CPT code 44390: Stomal colonoscopy, foreign body removal2026 Medicare rate & RVUs in Tennessee
Reports colonoscopy performed through a stoma to retrieve a foreign object from the colon using an endoscopic instrument.
In Tennessee, Medicare pays $414.36 for 44390 in the office and $174.81 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 44390 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 44390 covers
A gastroenterologist or colorectal surgeon uses a colonoscope passed through a colostomy stoma to locate and retrieve a foreign object in the colon. The service is typically performed in an endoscopy suite or hospital procedure setting when the object can be reached and removed endoscopically. The operative report should identify the route through the stoma, the foreign object, its location, and the retrieval performed.
Choose this code for endoscopic foreign-body removal through a stoma, rather than a diagnostic examination alone or treatment directed at a polyp, bleeding site, or tissue sample. 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 for an assistant at surgery; 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.
How Tennessee compares for 44390
Across 109 of 109 payment localities, the office rate for 44390 runs from $398.38 in Arkansas to $594.92 in San Benito County, CA. Tennessee pays $414.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$414.36
- Los Angeles, CA · California$507.03+$92.67
- Washington, DC area · District of Columbia$513.20+$98.84
- Miami, FL · Florida$483.04+$68.68
- Chicago, IL · Illinois$469.40+$55.04
- Manhattan, NY · New York$515.88+$101.52
- Alaska · Alaska$524.44+$110.08
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $404.09 | $173.50 |
| ArkansasArkansas | $398.38 | $172.00 |
| ArizonaArizona | $437.55 | $182.18 |
| Bakersfield, CACalifornia | $476.31 | $187.48 |
| Chico, CACalifornia | $475.07 | $186.24 |
| El Centro, CACalifornia | $475.14 | $186.31 |
| Fresno, CACalifornia | $475.07 | $186.24 |
| Hanford, CACalifornia | $475.07 | $186.24 |
| Madera, CACalifornia | $475.07 | $186.24 |
| Merced, CACalifornia | $475.07 | $186.24 |
| Modesto, CACalifornia | $475.07 | $186.24 |
| Napa, CACalifornia | $549.92 | $202.58 |
| Oxnard, CACalifornia | $504.57 | $193.08 |
| Redding, CACalifornia | $475.07 | $186.24 |
| Rest of CaliforniaCalifornia | $475.07 | $186.24 |
| Riverside, CACalifornia | $479.53 | $190.70 |
| Sacramento, CACalifornia | $498.40 | $191.91 |
| Salinas, CACalifornia | $496.54 | $191.10 |
| San Diego, CACalifornia | $508.10 | $192.91 |
| Marin County, CACalifornia | $582.01 | $210.42 |
| San Francisco, CACalifornia | $581.54 | $209.96 |
| San Benito County, CACalifornia | $594.92 | $214.91 |
| Santa Clara County, CACalifornia | $593.02 | $213.01 |
| San Luis Obispo, CACalifornia | $488.56 | $188.39 |
| Santa Cruz, CACalifornia | $512.88 | $192.69 |
| Santa Maria, CACalifornia | $498.36 | $191.09 |
| Santa Rosa, CACalifornia | $518.05 | $194.44 |
| Stockton, CACalifornia | $475.07 | $186.24 |
| Vallejo, CACalifornia | $549.25 | $201.91 |
| Visalia, CACalifornia | $475.07 | $186.24 |
| Yuba City, CACalifornia | $475.07 | $186.24 |
| ColoradoColorado | $467.78 | $187.38 |
| ConnecticutConnecticut | $478.71 | $194.88 |
| DelawareDelaware | $444.70 | $184.33 |
| Fort Lauderdale, FLFlorida | $464.38 | $197.43 |
| Rest of FloridaFlorida | $442.33 | $190.39 |
| Atlanta, GAGeorgia | $457.38 | $189.63 |
| Rest of GeorgiaGeorgia | $418.00 | $182.93 |
| Hawaii, Guam, HIHawaii | $486.44 | $186.81 |
| IowaIowa | $414.33 | $173.19 |
| IdahoIdaho | $416.93 | $174.48 |
| East St. Louis, ILIllinois | $438.04 | $195.59 |
| Rest of IllinoisIllinois | $429.67 | $189.06 |
| Suburban Chicago, ILIllinois | $469.14 | $198.49 |
| IndianaIndiana | $419.31 | $175.01 |
| KansasKansas | $412.34 | $174.11 |
| KentuckyKentucky | $413.26 | $178.98 |
| New Orleans, LALouisiana | $432.60 | $184.62 |
| Rest of LouisianaLouisiana | $412.60 | $179.37 |
| Metropolitan Boston, MAMassachusetts | $513.58 | $198.92 |
| Rest of MassachusettsMassachusetts | $465.04 | $187.54 |
| Baltimore area, MDMaryland | $477.33 | $194.56 |
| Rest of MarylandMaryland | $453.10 | $186.41 |
| Rest of MaineMaine | $418.97 | $176.52 |
| Southern Maine, MEMaine | $441.37 | $180.20 |
| Detroit, MIMichigan | $447.66 | $193.35 |
| Rest of MichiganMichigan | $423.72 | $183.12 |
| MinnesotaMinnesota | $448.70 | $177.52 |
| Metropolitan Kansas City, MOMissouri | $429.80 | $182.34 |
| Metropolitan St. Louis, MOMissouri | $434.22 | $183.33 |
| Rest of MissouriMissouri | $405.60 | $178.44 |
| MississippiMississippi | $402.07 | $175.17 |
| MontanaMontana | $449.21 | $185.68 |
| North CarolinaNorth Carolina | $423.28 | $177.41 |
| North DakotaNorth Dakota | $441.11 | $177.57 |
| NebraskaNebraska | $416.57 | $173.33 |
| New HampshireNew Hampshire | $460.39 | $186.05 |
| Northern New JerseyNew Jersey | $508.04 | $202.34 |
| Rest of New JerseyNew Jersey | $484.30 | $196.52 |
| New MexicoNew Mexico | $425.96 | $184.30 |
| NevadaNevada | $447.27 | $183.47 |
| NYC suburbs and Long Island, NYNew York | $528.06 | $214.72 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $487.40 | $198.83 |
| Queens, NYNew York | $520.18 | $208.68 |
| Rest of New YorkNew York | $429.49 | $179.14 |
| OhioOhio | $422.07 | $181.46 |
| OklahomaOklahoma | $412.63 | $177.29 |
| Portland, OROregon | $482.50 | $189.72 |
| Rest of OregonOregon | $443.92 | $181.44 |
| Metropolitan Philadelphia, PAPennsylvania | $466.94 | $192.60 |
| Rest of PennsylvaniaPennsylvania | $422.77 | $180.85 |
| Puerto RicoPuerto Rico | $452.49 | $186.05 |
| Rhode IslandRhode Island | $460.43 | $188.20 |
| South CarolinaSouth Carolina | $423.35 | $179.85 |
| South DakotaSouth Dakota | $440.15 | $176.62 |
| Austin, TXTexas | $466.12 | $187.30 |
| Beaumont, TXTexas | $420.04 | $180.23 |
| Brazoria, TXTexas | $444.38 | $183.22 |
| Dallas, TXTexas | $447.14 | $184.66 |
| Fort Worth, TXTexas | $444.18 | $184.34 |
| Galveston, TXTexas | $445.67 | $183.98 |
| Houston, TXTexas | $453.17 | $191.48 |
| Rest of TexasTexas | $431.92 | $181.83 |
| UtahUtah | $429.03 | $181.31 |
| VirginiaVirginia | $439.88 | $180.83 |
| Virgin Islands, VIUnited States Virgin Islands | $452.49 | $186.05 |
| VermontVermont | $439.34 | $178.44 |
| Rest of WashingtonWashington | $464.18 | $186.68 |
| King County, WAWashington | $524.03 | $200.67 |
| WisconsinWisconsin | $426.59 | $174.13 |
| West VirginiaWest Virginia | $414.06 | $185.05 |
| WyomingWyoming | $445.68 | $182.15 |
44390 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.
$398.38
$535.00
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 | $524.44 | 1 |
| AL | $404.09 | 1 |
| AR | $398.38 | 1 |
| AZ | $437.55 | 1 |
| CA | $475.07–$594.92 | 29 |
| CO | $467.78 | 1 |
| CT | $478.71 | 1 |
| DC | $513.20 | 1 |
| DE | $444.70 | 1 |
| FL | $442.33–$483.04 | 3 |
| GA | $418.00–$457.38 | 2 |
| GU | $486.44 | 1 |
| HI | $486.44 | 1 |
| IA | $414.33 | 1 |
| ID | $416.93 | 1 |
| IL | $429.67–$469.40 | 4 |
| IN | $419.31 | 1 |
| KS | $412.34 | 1 |
| KY | $413.26 | 1 |
| LA | $412.60–$432.60 | 2 |
| MA | $465.04–$513.58 | 2 |
| MD | $453.10–$513.20 | 3 |
| ME | $418.97–$441.37 | 2 |
| MI | $423.72–$447.66 | 2 |
| MN | $448.70 | 1 |
| MO | $405.60–$434.22 | 3 |
| MS | $402.07 | 1 |
| MT | $449.21 | 1 |
| NC | $423.28 | 1 |
| ND | $441.11 | 1 |
| NE | $416.57 | 1 |
| NH | $460.39 | 1 |
| NJ | $484.30–$508.04 | 2 |
| NM | $425.96 | 1 |
| NV | $447.27 | 1 |
| NY | $429.49–$528.06 | 5 |
| OH | $422.07 | 1 |
| OK | $412.63 | 1 |
| OR | $443.92–$482.50 | 2 |
| PA | $422.77–$466.94 | 2 |
| PR | $452.49 | 1 |
| RI | $460.43 | 1 |
| SC | $423.35 | 1 |
| SD | $440.15 | 1 |
| TN | $414.36 | 1 |
| TX | $420.04–$466.12 | 8 |
| UT | $429.03 | 1 |
| VA | $439.88–$513.20 | 2 |
| VI | $452.49 | 1 |
| VT | $439.34 | 1 |
| WA | $464.18–$524.03 | 2 |
| WI | $426.59 | 1 |
| WV | $414.06 | 1 |
| WY | $445.68 | 1 |
How the 44390 rate is calculated
Each of 44390’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 · 44390
RVUs × geographic indexes × conversion factor
Work3.65
3.65 RVUs× 1.000 GPCI
Practice expense9.39
9.39 RVUs× 1.000 GPCI
Malpractice0.41
0.41 RVUs× 1.000 GPCI
Adjusted RVUs
13.4500
Conversion factor
$33.4009
Medicare rate
$449.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Tennessee inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,412
- Code
- 44390
- Physician work
- 3.65
- Practice expense
- 9.39
- Malpractice
- 0.41
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.65 | × 1.000 | 3.6500 |
| Practice expense | 9.39 | × 0.909 | 8.5355 |
| Malpractice | 0.41 | × 0.537 | 0.2202 |
| Total RVUs | 12.4057 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$414.36
Office: (3.65 × 1 + 9.39 × 0.909 + 0.41 × 0.537) × $33.4009 = $414.36
Facility: (3.65 × 1 + 1.5 × 0.909 + 0.41 × 0.537) × $33.4009 = $174.81
Payment rules and modifiers for 44390
The CMS indicators that decide how 44390 is paid alongside other services.
CMS payment indicators · 44390
Stomal colonoscopy, foreign body removal
| 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
44390 without 51 · national office
$449.24
Stomal colonoscopy, foreign body removal
44390-51 · Second procedure: 50%
$224.62
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 44390 has changed in Tennessee
44390 · Office / nonfacility
$414.36
Effective 2026-10-01
The base rate is $59.05 higher than on 2025-10-01, moving from $355.31 to $414.36 (16.6%).
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
$355.31changed to$414.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.74 changed to 3.65
- Practice expense RVU 7.80 changed to 9.39
- Malpractice RVU 0.47 changed to 0.41
- Practice expense GPCI 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$369.28changed to$355.31
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.94 changed to 7.80
- Malpractice RVU 0.44 changed to 0.47
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$363.25changed to$369.28
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$375.61changed to$363.25
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.96 changed to 7.94
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$388.13changed to$375.61
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.16 changed to 7.96
- Malpractice RVU 0.40 changed to 0.44
- Practice expense GPCI 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$388.09changed to$388.13
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 8.05 changed to 8.16
- Malpractice RVU 0.41 changed to 0.40
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$371.52changed to$388.09
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.08 changed to 8.05
- Malpractice RVU 0.40 changed to 0.41
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$362.74changed to$371.52
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.74 changed to 7.08
- Malpractice RVU 0.48 changed to 0.40
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$355.40changed to$362.74
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 6.52 changed to 6.74
- Malpractice RVU 0.49 changed to 0.48
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$355.40
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $414.36 | $174.81 | RVU26D |
| 2026-07-01 | $414.36 | $174.81 | RVU26C |
| 2026-04-01 | $414.36 | $174.81 | RVU26B |
| 2026-01-01 | $414.36 | $174.81 | RVU26A |
| 2025-10-01 | $355.31 | $188.08 | RVU25D |
| 2025-07-01 | $355.31 | $188.08 | RVU25C |
| 2025-04-01 | $355.31 | $188.08 | RVU25B |
| 2025-01-01 | $355.31 | $188.08 | RVU25A |
| 2024-10-01 | $369.28 | $192.71 | RVU24D |
| 2024-07-01 | $369.28 | $192.71 | RVU24C |
| 2024-04-01 | $369.28 | $192.71 | RVU24B |
| 2024-03-09 | $369.28 | $192.71 | RVU24AR |
| 2024-01-01 | $363.25 | $189.57 | RVU24A |
| 2023-10-01 | $375.61 | $194.75 | RVU23D |
| 2023-07-01 | $375.61 | $194.75 | RVU23C |
| 2023-04-01 | $375.61 | $194.75 | RVU23B |
| 2023-01-01 | $375.61 | $194.75 | RVU23A |
| 2022-10-01 | $388.13 | $197.67 | RVU22D |
| 2022-07-01 | $388.13 | $197.67 | RVU22C |
| 2022-04-01 | $388.13 | $197.67 | RVU22B |
| 2022-01-01 | $388.13 | $197.67 | RVU22A |
| 2021-10-01 | $388.09 | $198.85 | RVU21D |
| 2021-07-01 | $388.09 | $198.85 | RVU21C |
| 2021-04-01 | $388.09 | $198.85 | RVU21B |
| 2021-01-01 | $388.09 | $198.85 | RVU21A |
| 2020-10-01 | $371.52 | $204.80 | RVU20D |
| 2020-07-01 | $371.52 | $204.80 | RVU20C |
| 2020-04-01 | $371.52 | $204.80 | RVU20B |
| 2020-01-01 | $371.52 | $204.80 | RVU20A |
| 2019-10-01 | $362.74 | $207.20 | RVU19D |
| 2019-07-01 | $362.74 | $207.20 | RVU19C |
| 2019-04-01 | $362.74 | $207.20 | RVU19B |
| 2019-01-01 | $362.74 | $207.20 | RVU19A |
| 2018-10-01 | $355.40 | $208.14 | RVU18D |
| 2018-07-01 | $355.40 | $208.14 | RVU18C |
| 2018-04-01 | $355.40 | $208.14 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
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
44390 billing questions
How does this differ from code 45379?
Code 44390 describes foreign-body removal by colonoscopy through a stoma. Code 45379 is the corresponding foreign-body removal service through the usual anal route.
Can this code be used for a diagnostic examination through the stoma?
No. Use 44390 when the colonoscopy through the stoma includes endoscopic foreign-body removal. A diagnostic examination without that treatment is represented by a different code.
Is removal of a polyp or control of bleeding included?
This code is for foreign-body removal, not polypectomy or treatment of a bleeding site. Report the code matching the therapeutic service actually performed.
How should same-day related endoscopies be handled?
When related endoscopies are performed together, CMS endoscopy family pricing applies. The operative documentation should support each service and its distinct purpose.
Can modifier 50 or an assistant-at-surgery claim be reported?
Modifier 50 is inappropriate for this stoma-based service. Medicare does not pay an assistant at surgery for this code.
What documentation supports reporting 44390?
Document that the colonoscope entered through the stoma, the foreign object and its location, and the endoscopic retrieval performed.
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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