CPT code 44381: Ileoscopy, through stoma, with biopsy2026 Medicare rate & RVUs in North Dakota

Reports ileal examination through an existing stoma when the endoscopist obtains one or more tissue samples for diagnostic evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality136 Medicare services in 2024

In North Dakota, Medicare pays $1,064.12 for 44381 in the office and $74.12 when it’s performed in a hospital or facility.

$1,064.12Office (non-facility)
$74.12Hospital or facility
−0.3%vs the national office rate ($1,067.49)

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.

We’ll open 44381 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 44381 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 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 North Dakota 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. North Dakota pays $1,064.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

44381 in North Dakota vs other payment areas
  1. North Dakota · this page$1,064.12
  2. Los Angeles, CA · California$1,253.49+$189.37
  3. Washington, DC area · District of Columbia$1,251.55+$187.43
  4. Miami, FL · Florida$1,117.86+$53.74
  5. Chicago, IL · Illinois$1,080.25+$16.13
  6. Manhattan, NY · New York$1,238.42+$174.30
  7. Alaska · Alaska$1,153.58+$89.46

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

Every other payment area

44381 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
44381 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,153.581
AL$937.941
AR$921.381
AZ$1,035.161
CA$1,163.23–$1,519.2129
CO$1,131.861
CT$1,147.871
DC$1,251.551
DE$1,054.941
FL$1,025.61–$1,117.863
GA$958.78–$1,085.042
GU$1,204.391
HI$1,204.391
IA$977.651
ID$983.161
IL$982.23–$1,099.644
IN$990.351
KS$967.071
KY$954.151
LA$950.33–$1,008.282
MA$1,120.95–$1,265.962
MD$1,079.68–$1,251.553
ME$984.01–$1,056.252
MI$979.77–$1,035.802
MN$1,092.981
MO$927.04–$1,018.703
MS$924.691
MT$1,067.481
NC$997.321
ND$1,064.121
NE$985.671
NH$1,108.471
NJ$1,163.39–$1,233.402
NM$984.251
NV$1,067.561
NY$1,014.97–$1,267.415
OH$979.081
OK$957.441
OR$1,061.74–$1,179.622
PA$983.81–$1,111.092
PR$1,078.591
RI$1,101.291
SC$989.371
SD$1,063.721
TN$972.341
TX$975.58–$1,125.918
UT$1,005.911
VA$1,048.54–$1,251.552
VI$1,078.591
VT$1,054.521
WA$1,120.61–$1,299.502
WI$1,020.861
WV$936.751
WY$1,066.021

See 44381 in every payment locality

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

Office or facility?

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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 44381 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.35× 1.0001.3500
Practice expense30.44× 1.00030.4400
Malpractice0.17× 0.4060.0690
Total RVUs31.8590
Conversion factor× 33.4009

Office rate, North Dakota$1064.12

Office: (1.35 × 1 + 30.44 × 1 + 0.17 × 0.406) × $33.4009 = $1064.12

Facility: (1.35 × 1 + 0.8 × 1 + 0.17 × 0.406) × $33.4009 = $74.12

Open 44381 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
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

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%).

When to use modifier 51

How 44381 has changed in North Dakota

44381 · Office / nonfacility

$1064.12

Effective 2026-10-01

The base rate is $173.04 higher than on 2025-10-01, moving from $891.08 to $1064.12 (19.4%).

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

    $891.08changed to$1064.12

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $966.77changed to$891.08

    • 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.

  3. March 9, 2024

    RVU24AR

    $950.99changed to$966.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1007.13changed to$950.99

    • 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
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $1049.52changed to$1007.13

    • 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
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1078.66changed to$1049.52

    • 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.

  7. January 1, 2021

    RVU21A

    $1003.20changed to$1078.66

    • 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
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $972.79changed to$1003.20

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $944.53changed to$972.79

    • 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.

  10. January 1, 2018

    RVU18AR1

    $949.04changed to$944.53

    • 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
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1012.10changed to$949.04

    • 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
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$1012.10

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2015

    RVU15A

    No ratechanged toNo rate

    Held through RVU15B, RVU15C, RVU15D.

  14. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,064.12$74.12RVU26D
2026-07-01$1,064.12$74.12RVU26C
2026-04-01$1,064.12$74.12RVU26B
2026-01-01$1,064.12$74.12RVU26A
2025-10-01$891.08$78.53RVU25D
2025-07-01$891.08$78.53RVU25C
2025-04-01$891.08$78.53RVU25B
2025-01-01$891.08$78.53RVU25A
2024-10-01$966.77$80.99RVU24D
2024-07-01$966.77$80.99RVU24C
2024-04-01$966.77$80.99RVU24B
2024-03-09$966.77$80.99RVU24AR
2024-01-01$950.99$79.67RVU24A
2023-10-01$1,007.13$81.33RVU23D
2023-07-01$1,007.13$81.33RVU23C
2023-04-01$1,007.13$81.33RVU23B
2023-01-01$1,007.13$81.33RVU23A
2022-10-01$1,049.52$81.59RVU22D
2022-07-01$1,049.52$81.59RVU22C
2022-04-01$1,049.52$81.59RVU22B
2022-01-01$1,049.52$81.59RVU22A
2021-10-01$1,078.66$81.42RVU21D
2021-07-01$1,078.66$81.42RVU21C
2021-04-01$1,078.66$81.42RVU21B
2021-01-01$1,078.66$81.42RVU21A
2020-10-01$1,003.20$83.64RVU20D
2020-07-01$1,003.20$83.64RVU20C
2020-04-01$1,003.20$83.64RVU20B
2020-01-01$1,003.20$83.64RVU20A
2019-10-01$972.79$84.79RVU19D
2019-07-01$972.79$84.79RVU19C
2019-04-01$972.79$84.79RVU19B
2019-01-01$972.79$84.79RVU19A
2018-10-01$944.53$85.58RVU18D
2018-07-01$944.53$85.58RVU18C
2018-04-01$944.53$85.58RVU18B
2018-01-01$944.53$85.58RVU18AR1
2017-10-01$949.04$86.27RVU17D
2017-07-01$949.04$86.27RVU17C
2017-04-01$949.04$86.27RVU17B
2017-01-01$949.04$86.27RVU17A
2016-10-01$1,012.10$90.85RVU16D
2016-07-01$1,012.10$90.85RVU16C
2016-04-01$1,012.10$90.85RVU16B
2016-01-01$1,012.10$90.85RVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 44381 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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
RVUs for 44381PPRRVU2026_Oct_nonQPP.csv, line 5,404 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 44381 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 44381 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist