CPT code 44650: Fistula repair, intestinal fistula2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $1,214.22 for 44650 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 44650 nationwide

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

What 44650 covers

CPT 44650 describes operative repair of an abnormal tract involving intestine and another bowel segment or an adjacent structure. A general or colorectal surgeon typically performs the repair in a hospital operating room, identifying the tract and repairing the involved bowel opening or openings. The operative report should establish the fistula’s origin and destination and describe the repair performed.

Select the code based on the documented anatomy and procedure, not merely the diagnosis of a fistula. Use the more specific fistula codes when the connection is between bowel and skin or bowel and bladder. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this service.

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 North Dakota compares for 44650

Across 109 of 109 payment localities, the facility rate for 44650 runs from $1,182.71 in Wisconsin to $1,670.76 in Alaska. North Dakota pays $1,214.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

44650 rates by state

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

See 44650 in every payment locality

How the 44650 rate is calculated

Each of 44650’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 44650

44650 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

Codes related to 44650

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

How 44650 has changed in North Dakota

Price 44650 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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