CPT code 44625: Ostomy reversal, resection with noncolorectal anastomosis2026 Medicare rate & RVUs

Medicare pays $933.56 for 44625 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 44625 covers

This operation reverses an enterostomy by removing the bowel segment at the stoma and reconnecting the remaining intestine. A typical example is an ileostomy takedown in which the surgeon resects the stoma-bearing segment and joins two small-bowel ends. A surgeon performs the procedure in an operating room, usually in a hospital setting. The resulting connection may involve small bowel or colon, but it is not a connection between colon and rectum.

Select this code when the operative report documents both bowel resection and a noncolorectal anastomosis as part of the stoma closure. The resection and reconnection are included in this service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When separately reportable procedures occur in the same session, Medicare pays the highest-valued procedure in full and others at 50%. Do not use modifier 50. An assistant surgeon may be paid; co-surgeons require supporting documentation, and CMS does not permit team-surgery billing.

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 44625 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

44625 rates by state

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

How the 44625 rate is calculated

Each of 44625’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 44625

44625 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

44625 compared with similar codes

How to choose

44620Stoma closureWithout resection and anastomosis

Both codes address enterostomy closure. Choose 44625 when the surgeon resects bowel and creates an anastomosis; choose 44620 when closure does not include those steps.

44626Enterostomy closureWith resection and hernia repair

Both involve resection during enterostomy closure. Use 44626 if the surgeon joins colon to rectum; use 44625 for a noncolorectal anastomosis.

44120Small-bowel resectionSingle resection with anastomosis

Code 44120 describes a small-bowel resection and anastomosis outside an enterostomy closure. When those steps accomplish an ileostomy takedown, 44625 describes the combined operation.

Codes related to 44625

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