CPT code 44384: Ileoscopy, through stoma, with dilation2026 Medicare rate & RVUs in Texas
Reports endoscopic dilation of a narrowed small-bowel passage reached through a stoma, such as an ileostomy, during an ileoscopy.
CMS doesn’t publish an office rate for 44384 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $135.50 |
| Beaumont, TX | Unavailable | $131.38 |
| Brazoria, TX | Unavailable | $132.77 |
| Dallas, TX | Unavailable | $133.95 |
| Fort Worth, TX | Unavailable | $133.80 |
| Galveston, TX | Unavailable | $133.40 |
| Houston, TX | Unavailable | $139.99 |
| Rest of Texas | Unavailable | $132.24 |
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
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
| 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
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%).
44384 compared with similar codes
Compare codes · National
44384 vs 44380 vs 44381: Medicare rates
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.
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
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