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CPT code 44392: Stoma colonoscopy, hot biopsy forceps removal2026 Medicare rate & RVUs in Utah

Reports therapeutic colonoscopy performed through a stoma when a lesion is removed using hot biopsy forceps.

CMS RVU26DEffective Oct 1, 2026One payment locality214 Medicare services in 2024

In Utah, Medicare pays $412.34 for 44392 in the office and $174.98 when it’s performed in a hospital or facility.

$412.34Office (non-facility)
$174.98Hospital or facility
−4.6%vs the national office rate ($432.21)

Check a contract rate as a % of Medicare · 44392 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 44392 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 44392 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 44392 covers

A gastroenterologist or colorectal surgeon performs this therapeutic examination by passing a colonoscope through a colostomy or other bowel stoma to inspect the colon and remove a lesion with hot biopsy forceps. It is used when the stoma is the route of access and forceps removal is the technique documented; a snare removal or biopsy-only procedure is coded differently. These procedures are commonly performed in a hospital outpatient endoscopy unit or ambulatory surgery setting.

The report should identify the stoma route, the lesion treated, and removal with hot biopsy forceps. This is a minor procedure with 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 and procedure. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted for this code.

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 Utah compares for 44392

Across 109 of 109 payment localities, the office rate for 44392 runs from $380.69 in Arkansas to $567.24 in San Benito County, CA. Utah pays $412.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

44392 in Utah vs other payment areas
  1. Utah · this page$412.34
  2. Los Angeles, CA · California$484.76+$72.42
  3. Washington, DC area · District of Columbia$493.61+$81.27
  4. Miami, FL · Florida$474.54+$62.20
  5. Chicago, IL · Illinois$460.02+$47.68
  6. Manhattan, NY · New York$499.32+$86.98
  7. Alaska · Alaska$500.15+$87.81

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

Every other payment area

44392 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$386.45$165.51
ArkansasArkansas$380.69$163.78
ArizonaArizona$420.14$175.46
Bakersfield, CACalifornia$455.26$178.50
Chico, CACalifornia$453.59$176.84
El Centro, CACalifornia$453.69$176.93
Fresno, CACalifornia$453.59$176.84
Hanford, CACalifornia$453.59$176.84

44392 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.

$380.69

$510.41

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
44392 office rate range by state
State / territoryOffice rate rangeLocalities
AK$500.151
AL$386.451
AR$380.691
AZ$420.141
CA$453.59–$567.2429
CO$448.321
CT$461.561
DC$493.611
DE$427.221
FL$429.03–$474.543
GA$403.85–$441.272
GU$464.681
HI$464.681
IA$395.031
ID$398.011
IL$417.41–$460.024
IN$400.351
KS$393.861
KY$397.501
LA$397.16–$417.332
MA$445.82–$492.492
MD$435.31–$493.613
ME$400.95–$422.262
MI$408.86–$435.312
MN$426.961
MO$390.63–$417.963
MS$385.701
MT$432.171
NC$405.151
ND$420.501
NE$397.031
NH$441.951
NJ$466.09–$488.402
NM$411.471
NV$429.211
NY$411.47–$512.705
OH$406.471
OK$395.971
OR$425.16–$462.032
PA$406.72–$450.282
PR$435.191
RI$442.081
SC$406.631
SD$419.121
TN$396.001
TX$404.02–$447.458
UT$412.341
VA$421.35–$493.612
VI$435.191
VT$419.501
WA$444.76–$501.902
WI$406.071
WV$401.721
WY$427.081

See 44392 in every payment locality

How the 44392 rate is calculated

Each of 44392’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 · 44392

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.44

3.44 RVUs× 1.000 GPCI

Practice expense8.91

8.91 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

12.9400

Conversion factor

$33.4009

Medicare rate

$432.21

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,414

Code
44392
Physician work
3.44
Practice expense
8.91
Malpractice
0.59

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 44392 in Utah
ComponentRVULocality factorAdjusted
Physician work3.44× 1.0003.4400
Practice expense8.91× 0.9408.3754
Malpractice0.59× 0.8980.5298
Total RVUs12.3452
Conversion factor× 33.4009

Office rate, Utah$412.34

Office: (3.44 × 1 + 8.91 × 0.94 + 0.59 × 0.898) × $33.4009 = $412.34

Facility: (3.44 × 1 + 1.35 × 0.94 + 0.59 × 0.898) × $33.4009 = $174.98

Open 44392 in the RVU calculator

Payment rules and modifiers for 44392

The CMS indicators that decide how 44392 is paid alongside other services.

CMS payment indicators · 44392

Stoma colonoscopy, hot biopsy forceps removal

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

44392 without 51 · national office

$432.21

Stoma colonoscopy, hot biopsy forceps removal

44392-51 · Second procedure: 50%

$216.11

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

Codes related to 44392

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

Codes related to 44392
CodeHow it relatesOffice range, Utah
Same family
44388Colonoscopy, diagnostic, through stomaColonoscopy through a stoma without the forceps-removal service.$337.23
44389Colonoscopy, through stoma, with biopsyStoma-route colonoscopy with biopsy rather than hot-forceps lesion removal.$435.47
44394Stomal colonoscopy, snare lesion removalStoma-route lesion removal using a snare.$461.79
44390Stomal colonoscopy, foreign body removalStoma-route colonoscopy for removal of a foreign body.$429.03
Used instead
45384Colonoscopy polyp removal, hot biopsy or bipolar cauteryHot-forceps lesion removal by colonoscopy when access is not through a stoma.$514.16

How 44392 has changed in Utah

44392 · Office / nonfacility

$412.34

Effective 2026-10-01

The base rate is $54.67 higher than on 2025-10-01, moving from $357.67 to $412.34 (15.3%).

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

    $357.67changed to$412.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.53 changed to 3.44
    • Practice expense RVU 7.47 changed to 8.91
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $370.56changed to$357.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.55 changed to 7.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $364.51changed to$370.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $372.95changed to$364.51

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.56 changed to 0.60
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $381.02changed to$372.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.67 changed to 7.55
    • Malpractice RVU 0.54 changed to 0.56
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $379.90changed to$381.02

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.58 changed to 7.67
    • Malpractice RVU 0.49 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $363.37changed to$379.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.52 changed to 7.58
    • Malpractice RVU 0.53 changed to 0.49
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $356.52changed to$363.37

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.16 changed to 6.52
    • Malpractice RVU 0.56 changed to 0.53
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $349.37changed to$356.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.97 changed to 6.16
    • Malpractice RVU 0.55 changed to 0.56

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $344.75changed to$349.37

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.90 changed to 5.97
    • Malpractice RVU 0.53 changed to 0.55
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $407.51changed to$344.75

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 3.63 changed to 3.53
    • Practice expense RVU 7.71 changed to 5.90
    • Malpractice RVU 0.55 changed to 0.53
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $430.45changed to$407.51

    • Conversion factor 35.9335 changed to 35.8043
    • Work RVU 3.81 changed to 3.63
    • Practice expense RVU 8.15 changed to 7.71
    • Malpractice RVU 0.56 changed to 0.55

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $428.30changed to$430.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $425.92changed to$428.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.05 changed to 8.15
    • Malpractice RVU 0.60 changed to 0.56
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $441.84changed to$425.92

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.26 changed to 8.05
    • Malpractice RVU 0.63 changed to 0.60
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $441.84

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$412.34$174.98RVU26D
2026-07-01$412.34$174.98RVU26C
2026-04-01$412.34$174.98RVU26B
2026-01-01$412.34$174.98RVU26A
2025-10-01$357.67$186.86RVU25D
2025-07-01$357.67$186.86RVU25C
2025-04-01$357.67$186.86RVU25B
2025-01-01$357.67$186.86RVU25A
2024-10-01$370.56$191.36RVU24D
2024-07-01$370.56$191.36RVU24C
2024-04-01$370.56$191.36RVU24B
2024-03-09$370.56$191.36RVU24AR
2024-01-01$364.51$188.24RVU24A
2023-10-01$372.95$191.89RVU23D
2023-07-01$372.95$191.89RVU23C
2023-04-01$372.95$191.89RVU23B
2023-01-01$372.95$191.89RVU23A
2022-10-01$381.02$193.38RVU22D
2022-07-01$381.02$193.38RVU22C
2022-04-01$381.02$193.38RVU22B
2022-01-01$381.02$193.38RVU22A
2021-10-01$379.90$193.27RVU21D
2021-07-01$379.90$193.27RVU21C
2021-04-01$379.90$193.27RVU21B
2021-01-01$379.90$193.27RVU21A
2020-10-01$363.37$203.47RVU20D
2020-07-01$363.37$203.47RVU20C
2020-04-01$363.37$203.47RVU20B
2020-01-01$363.37$203.47RVU20A
2019-10-01$356.52$208.53RVU19D
2019-07-01$356.52$208.53RVU19C
2019-04-01$356.52$208.53RVU19B
2019-01-01$356.52$208.53RVU19A
2018-10-01$349.37$208.88RVU18D
2018-07-01$349.37$208.88RVU18C
2018-04-01$349.37$208.88RVU18B
2018-01-01$349.37$208.88RVU18AR1
2017-10-01$344.75$207.31RVU17D
2017-07-01$344.75$207.31RVU17C
2017-04-01$344.75$207.31RVU17B
2017-01-01$344.75$207.31RVU17A
2016-10-01$407.51$212.41RVU16D
2016-07-01$407.51$212.41RVU16C
2016-04-01$407.51$212.41RVU16B
2016-01-01$407.51$212.41RVU16A
2015-10-01$430.45$223.71RVU15D
2015-07-01$430.45$223.71RVU15C
2015-04-01$428.30$222.60RVU15B
2015-01-01$428.30$222.60RVU15A
2014-10-01$425.92$223.45RVU14D
2014-07-01$425.92$223.45RVU14C
2014-04-01$425.92$223.45RVU14B
2014-01-01$425.92$223.45RVU14A
2013-10-01$441.84$220.56RVU13D
2013-07-01$441.84$220.56RVU13C
2013-04-01$441.84$220.56RVU13B
2013-01-01$441.84$220.56RVU13AR

Price 44392 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

44392 billing questions

When should this code be chosen over 44394?

Use this code when the lesion is removed through the stoma with hot biopsy forceps. Code 44394 describes removal using a snare.

How does this differ from 44389?

This code is for forceps removal of a lesion through the stoma. Code 44389 represents colonoscopy through a stoma with biopsy rather than this therapeutic removal technique.

Can modifier 50 be appended?

No. Modifier 50 is inappropriate because the anatomy and procedure do not represent a bilateral service.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing applies.

What should the procedure note establish?

Document that the colonoscope passed through a stoma, identify the lesion treated, and specify removal with hot biopsy forceps.

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 44392PPRRVU2026_Oct_nonQPP.csv, line 5,414 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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