CPT code 44620: Stoma closure, without resection and anastomosis2026 Medicare rate & RVUs

Medicare pays $803.96 for 44620 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 44620 covers

A surgeon closes a previously created intestinal opening, such as an ileostomy or colostomy, and restores continuity between the bowel and the distal intestine. The procedure is generally performed in an operating room, often in a hospital, after the original condition has resolved or the temporary diversion is no longer needed. This code distinguishes a stoma closure from closure that includes intestinal resection and anastomosis.

Select the code based on the documented operative work, including the stoma site and whether bowel resection with anastomosis was performed. The operative report should identify the enterostomy being closed and describe the closure and restoration of continuity. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. 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.

Where 44620 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

44620 rates by state

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

How the 44620 rate is calculated

Each of 44620’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 44620

44620 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

44620 compared with similar codes

How to choose

44625Ostomy reversalResection with noncolorectal anastomosis

44625 includes enterostomy closure with resection and anastomosis. Use 44620 when the operative work does not include that resection-and-anastomosis service.

44626Enterostomy closureWith resection and hernia repair

44626 specifies resection with colorectal anastomosis during enterostomy closure. The operative report must support that distinction.

44604Colon repairSingle perforation

44604 describes suture repair of the large intestine, such as repair of a bowel opening, rather than closure of a previously created stoma.

44640Fistula repairBowel to skin

44640 addresses repair of a bowel-to-skin fistula. A planned enterostomy takedown is reported with the applicable closure code instead.

Codes related to 44620

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

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