CPT code 44615: Intestinal stricturoplasty, each small-bowel stricture2026 Medicare rate & RVUs in Utah
Reports surgery that widens a narrowed small-intestine segment while preserving bowel, typically for a symptomatic stricture such as one caused by Crohn disease.
In Utah, Medicare pays $965.00 for 44615 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44615 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 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.
How Utah compares for 44615
Across 109 of 109 payment localities, the facility rate for 44615 runs from $888.18 in Wisconsin to $1,245.93 in Alaska. Utah pays $965.00. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$965.00
- Los Angeles, CA · California$1,021.34+$56.34
- Washington, DC area · District of Columbia$1,089.79+$124.79
- Miami, FL · Florida$1,217.32+$252.32
- Chicago, IL · Illinois$1,179.55+$214.55
- Manhattan, NY · New York$1,156.87+$191.87
- Alaska · Alaska$1,245.93+$280.93
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $901.85 |
| ArkansasArkansas | — | $890.55 |
| ArizonaArizona | — | $966.88 |
| Bakersfield, CACalifornia | — | $977.64 |
| Chico, CACalifornia | — | $966.37 |
| El Centro, CACalifornia | — | $967.06 |
| Fresno, CACalifornia | — | $966.37 |
| Hanford, CACalifornia | — | $966.37 |
| Madera, CACalifornia | — | $966.37 |
| Merced, CACalifornia | — | $966.37 |
| Modesto, CACalifornia | — | $966.37 |
| Napa, CACalifornia | — | $1,048.58 |
| Oxnard, CACalifornia | — | $1,007.71 |
| Redding, CACalifornia | — | $966.37 |
| Rest of CaliforniaCalifornia | — | $966.37 |
| Riverside, CACalifornia | — | $1,010.79 |
| Sacramento, CACalifornia | — | $995.37 |
| Salinas, CACalifornia | — | $991.36 |
| San Diego, CACalifornia | — | $1,001.41 |
| Marin County, CACalifornia | — | $1,085.13 |
| San Francisco, CACalifornia | — | $1,080.43 |
| San Benito County, CACalifornia | — | $1,113.14 |
| Santa Clara County, CACalifornia | — | $1,093.92 |
| San Luis Obispo, CACalifornia | — | $977.77 |
| Santa Cruz, CACalifornia | — | $1,000.29 |
| Santa Maria, CACalifornia | — | $991.44 |
| Santa Rosa, CACalifornia | — | $1,009.06 |
| Stockton, CACalifornia | — | $966.37 |
| Vallejo, CACalifornia | — | $1,041.80 |
| Visalia, CACalifornia | — | $966.37 |
| Yuba City, CACalifornia | — | $966.37 |
| ColoradoColorado | — | $988.80 |
| ConnecticutConnecticut | — | $1,056.30 |
| DelawareDelaware | — | $980.82 |
| Fort Lauderdale, FLFlorida | — | $1,110.19 |
| Rest of FloridaFlorida | — | $1,052.90 |
| Atlanta, GAGeorgia | — | $1,028.82 |
| Rest of GeorgiaGeorgia | — | $992.92 |
| Hawaii, Guam, HIHawaii | — | $973.13 |
| IowaIowa | — | $889.09 |
| IdahoIdaho | — | $900.92 |
| East St. Louis, ILIllinois | — | $1,114.01 |
| Rest of IllinoisIllinois | — | $1,049.79 |
| Suburban Chicago, ILIllinois | — | $1,113.07 |
| IndianaIndiana | — | $904.58 |
| KansasKansas | — | $900.97 |
| KentuckyKentucky | — | $953.82 |
| New Orleans, LALouisiana | — | $998.17 |
| Rest of LouisianaLouisiana | — | $958.71 |
| Metropolitan Boston, MAMassachusetts | — | $1,055.50 |
| Rest of MassachusettsMassachusetts | — | $990.46 |
| Baltimore area, MDMaryland | — | $1,056.61 |
| Rest of MarylandMaryland | — | $992.77 |
| Rest of MaineMaine | — | $921.53 |
| Southern Maine, MEMaine | — | $941.60 |
| Detroit, MIMichigan | — | $1,080.59 |
| Rest of MichiganMichigan | — | $989.78 |
| MinnesotaMinnesota | — | $905.35 |
| Metropolitan Kansas City, MOMissouri | — | $975.65 |
| Metropolitan St. Louis, MOMissouri | — | $982.56 |
| Rest of MissouriMissouri | — | $954.82 |
| MississippiMississippi | — | $922.06 |
| MontanaMontana | — | $994.74 |
| North CarolinaNorth Carolina | — | $927.33 |
| North DakotaNorth Dakota | — | $912.87 |
| NebraskaNebraska | — | $888.58 |
| New HampshireNew Hampshire | — | $988.60 |
| Northern New JerseyNew Jersey | — | $1,084.11 |
| Rest of New JerseyNew Jersey | — | $1,056.49 |
| New MexicoNew Mexico | — | $1,000.80 |
| NevadaNevada | — | $972.19 |
| NYC suburbs and Long Island, NYNew York | — | $1,201.50 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,075.86 |
| Queens, NYNew York | — | $1,142.26 |
| Rest of New YorkNew York | — | $940.68 |
| OhioOhio | — | $973.05 |
| OklahomaOklahoma | — | $935.80 |
| Portland, OROregon | — | $998.52 |
| Rest of OregonOregon | — | $952.88 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,043.22 |
| Rest of PennsylvaniaPennsylvania | — | $965.66 |
| Puerto RicoPuerto Rico | — | $995.86 |
| Rhode IslandRhode Island | — | $1,000.07 |
| South CarolinaSouth Carolina | — | $954.12 |
| South DakotaSouth Dakota | — | $903.20 |
| TennesseeTennessee | — | $906.86 |
| Austin, TXTexas | — | $995.81 |
| Beaumont, TXTexas | — | $961.33 |
| Brazoria, TXTexas | — | $966.94 |
| Dallas, TXTexas | — | $979.64 |
| Fort Worth, TXTexas | — | $978.79 |
| Galveston, TXTexas | — | $974.10 |
| Houston, TXTexas | — | $1,049.88 |
| Rest of TexasTexas | — | $968.07 |
| VirginiaVirginia | — | $949.85 |
| Virgin Islands, VIUnited States Virgin Islands | — | $995.86 |
| VermontVermont | — | $924.05 |
| Rest of WashingtonWashington | — | $983.71 |
| King County, WAWashington | — | $1,059.49 |
| WisconsinWisconsin | — | $888.18 |
| West VirginiaWest Virginia | — | $1,019.87 |
| WyomingWyoming | — | $959.06 |
44615 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,430
- Code
- 44615
- Physician work
- 17.71
- Practice expense
- 7.94
- Malpractice
- 4.14
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.71 | × 1.000 | 17.7100 |
| Practice expense | 7.94 | × 0.940 | 7.4636 |
| Malpractice | 4.14 | × 0.898 | 3.7177 |
| Total RVUs | 28.8913 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$965.00
Facility: (17.71 × 1 + 7.94 × 0.94 + 4.14 × 0.898) × $33.4009 = $965.00
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%).
How 44615 has changed in Utah
44615 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $965.00 | RVU26D |
| 2026-07-01 | Not available in this setting | $965.00 | RVU26C |
| 2026-04-01 | Not available in this setting | $965.00 | RVU26B |
| 2026-01-01 | Not available in this setting | $965.00 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,011.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,011.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,011.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,011.93 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,032.07 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,032.07 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,032.07 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,032.07 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,015.22 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,033.29 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,033.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,033.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,033.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,048.05 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,048.05 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,048.05 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,048.05 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,046.97 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,046.97 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,046.97 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,046.97 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,103.84 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,103.84 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,103.84 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,103.84 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,122.68 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,122.68 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,122.68 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,122.68 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,121.69 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,121.69 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,121.69 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,121.69 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,116.89 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,116.89 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,116.89 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,116.89 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,118.01 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,118.01 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,118.01 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,118.01 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,113.76 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,113.76 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,108.22 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,108.22 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,092.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,092.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,092.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,092.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,067.18 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,067.18 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,067.18 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,067.18 | RVU13AR |
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
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
Show the CMS file lines behind this rate
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