CPT code 44386: Pouch endoscopy, with biopsy2026 Medicare rate & RVUs in Tennessee

In Tennessee, Medicare pays $318.26 for 44386 in the office and $75.98 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 44386 nationwide

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

What 44386 covers

A gastroenterologist or colorectal surgeon uses an endoscope to examine a surgically created small-intestinal pouch, such as an ileal pouch or continent ileostomy reservoir, and takes tissue samples. The examination may assess symptoms or findings such as pouch inflammation, bleeding, or suspected Crohn disease. The route depends on the pouch anatomy: an ileal pouch may be reached through the anus, while a continent reservoir may be entered through its stoma.

Report this code when the pouch examination includes one or more biopsies; the number of samples does not create additional units. Document the pouch examined, the endoscopic findings, and biopsy sites or specimens. The procedure has a 0-day global period, so same-day preoperative and postoperative care are included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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 Tennessee compares for 44386

Across 109 of 109 payment localities, the office rate for 44386 runs from $303.48 in Arkansas to $479.75 in San Benito County, CA. Tennessee pays $318.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44386 rates by state

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

See 44386 in every payment locality

How the 44386 rate is calculated

Each of 44386’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.

Payment rules and modifiers for 44386

The CMS indicators that decide how 44386 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 44386

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

How 44386 has changed in Tennessee

Price 44386 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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

Open CMS sourceHow we calculate rates