CPT code 44615: Intestinal stricturoplasty, each small-bowel stricture2026 Medicare rate & RVUs in Florida
Reports surgery that widens a narrowed small-intestine segment while preserving bowel, typically for a symptomatic stricture such as one caused by Crohn disease.
CMS doesn’t publish an office rate for 44615 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 44615 covers
A surgeon opens and reshapes a narrowed segment of small intestine to improve passage through it while preserving the affected bowel rather than removing it. This bowel-sparing approach is commonly used for small-intestinal strictures, including those associated with Crohn disease, and is performed in an operating room. The code is reported for each stricture treated by stricturoplasty.
The operative report should identify the small-intestinal site, the stricture treated, and the procedure used to widen it. A 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this intestinal operation. Assistant-at-surgery services may be paid; 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.
Where 44615 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $1,110.19 |
| Miami, FL | Unavailable | $1,217.32 |
| Rest of Florida | Unavailable | $1,052.90 |
How the 44615 rate is calculated
Each of 44615’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 · 44615
RVUs × geographic indexes × conversion factor
Work17.71
17.71 RVUs× 1.000 GPCI
Practice expense7.94
7.94 RVUs× 1.000 GPCI
Malpractice4.14
4.14 RVUs× 1.000 GPCI
Adjusted RVUs
29.7900
Conversion factor
$33.4009
Medicare rate
$995.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44615
44615 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44615
Intestinal stricturoplasty, each small-bowel stricture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44615
Intestinal stricturoplasty, each small-bowel stricture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44615 without 51 · national facility
$995.01
Intestinal stricturoplasty, each small-bowel stricture
44615-51 · Second procedure: 50%
$497.51
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%).
44615 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 44120Small-bowel resectionSingle resection with anastomosis
- Stricturoplasty widens and preserves the narrowed segment. Code 44120 is used when the surgeon removes a small-intestinal segment and reconnects the bowel.
- 44602Small-bowel repairSingle injury perforation
- Code 44602 describes repair of a small-intestinal injury by suturing; 44615 treats a narrowed segment by widening it.
- 44620Stoma closureWithout resection and anastomosis
- Code 44620 concerns closure of an intestinal opening or stoma, not treatment of a small-intestinal stricture.
44615 billing questions
How is stricturoplasty different from small-bowel resection?
Report stricturoplasty when the surgeon widens the narrowed segment and preserves it. When the diseased segment is removed and the bowel is reconnected, consider the applicable resection code, such as 44120.
Is the code reported once for the operation or for each stricture?
The code is reported for each small-intestinal stricture treated by stricturoplasty. The operative report should distinguish the treated strictures and the work performed on each.
Can stricturoplasty be reported with a small-bowel resection?
They may be reported in the same session when the surgeon performs stricturoplasty on one segment and resects a separate segment. Document the distinct sites and procedures; the multiple-procedure reduction applies to procedures performed in the same session.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be used for stricturoplasties on more than one site?
No. Modifier 50 is not appropriate for this intestinal procedure; report the service for each treated stricture instead.
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
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