CPT code 44625: Ostomy reversal, resection with noncolorectal anastomosis2026 Medicare rate & RVUs in Virginia
Report this code when a surgeon closes an ileostomy or colostomy by resecting bowel and reconnecting it without a colorectal anastomosis.
In Virginia, Medicare pays $895.06 for 44625 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $895.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$895.06
- Los Angeles, CA · California$964.15+$69.09
- Washington, DC area · District of Columbia$1,022.38+$127.32
- Miami, FL · Florida$1,121.71+$226.65
- Chicago, IL · Illinois$1,089.29+$194.23
- Manhattan, NY · New York$1,078.92+$183.86
- Alaska · Alaska$1,179.31+$284.25
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $913.62 |
| Merced, CACalifornia | — | $913.62 |
| Modesto, CACalifornia | — | $913.62 |
| Napa, CACalifornia | — | $992.76 |
| Oxnard, CACalifornia | — | $951.81 |
| Redding, CACalifornia | — | $913.62 |
| Rest of CaliforniaCalifornia | — | $913.62 |
| Riverside, CACalifornia | — | $951.03 |
| Sacramento, CACalifornia | — | $941.37 |
| Salinas, CACalifornia | — | $937.54 |
| San Diego, CACalifornia | — | $947.09 |
| Marin County, CACalifornia | — | $1,028.49 |
| San Francisco, CACalifornia | — | $1,024.54 |
| San Benito County, CACalifornia | — | $1,054.03 |
| Santa Clara County, CACalifornia | — | $1,037.87 |
| San Luis Obispo, CACalifornia | — | $924.57 |
| Santa Cruz, CACalifornia | — | $946.16 |
| Santa Maria, CACalifornia | — | $937.63 |
| Santa Rosa, CACalifornia | — | $954.54 |
| Stockton, CACalifornia | — | $913.62 |
| Vallejo, CACalifornia | — | $987.06 |
| Visalia, CACalifornia | — | $913.62 |
| Yuba City, CACalifornia | — | $913.62 |
| ColoradoColorado | — | $931.14 |
| ConnecticutConnecticut | — | $988.82 |
| DelawareDelaware | — | $921.58 |
| Fort Lauderdale, FLFlorida | — | $1,030.78 |
| Rest of FloridaFlorida | — | $980.82 |
| Atlanta, GAGeorgia | — | $962.68 |
| Rest of GeorgiaGeorgia | — | $928.38 |
| Hawaii, Guam, HIHawaii | — | $919.49 |
| IowaIowa | — | $841.83 |
| IdahoIdaho | — | $851.94 |
| East St. Louis, ILIllinois | — | $1,031.06 |
| Rest of IllinoisIllinois | — | $976.85 |
| Suburban Chicago, ILIllinois | — | $1,034.10 |
| IndianaIndiana | — | $855.23 |
| KansasKansas | — | $851.47 |
| KentuckyKentucky | — | $895.42 |
| New Orleans, LALouisiana | — | $934.35 |
| Rest of LouisianaLouisiana | — | $899.40 |
| Metropolitan Boston, MAMassachusetts | — | $993.22 |
| Rest of MassachusettsMassachusetts | — | $932.45 |
| Baltimore area, MDMaryland | — | $988.69 |
| Rest of MarylandMaryland | — | $932.71 |
| Rest of MaineMaine | — | $869.26 |
| Southern Maine, MEMaine | — | $888.37 |
| Detroit, MIMichigan | — | $1,004.38 |
| Rest of MichiganMichigan | — | $926.41 |
| MinnesotaMinnesota | — | $859.11 |
| Metropolitan Kansas City, MOMissouri | — | $915.36 |
| Metropolitan St. Louis, MOMissouri | — | $921.57 |
| Rest of MissouriMissouri | — | $895.41 |
| MississippiMississippi | — | $867.84 |
| MontanaMontana | — | $933.32 |
| North CarolinaNorth Carolina | — | $874.54 |
| North DakotaNorth Dakota | — | $864.51 |
| NebraskaNebraska | — | $841.66 |
| New HampshireNew Hampshire | — | $929.46 |
| Northern New JerseyNew Jersey | — | $1,017.64 |
| Rest of New JerseyNew Jersey | — | $990.76 |
| New MexicoNew Mexico | — | $935.79 |
| NevadaNevada | — | $914.40 |
| NYC suburbs and Long Island, NYNew York | — | $1,117.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,007.47 |
| Queens, NYNew York | — | $1,067.27 |
| Rest of New YorkNew York | — | $886.31 |
| OhioOhio | — | $912.34 |
| OklahomaOklahoma | — | $880.40 |
| Portland, OROregon | — | $941.05 |
| Rest of OregonOregon | — | $898.02 |
| Metropolitan Philadelphia, PAPennsylvania | — | $976.55 |
| Rest of PennsylvaniaPennsylvania | — | $906.29 |
| Puerto RicoPuerto Rico | — | $934.61 |
| Rhode IslandRhode Island | — | $940.09 |
| South CarolinaSouth Carolina | — | $896.78 |
| South DakotaSouth Dakota | — | $856.38 |
| TennesseeTennessee | — | $856.58 |
| Austin, TXTexas | — | $936.19 |
| Beaumont, TXTexas | — | $902.40 |
| Brazoria, TXTexas | — | $910.20 |
| Dallas, TXTexas | — | $921.10 |
| Fort Worth, TXTexas | — | $920.06 |
| Galveston, TXTexas | — | $916.28 |
| Houston, TXTexas | — | $979.98 |
| Rest of TexasTexas | — | $909.30 |
| UtahUtah | — | $906.43 |
| Virgin Islands, VIUnited States Virgin Islands | — | $934.61 |
| VermontVermont | — | $873.59 |
| Rest of WashingtonWashington | — | $926.58 |
| King County, WAWashington | — | $998.20 |
| WisconsinWisconsin | — | $842.43 |
| West VirginiaWest Virginia | — | $950.31 |
| WyomingWyoming | — | $903.33 |
44625 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 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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.85 | × 1.000 | 16.8500 |
| Practice expense | 7.62 | × 0.983 | 7.4905 |
| Malpractice | 3.48 | × 0.706 | 2.4569 |
| Total RVUs | 26.7973 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$895.06
Facility: (16.85 × 1 + 7.62 × 0.983 + 3.48 × 0.706) × $33.4009 = $895.06
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
| 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 · 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.
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%).
How 44625 has changed in Virginia
44625 · 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 | $895.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $895.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $895.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $895.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $948.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $948.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $948.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $948.90 | RVU25A |
| 2024-10-01 | Not available in this setting | $972.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $972.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $972.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $972.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $956.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $994.42 | RVU23D |
| 2023-07-01 | Not available in this setting | $994.42 | RVU23C |
| 2023-04-01 | Not available in this setting | $994.42 | RVU23B |
| 2023-01-01 | Not available in this setting | $994.42 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,021.87 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,021.87 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,021.87 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,021.87 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,022.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,022.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,022.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,022.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,045.81 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,045.81 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,045.81 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,045.81 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,044.77 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,044.77 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,044.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,044.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,044.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,044.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,044.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,044.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,036.53 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,036.53 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,036.53 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,036.53 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,028.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,028.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,028.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,028.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,032.10 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,032.10 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,026.96 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,026.96 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,015.31 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,015.31 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,015.31 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,015.31 | RVU14A |
| 2013-10-01 | Not available in this setting | $991.59 | RVU13D |
| 2013-07-01 | Not available in this setting | $991.59 | RVU13C |
| 2013-04-01 | Not available in this setting | $991.59 | RVU13B |
| 2013-01-01 | Not available in this setting | $991.59 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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