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

Report this code when a surgeon closes an ileostomy or colostomy by resecting bowel and reconnecting it without a colorectal anastomosis.

CMS RVU26DEffective Oct 1, 2026One payment locality5K Medicare services in 2024

In Delaware, Medicare pays $921.58 for 44625 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$921.58Hospital or facility

Check a contract rate as a % of Medicare · 44625 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 44625 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 44625 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 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.

How Delaware compares for 44625

Across 109 of 109 payment localities, the facility rate for 44625 runs from $841.29 in Arkansas to $1,179.31 in Alaska. Delaware pays $921.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

44625 in Delaware vs other payment areas
  1. Delaware · this page$921.58
  2. Los Angeles, CA · California$964.15+$42.57
  3. Washington, DC area · District of Columbia$1,022.38+$100.80
  4. Miami, FL · Florida$1,121.71+$200.13
  5. Chicago, IL · Illinois$1,089.29+$167.71
  6. Manhattan, NY · New York$1,078.92+$157.34
  7. Alaska · Alaska$1,179.31+$257.73

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

Every other payment area

44625 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$851.29
ArkansasArkansas—$841.29
ArizonaArizona—$908.93
Bakersfield, CACalifornia—$923.23
Chico, CACalifornia—$913.62
El Centro, CACalifornia—$914.20
Fresno, CACalifornia—$913.62
Hanford, CACalifornia—$913.62

44625 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
44625 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 44625 in every payment locality

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.

How the rate is built · 44625

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.85

16.85 RVUs× 1.000 GPCI

Practice expense7.62

7.62 RVUs× 1.000 GPCI

Malpractice3.48

3.48 RVUs× 1.000 GPCI

Adjusted RVUs

27.9500

Conversion factor

$33.4009

Medicare rate

$933.56

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,432

Code
44625
Physician work
16.85
Practice expense
7.62
Malpractice
3.48

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 44625 in Delaware
ComponentRVULocality factorAdjusted
Physician work16.85× 1.00516.9342
Practice expense7.62× 0.9887.5286
Malpractice3.48× 0.8993.1285
Total RVUs27.5913
Conversion factor× 33.4009

Facility rate, Delaware$921.58

Facility: (16.85 × 1.005 + 7.62 × 0.988 + 3.48 × 0.899) × $33.4009 = $921.58

Open 44625 in the RVU calculator

Payment rules and modifiers for 44625

44625 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44625

Ostomy reversal, resection with noncolorectal 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 · 44625

Ostomy reversal, resection with noncolorectal 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

44625 without 51 · national facility

$933.56

Ostomy reversal, resection with noncolorectal anastomosis

44625-51 · Second procedure: 50%

$466.78

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 44625 has changed in Delaware

44625 · 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$921.58RVU26D
2026-07-01Not available in this setting$921.58RVU26C
2026-04-01Not available in this setting$921.58RVU26B
2026-01-01Not available in this setting$921.58RVU26A
2025-10-01Not available in this setting$976.70RVU25D
2025-07-01Not available in this setting$976.70RVU25C
2025-04-01Not available in this setting$976.70RVU25B
2025-01-01Not available in this setting$976.70RVU25A
2024-10-01Not available in this setting$1,001.38RVU24D
2024-07-01Not available in this setting$1,001.38RVU24C
2024-04-01Not available in this setting$1,001.38RVU24B
2024-03-09Not available in this setting$1,001.38RVU24AR
2024-01-01Not available in this setting$985.03RVU24A
2023-10-01Not available in this setting$1,016.81RVU23D
2023-07-01Not available in this setting$1,016.81RVU23C
2023-04-01Not available in this setting$1,016.81RVU23B
2023-01-01Not available in this setting$1,016.81RVU23A
2022-10-01Not available in this setting$1,037.04RVU22D
2022-07-01Not available in this setting$1,037.04RVU22C
2022-04-01Not available in this setting$1,037.04RVU22B
2022-01-01Not available in this setting$1,037.04RVU22A
2021-10-01Not available in this setting$1,037.41RVU21D
2021-07-01Not available in this setting$1,037.41RVU21C
2021-04-01Not available in this setting$1,037.41RVU21B
2021-01-01Not available in this setting$1,037.41RVU21A
2020-10-01Not available in this setting$1,073.46RVU20D
2020-07-01Not available in this setting$1,073.46RVU20C
2020-04-01Not available in this setting$1,073.46RVU20B
2020-01-01Not available in this setting$1,073.46RVU20A
2019-10-01Not available in this setting$1,085.78RVU19D
2019-07-01Not available in this setting$1,085.78RVU19C
2019-04-01Not available in this setting$1,085.78RVU19B
2019-01-01Not available in this setting$1,085.78RVU19A
2018-10-01Not available in this setting$1,085.62RVU18D
2018-07-01Not available in this setting$1,085.62RVU18C
2018-04-01Not available in this setting$1,085.62RVU18B
2018-01-01Not available in this setting$1,085.62RVU18AR1
2017-10-01Not available in this setting$1,084.67RVU17D
2017-07-01Not available in this setting$1,084.67RVU17C
2017-04-01Not available in this setting$1,084.67RVU17B
2017-01-01Not available in this setting$1,084.67RVU17A
2016-10-01Not available in this setting$1,083.45RVU16D
2016-07-01Not available in this setting$1,083.45RVU16C
2016-04-01Not available in this setting$1,083.45RVU16B
2016-01-01Not available in this setting$1,083.45RVU16A
2015-10-01Not available in this setting$1,086.83RVU15D
2015-07-01Not available in this setting$1,086.83RVU15C
2015-04-01Not available in this setting$1,081.42RVU15B
2015-01-01Not available in this setting$1,081.42RVU15A
2014-10-01Not available in this setting$1,052.40RVU14D
2014-07-01Not available in this setting$1,052.40RVU14C
2014-04-01Not available in this setting$1,052.40RVU14B
2014-01-01Not available in this setting$1,052.40RVU14A
2013-10-01Not available in this setting$1,013.85RVU13D
2013-07-01Not available in this setting$1,013.85RVU13C
2013-04-01Not available in this setting$1,013.85RVU13B
2013-01-01Not available in this setting$1,013.85RVU13AR

Price 44625 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

44625 billing questions

How does this differ from 44620?

Use 44625 when closing the enterostomy requires bowel resection and anastomosis. Code 44620 describes closure without that resection-and-anastomosis component.

When should 44626 be considered instead?

Choose 44626 when the resection and stoma closure result in a colorectal anastomosis. The operative report should identify the segments joined.

Can the bowel resection and anastomosis be billed separately?

Not when they are the resection and reconnection performed to close the enterostomy; those steps are part of 44625.

What documentation supports 44625?

The operative report should identify the stoma taken down, the bowel removed, and the two bowel segments joined. Those details establish both the resection and the noncolorectal anastomosis.

Can modifier 50 or team-surgery billing be used?

Do not append modifier 50 to this intestinal operation. CMS does not permit team-surgery billing, although an assistant surgeon may be paid and co-surgeons may be paid with supporting documentation.

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 44625PPRRVU2026_Oct_nonQPP.csv, line 5,432 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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