 | 30.0747 |
| Malpractice | 0.17 | × 0.899 | 0.1528 |
| Total RVUs | 31.5843 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Delaware$1054.94
Office: (1.35 × 1.005 + 30.44 × 0.988 + 0.17 × 0.899) × $33.4009 = $1054.94
Facility: (1.35 × 1.005 + 0.8 × 0.988 + 0.17 × 0.899) × $33.4009 = $76.82
Payment rules and modifiers for 44381
The CMS indicators that decide how 44381 is paid alongside other services.
CMS payment indicators · 44381
Ileoscopy, through stoma, with biopsy
| 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) | 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
44381 without 51 · national office
$1,067.49
Ileoscopy, through stoma, with biopsy
44381-51 · Second procedure: 50%
$533.75
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 44381 has changed in Delaware
44381 · Office / nonfacility
$1054.94
Effective 2026-10-01
The base rate is $167.83 higher than on 2025-10-01, moving from $887.11 to $1054.94 (18.9%).
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
$887.11changed to$1054.94
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.38 changed to 1.35
- Practice expense RVU 26.08 changed to 30.44
- Work GPCI 1.009 changed to 1.005
- Practice expense GPCI 0.992 changed to 0.988
- Malpractice GPCI 0.949 changed to 0.899
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$962.43changed to$887.11
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 27.57 changed to 26.08
- Malpractice RVU 0.18 changed to 0.17
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$946.72changed to$962.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1017.15changed to$946.72
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 28.25 changed to 27.57
- Malpractice RVU 0.19 changed to 0.18
- Work GPCI 1.007 changed to 1.009
- Practice expense GPCI 1.007 changed to 0.992
- Malpractice GPCI 0.938 changed to 0.949
January 1, 2023
RVU23A
$1074.83changed to$1017.15
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 28.87 changed to 28.25
- Malpractice RVU 0.18 changed to 0.19
- Work GPCI 1.005 changed to 1.007
- Practice expense GPCI 1.022 changed to 1.007
- Malpractice GPCI 0.927 changed to 0.938
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1104.46changed to$1074.83
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 29.46 changed to 28.87
- Malpractice RVU 0.17 changed to 0.18
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1026.57changed to$1104.46
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 26.34 changed to 29.46
- Malpractice RVU 0.16 changed to 0.17
- Work GPCI 1.006 changed to 1.005
- Practice expense GPCI 1.021 changed to 1.022
- Malpractice GPCI 1.023 changed to 0.927
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$994.57changed to$1026.57
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 25.51 changed to 26.34
- Malpractice RVU 0.19 changed to 0.16
- Work GPCI 1.007 changed to 1.006
- Practice expense GPCI 1.019 changed to 1.021
- Malpractice GPCI 1.119 changed to 1.023
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$965.56changed to$994.57
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 24.76 changed to 25.51
- Malpractice RVU 0.18 changed to 0.19
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$975.71changed to$965.56
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 24.96 changed to 24.76
- Malpractice RVU 0.19 changed to 0.18
- Work GPCI 1.010 changed to 1.007
- Practice expense GPCI 1.025 changed to 1.019
- Malpractice GPCI 1.101 changed to 1.119
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1046.68changed to$975.71
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 1.48 changed to 1.38
- Practice expense RVU 26.66 changed to 24.96
- Malpractice RVU 0.23 changed to 0.19
- Work GPCI 1.012 changed to 1.010
- Practice expense GPCI 1.031 changed to 1.025
- Malpractice GPCI 1.083 changed to 1.101
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$1046.68
Held through RVU16B, RVU16C, RVU16D.
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,054.94 | $76.82 | RVU26D |
| 2026-07-01 | $1,054.94 | $76.82 | RVU26C |
| 2026-04-01 | $1,054.94 | $76.82 | RVU26B |
| 2026-01-01 | $1,054.94 | $76.82 | RVU26A |
| 2025-10-01 | $887.11 | $81.06 | RVU25D |
| 2025-07-01 | $887.11 | $81.06 | RVU25C |
| 2025-04-01 | $887.11 | $81.06 | RVU25B |
| 2025-01-01 | $887.11 | $81.06 | RVU25A |
| 2024-10-01 | $962.43 | $83.74 | RVU24D |
| 2024-07-01 | $962.43 | $83.74 | RVU24C |
| 2024-04-01 | $962.43 | $83.74 | RVU24B |
| 2024-03-09 | $962.43 | $83.74 | RVU24AR |
| 2024-01-01 | $946.72 | $82.37 | RVU24A |
| 2023-10-01 | $1,017.15 | $84.87 | RVU23D |
| 2023-07-01 | $1,017.15 | $84.87 | RVU23C |
| 2023-04-01 | $1,017.15 | $84.87 | RVU23B |
| 2023-01-01 | $1,017.15 | $84.87 | RVU23A |
| 2022-10-01 | $1,074.83 | $85.60 | RVU22D |
| 2022-07-01 | $1,074.83 | $85.60 | RVU22C |
| 2022-04-01 | $1,074.83 | $85.60 | RVU22B |
| 2022-01-01 | $1,074.83 | $85.60 | RVU22A |
| 2021-10-01 | $1,104.46 | $85.27 | RVU21D |
| 2021-07-01 | $1,104.46 | $85.27 | RVU21C |
| 2021-04-01 | $1,104.46 | $85.27 | RVU21B |
| 2021-01-01 | $1,104.46 | $85.27 | RVU21A |
| 2020-10-01 | $1,026.57 | $87.70 | RVU20D |
| 2020-07-01 | $1,026.57 | $87.70 | RVU20C |
| 2020-04-01 | $1,026.57 | $87.70 | RVU20B |
| 2020-01-01 | $1,026.57 | $87.70 | RVU20A |
| 2019-10-01 | $994.57 | $89.69 | RVU19D |
| 2019-07-01 | $994.57 | $89.69 | RVU19C |
| 2019-04-01 | $994.57 | $89.69 | RVU19B |
| 2019-01-01 | $994.57 | $89.69 | RVU19A |
| 2018-10-01 | $965.56 | $90.29 | RVU18D |
| 2018-07-01 | $965.56 | $90.29 | RVU18C |
| 2018-04-01 | $965.56 | $90.29 | RVU18B |
| 2018-01-01 | $965.56 | $90.29 | RVU18AR1 |
| 2017-10-01 | $975.71 | $91.37 | RVU17D |
| 2017-07-01 | $975.71 | $91.37 | RVU17C |
| 2017-04-01 | $975.71 | $91.37 | RVU17B |
| 2017-01-01 | $975.71 | $91.37 | RVU17A |
| 2016-10-01 | $1,046.68 | $96.87 | RVU16D |
| 2016-07-01 | $1,046.68 | $96.87 | RVU16C |
| 2016-04-01 | $1,046.68 | $96.87 | RVU16B |
| 2016-01-01 | $1,046.68 | $96.87 | RVU16A |
| 2015-10-01 | Separate payment rules apply | Separate payment rules apply | RVU15D |
| 2015-07-01 | Separate payment rules apply | Separate payment rules apply | RVU15C |
| 2015-04-01 | Separate payment rules apply | Separate payment rules apply | RVU15B |
| 2015-01-01 | Separate payment rules apply | Separate payment rules apply | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
44381 billing questions
How does this differ from 44380?
44381 is for ileoscopy through a stoma when one or more biopsies are obtained. Use 44380 for the diagnostic stoma examination without biopsy.
Can the biopsy be billed separately?
The biopsy is part of the service represented by 44381; do not report a separate biopsy procedure for the sampling included in this endoscopy.
Is modifier 50 appropriate for an examination of both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
What happens when another related endoscopy is performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Document each procedure and its distinct work.
What documentation supports reporting 44381?
Document that the endoscope passed through a stoma, the ileal examination and findings, and that tissue was obtained, including the biopsy site or sites when known.
Can an assistant surgeon or co-surgeon be paid for this service?
CMS restricts payment for an assistant at surgery and does not permit co-surgeon or team-surgery payment 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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