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

Reports surgical takedown of a small- or large-intestinal stoma when restoring bowel continuity does not require the resection-and-anastomosis work of related codes.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In New Mexico, Medicare pays $805.07 for 44620 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$805.07Hospital or facility

Check a contract rate as a % of Medicare · 44620 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 44620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 44620 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 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.

How New Mexico compares for 44620

Across 109 of 109 payment localities, the facility rate for 44620 runs from $721.94 in Arkansas to $1,008.45 in Alaska. New Mexico pays $805.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

44620 in New Mexico vs other payment areas
  1. New Mexico · this page$805.07
  2. Los Angeles, CA · California$831.65+$26.58
  3. Washington, DC area · District of Columbia$882.19+$77.12
  4. Miami, FL · Florida$968.74+$163.67
  5. Chicago, IL · Illinois$939.90+$134.83
  6. Manhattan, NY · New York$931.20+$126.13
  7. Alaska · Alaska$1,008.45+$203.38

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

Every other payment area

44620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$730.83
ArkansasArkansas—$721.94
ArizonaArizona—$782.13
Bakersfield, CACalifornia—$795.50
Chico, CACalifornia—$787.15
El Centro, CACalifornia—$787.66
Fresno, CACalifornia—$787.15
Hanford, CACalifornia—$787.15

44620 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.

View every state and territory as a table
44620 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 44620 in every payment locality

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.

How the rate is built · 44620

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.07

14.07 RVUs× 1.000 GPCI

Practice expense6.96

6.96 RVUs× 1.000 GPCI

Malpractice3.04

3.04 RVUs× 1.000 GPCI

Adjusted RVUs

24.0700

Conversion factor

$33.4009

Medicare rate

$803.96

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,431

Code
44620
Physician work
14.07
Practice expense
6.96
Malpractice
3.04

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 44620 in New Mexico
ComponentRVULocality factorAdjusted
Physician work14.07× 1.00014.0700
Practice expense6.96× 0.9176.3823
Malpractice3.04× 1.2013.6510
Total RVUs24.1034
Conversion factor× 33.4009

Facility rate, New Mexico$805.07

Facility: (14.07 × 1 + 6.96 × 0.917 + 3.04 × 1.201) × $33.4009 = $805.07

Open 44620 in the RVU calculator

Payment rules and modifiers for 44620

44620 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44620

Stoma closure, without resection and anastomosis

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 44620

Stoma closure, without resection and anastomosis

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44620 without 51 · national facility

$803.96

Stoma closure, without resection and anastomosis

44620-51 · Second procedure: 50%

$401.98

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%).

When to use modifier 51

How 44620 has changed in New Mexico

44620 · 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$805.07RVU26D
2026-07-01Not available in this setting$805.07RVU26C
2026-04-01Not available in this setting$805.07RVU26B
2026-01-01Not available in this setting$805.07RVU26A
2025-10-01Not available in this setting$831.78RVU25D
2025-07-01Not available in this setting$831.78RVU25C
2025-04-01Not available in this setting$831.78RVU25B
2025-01-01Not available in this setting$831.78RVU25A
2024-10-01Not available in this setting$852.79RVU24D
2024-07-01Not available in this setting$852.79RVU24C
2024-04-01Not available in this setting$852.79RVU24B
2024-03-09Not available in this setting$852.79RVU24AR
2024-01-01Not available in this setting$838.87RVU24A
2023-10-01Not available in this setting$862.72RVU23D
2023-07-01Not available in this setting$862.72RVU23C
2023-04-01Not available in this setting$862.72RVU23B
2023-01-01Not available in this setting$862.72RVU23A
2022-10-01Not available in this setting$875.77RVU22D
2022-07-01Not available in this setting$875.77RVU22C
2022-04-01Not available in this setting$875.77RVU22B
2022-01-01Not available in this setting$875.77RVU22A
2021-10-01Not available in this setting$876.11RVU21D
2021-07-01Not available in this setting$876.11RVU21C
2021-04-01Not available in this setting$876.11RVU21B
2021-01-01Not available in this setting$876.11RVU21A
2020-10-01Not available in this setting$904.87RVU20D
2020-07-01Not available in this setting$904.87RVU20C
2020-04-01Not available in this setting$904.87RVU20B
2020-01-01Not available in this setting$904.87RVU20A
2019-10-01Not available in this setting$911.48RVU19D
2019-07-01Not available in this setting$911.48RVU19C
2019-04-01Not available in this setting$911.48RVU19B
2019-01-01Not available in this setting$911.48RVU19A
2018-10-01Not available in this setting$910.13RVU18D
2018-07-01Not available in this setting$910.13RVU18C
2018-04-01Not available in this setting$910.13RVU18B
2018-01-01Not available in this setting$910.13RVU18AR1
2017-10-01Not available in this setting$903.44RVU17D
2017-07-01Not available in this setting$903.44RVU17C
2017-04-01Not available in this setting$903.44RVU17B
2017-01-01Not available in this setting$903.44RVU17A
2016-10-01Not available in this setting$897.24RVU16D
2016-07-01Not available in this setting$897.24RVU16C
2016-04-01Not available in this setting$897.24RVU16B
2016-01-01Not available in this setting$897.24RVU16A
2015-10-01Not available in this setting$898.63RVU15D
2015-07-01Not available in this setting$898.63RVU15C
2015-04-01Not available in this setting$894.16RVU15B
2015-01-01Not available in this setting$894.16RVU15A
2014-10-01Not available in this setting$874.89RVU14D
2014-07-01Not available in this setting$874.89RVU14C
2014-04-01Not available in this setting$874.89RVU14B
2014-01-01Not available in this setting$874.89RVU14A
2013-10-01Not available in this setting$851.23RVU13D
2013-07-01Not available in this setting$851.23RVU13C
2013-04-01Not available in this setting$851.23RVU13B
2013-01-01Not available in this setting$851.23RVU13AR

Price 44620 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

44620 billing questions

How is 44620 different from 44625?

Use 44620 for enterostomy closure without the resection-and-anastomosis work described by 44625. Choose based on the actual operative report, not just the fact that bowel continuity was restored.

When does 44626 apply instead?

44626 is a related closure code that specifies resection with colorectal anastomosis. Use it when that documented operative work is performed.

What documentation supports 44620?

The operative report should identify the stoma and bowel site, describe its takedown and closure, and support that the work does not meet the resection-and-anastomosis distinctions of the related codes.

How does the global period affect billing?

The 90-day global 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 payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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 44620PPRRVU2026_Oct_nonQPP.csv, line 5,431 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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