FeeBase
Log inGet started
Menu

CPT code 44384: Ileoscopy, through stoma, with dilation2026 Medicare rate & RVUs

Reports endoscopic dilation of a narrowed small-bowel passage reached through a stoma, such as an ileostomy, during an ileoscopy.

CMS RVU26DEffective Oct 1, 2026109 payment localities107 Medicare services in 2024

Medicare pays $134.94 for 44384 nationally in a facility.

Medicare rate · 44384

Ileoscopy, through stoma, with dilation

Office or facility?

Work RVUs
2.78
Total RVUs
4.04
Global days
000

National rate · 2026

$134.94

Facility setting, before claim adjustments.

See every locality for 44384 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 44384 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 44384 covers

A gastroenterologist or surgeon passes an endoscope through an ileostomy or another small-bowel stoma to reach and dilate a narrowed passage. The treatment may use a balloon, guide wire, or bougie to open a stenosis that can be accessed through the stoma. The service is generally performed in a facility endoscopy setting.

Report this code when the ileoscopy includes dilation, rather than for inspection alone, biopsy, foreign-body removal, or bleeding control. The procedure note should identify the route through the stoma, the narrowed site, and the dilation performed. 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. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service, and 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.

Where 44384 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

44384 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$125.96
AlaskaUnavailable$177.92
ArizonaUnavailable$132.28
ArkansasUnavailable$124.87
Atlanta, GAUnavailable$138.12
Austin, TXUnavailable$135.50
Bakersfield, CAUnavailable$134.89
Baltimore area, MDUnavailable$141.47
Beaumont, TXUnavailable$131.38
Brazoria, TXUnavailable$132.77

44384 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
44384 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 44384 rate is calculated

Each of 44384’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 · 44384

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.78

2.78 RVUs× 1.000 GPCI

Practice expense0.90

0.90 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

4.0400

Conversion factor

$33.4009

Medicare rate

$134.94

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

Payment rules and modifiers for 44384

The CMS indicators that decide how 44384 is paid alongside other services.

CMS payment indicators · 44384

Ileoscopy, through stoma, with dilation

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

44384 without 51 · national facility

$134.94

Ileoscopy, through stoma, with dilation

44384-51 · Second procedure: 50%

$67.47

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

44384 compared with similar codes

Compare codes · National

44384 vs 44380 vs 44381: Medicare rates

Office or facility?

  • 44384

    Ileoscopy, through stoma, with dilation2.78 wRVU

    Not priced

  • 44380

    Ileoscopy, through a stoma, diagnostic0.85 wRVU

    $223.79

  • 44381

    Ileoscopy, through stoma, with biopsy1.35 wRVU

    $1,067.49

How to choose

44380IleoscopyThrough a stoma, diagnostic
Choose 44380 for diagnostic ileoscopy through a stoma without dilation. Choose 44384 when the endoscopic service includes dilation of a narrowing.
44381IleoscopyThrough stoma, with biopsy
44381 represents biopsy during ileoscopy through a stoma; 44384 represents dilation. Select based on the therapeutic work documented.

Codes related to 44384

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 44384
CodeHow it relatesNational office range
Same family
44380Ileoscopy, through a stoma, diagnosticDiagnostic ileoscopy through a stoma without a separately identified therapeutic service.$195.20–$310.55
44381Ileoscopy, through stoma, with biopsyIleoscopy through a stoma with biopsy rather than dilation.$921.38–$1,519.21
44382Ileoscopy, through stoma, with biopsyIleoscopy through a stoma with foreign-body removal.$291.36–$466.03

44384 billing questions

When should this code be chosen over diagnostic ileoscopy?

Use this code when the ileoscopy includes dilation of a narrowed passage. Inspection through the stoma without dilation is reported with the diagnostic ileoscopy code.

How does this differ from ileoscopy with biopsy?

This code represents dilation, while the biopsy code represents tissue sampling. The procedure note should support the service actually performed.

Does same-day care have a separate global-period payment?

No. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care.

Should modifier 50 be appended for bilateral dilation?

No. Modifier 50 is inappropriate for this service because the descriptor or anatomy makes a bilateral adjustment inappropriate.

Can an assistant surgeon or co-surgeon be billed?

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 44384PPRRVU2026_Oct_nonQPP.csv, line 5,406 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 44384 pays?

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

Fee sheets

Put 44384 and the rest of your codes on one sheet

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

Build my fee sheet