CPT code 44500: GI tube placement, long intestinal tube2026 Medicare rate & RVUs in Minnesota

Reports placement of a long gastrointestinal tube advanced into the intestine for decompression or diagnostic use, such as enteroclysis.

CMS RVU26DEffective Oct 1, 2026One payment locality4.5K Medicare services in 2024

In Minnesota, Medicare pays $15.49 for 44500 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$15.49Hospital or facility

Check a contract rate as a % of Medicare · 44500 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 44500 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 44500 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 44500 covers

A physician or other qualified practitioner introduces a long tube through the nose or mouth and advances it into the gastrointestinal tract, commonly into the small intestine. The tube may be used to decompress the bowel or to provide access for a diagnostic study such as enteroclysis. This is distinct from placing a routine nasogastric tube that terminates in the stomach. The service is commonly performed in a hospital or other facility when intestinal access is needed.

Report 44500 for the long-tube introduction itself, not simply because a tube is present. Documentation should identify the tube and route, the intended destination, and the clinical purpose; when applicable, it should also describe the placement work. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; 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 Minnesota compares for 44500

Across 109 of 109 payment localities, the facility rate for 44500 runs from $15.34 in Wisconsin to $22.26 in Alaska. Minnesota pays $15.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

44500 in Minnesota vs other payment areas
  1. Minnesota · this page$15.49
  2. Los Angeles, CA · California$16.87+$1.38
  3. Washington, DC area · District of Columbia$17.62+$2.13
  4. Miami, FL · Florida$18.51+$3.02
  5. Chicago, IL · Illinois$18.20+$2.71
  6. Manhattan, NY · New York$18.34+$2.85
  7. Alaska · Alaska$22.26+$6.77

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

Every other payment area

44500 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$15.49
ArkansasArkansas—$15.39
ArizonaArizona—$16.10
Bakersfield, CACalifornia—$16.31
Chico, CACalifornia—$16.19
El Centro, CACalifornia—$16.19
Fresno, CACalifornia—$16.19
Hanford, CACalifornia—$16.19

44500 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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44500 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

See 44500 in every payment locality

How the 44500 rate is calculated

Each of 44500’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 · 44500

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.38

0.38 RVUs× 1.000 GPCI

Practice expense0.07

0.07 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

0.4900

Conversion factor

$33.4009

Medicare rate

$16.37

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,424

Code
44500
Physician work
0.38
Practice expense
0.07
Malpractice
0.04

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 44500 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.38× 1.0000.3800
Practice expense0.07× 1.0290.0720
Malpractice0.04× 0.2960.0118
Total RVUs0.4639
Conversion factor× 33.4009

Facility rate, Minnesota$15.49

Facility: (0.38 × 1 + 0.07 × 1.029 + 0.04 × 0.296) × $33.4009 = $15.49

Open 44500 in the RVU calculator

Payment rules and modifiers for 44500

The CMS indicators that decide how 44500 is paid alongside other services.

CMS payment indicators · 44500

GI tube placement, long intestinal tube

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 44500 has changed in Minnesota

44500 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$15.49RVU26D
2026-07-01Not available in this setting$15.49RVU26C
2026-04-01Not available in this setting$15.49RVU26B
2026-01-01Not available in this setting$15.49RVU26A
2025-10-01Not available in this setting$17.65RVU25D
2025-07-01Not available in this setting$17.65RVU25C
2025-04-01Not available in this setting$17.65RVU25B
2025-01-01Not available in this setting$17.65RVU25A
2024-10-01Not available in this setting$17.82RVU24D
2024-07-01Not available in this setting$17.82RVU24C
2024-04-01Not available in this setting$17.82RVU24B
2024-03-09Not available in this setting$17.82RVU24AR
2024-01-01Not available in this setting$17.53RVU24A
2023-10-01Not available in this setting$18.49RVU23D
2023-07-01Not available in this setting$18.49RVU23C
2023-04-01Not available in this setting$18.49RVU23B
2023-01-01Not available in this setting$18.49RVU23A
2022-10-01Not available in this setting$18.89RVU22D
2022-07-01Not available in this setting$18.89RVU22C
2022-04-01Not available in this setting$18.89RVU22B
2022-01-01Not available in this setting$18.89RVU22A
2021-10-01Not available in this setting$19.05RVU21D
2021-07-01Not available in this setting$19.05RVU21C
2021-04-01Not available in this setting$19.05RVU21B
2021-01-01Not available in this setting$19.05RVU21A
2020-10-01Not available in this setting$19.57RVU20D
2020-07-01Not available in this setting$19.57RVU20C
2020-04-01Not available in this setting$19.57RVU20B
2020-01-01Not available in this setting$19.57RVU20A
2019-10-01Not available in this setting$19.55RVU19D
2019-07-01Not available in this setting$19.55RVU19C
2019-04-01Not available in this setting$19.55RVU19B
2019-01-01Not available in this setting$19.55RVU19A
2018-10-01Not available in this setting$19.53RVU18D
2018-07-01Not available in this setting$19.53RVU18C
2018-04-01Not available in this setting$19.53RVU18B
2018-01-01Not available in this setting$19.53RVU18AR1
2017-10-01Not available in this setting$19.47RVU17D
2017-07-01Not available in this setting$19.47RVU17C
2017-04-01Not available in this setting$19.47RVU17B
2017-01-01Not available in this setting$19.47RVU17A
2016-10-01Not available in this setting$24.57RVU16D
2016-07-01Not available in this setting$24.57RVU16C
2016-04-01Not available in this setting$24.57RVU16B
2016-01-01Not available in this setting$24.57RVU16A
2015-10-01Not available in this setting$24.66RVU15D
2015-07-01Not available in this setting$24.66RVU15C
2015-04-01Not available in this setting$24.54RVU15B
2015-01-01Not available in this setting$24.54RVU15A
2014-10-01Not available in this setting$24.54RVU14D
2014-07-01Not available in this setting$24.54RVU14C
2014-04-01Not available in this setting$24.54RVU14B
2014-01-01Not available in this setting$24.54RVU14A
2013-10-01Not available in this setting$23.25RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 44500 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

44500 billing questions

How is 44500 different from 43752?

44500 is for introducing a long gastrointestinal tube advanced into the intestine. Code 43752 describes naso- or orogastric tube placement requiring physician skill and fluoroscopic guidance, rather than long intestinal tube introduction.

Does 44500 include an enteroclysis imaging study?

44500 reports the tube introduction. The radiologic enteroclysis examination is described by 74251; documentation should distinguish the tube-placement service from the imaging service.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care. Care on a later date is outside this global period.

Can modifier 50 or an assistant-at-surgery modifier be used?

Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; 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 44500PPRRVU2026_Oct_nonQPP.csv, line 5,424 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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