CPT code 44605: Colon repair, multiple perforations2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,332.91 for 44605 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44605 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 44605 covers

This service captures operative closure by suture of more than one perforation in the colon, including defects from injury, rupture, ulcer, or diverticular disease. A surgeon typically performs the repair during an abdominal operation for trauma, contamination, or an acute perforation. This is a repair service: when damaged or diseased bowel is removed instead of closed, a resection service better represents the work.

Report 44605 when the operative report supports multiple colon perforations and their suture repair. It differs from 44604, which represents one perforation, and from small-intestine repair codes. Document the bowel segment, number and cause or location of defects, and repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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 Washington, DC area compares for 44605

Across 109 of 109 payment localities, the facility rate for 44605 runs from $1,072.02 in Wisconsin to $1,524.02 in Miami, FL. Washington, DC area pays $1,332.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44605 rates by state

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

See 44605 in every payment locality

How the 44605 rate is calculated

Each of 44605’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 44605

44605 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 44605

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

How 44605 has changed in Washington, DC area

Price 44605 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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