CPT code 44950: Appendectomy, open approach2026 Medicare rate & RVUs in Rhode Island
Reports open surgical removal of the appendix, typically as the primary operation for acute appendicitis without the complications assigned to a separate code.
In Rhode Island, Medicare pays $608.41 for 44950 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44950 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 44950 covers
This code describes open removal of the appendix, commonly performed by a general surgeon in a hospital operating room for acute appendicitis. The surgeon reaches the appendix through an abdominal incision rather than using a laparoscopic approach. Emergency cases often follow evaluation for right lower quadrant pain and imaging or examination findings consistent with appendicitis.
Select the code based on the operative approach and documented disease findings. The operative report should support removal of the appendix by open approach; rupture with an abscess or generalized peritonitis points to 44960, while laparoscopic removal points to 44970. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not append modifier 50 for this single-organ operation. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 Rhode Island compares for 44950
Across 109 of 109 payment localities, the facility rate for 44950 runs from $537.97 in Wisconsin to $750.34 in Alaska. Rhode Island pays $608.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$608.41
- Los Angeles, CA · California$622.09+$13.68
- Washington, DC area · District of Columbia$664.86+$56.45
- Miami, FL · Florida$745.94+$137.53
- Chicago, IL · Illinois$721.73+$113.32
- Manhattan, NY · New York$706.78+$98.37
- Alaska · Alaska$750.34+$141.93
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $546.10 |
| ArkansasArkansas | — | $538.88 |
| ArizonaArizona | — | $587.64 |
| Bakersfield, CACalifornia | — | $594.64 |
| Chico, CACalifornia | — | $587.59 |
| El Centro, CACalifornia | — | $588.03 |
| Fresno, CACalifornia | — | $587.59 |
| Hanford, CACalifornia | — | $587.59 |
| Madera, CACalifornia | — | $587.59 |
| Merced, CACalifornia | — | $587.59 |
| Modesto, CACalifornia | — | $587.59 |
| Napa, CACalifornia | — | $639.44 |
| Oxnard, CACalifornia | — | $613.85 |
| Redding, CACalifornia | — | $587.59 |
| Rest of CaliforniaCalifornia | — | $587.59 |
| Riverside, CACalifornia | — | $615.57 |
| Sacramento, CACalifornia | — | $605.74 |
| Salinas, CACalifornia | — | $603.32 |
| San Diego, CACalifornia | — | $609.90 |
| Marin County, CACalifornia | — | $662.14 |
| San Francisco, CACalifornia | — | $659.18 |
| San Benito County, CACalifornia | — | $679.57 |
| Santa Clara County, CACalifornia | — | $667.45 |
| San Luis Obispo, CACalifornia | — | $595.03 |
| Santa Cruz, CACalifornia | — | $609.56 |
| Santa Maria, CACalifornia | — | $603.50 |
| Santa Rosa, CACalifornia | — | $614.92 |
| Stockton, CACalifornia | — | $587.59 |
| Vallejo, CACalifornia | — | $635.17 |
| Visalia, CACalifornia | — | $587.59 |
| Yuba City, CACalifornia | — | $587.59 |
| ColoradoColorado | — | $601.68 |
| ConnecticutConnecticut | — | $644.09 |
| DelawareDelaware | — | $596.40 |
| Fort Lauderdale, FLFlorida | — | $678.25 |
| Rest of FloridaFlorida | — | $641.80 |
| Atlanta, GAGeorgia | — | $626.89 |
| Rest of GeorgiaGeorgia | — | $603.61 |
| Hawaii, Guam, HIHawaii | — | $592.56 |
| IowaIowa | — | $538.28 |
| IdahoIdaho | — | $545.78 |
| East St. Louis, ILIllinois | — | $680.11 |
| Rest of IllinoisIllinois | — | $639.59 |
| Suburban Chicago, ILIllinois | — | $679.95 |
| IndianaIndiana | — | $548.12 |
| KansasKansas | — | $545.71 |
| KentuckyKentucky | — | $578.94 |
| New Orleans, LALouisiana | — | $607.21 |
| Rest of LouisianaLouisiana | — | $582.00 |
| Metropolitan Boston, MAMassachusetts | — | $643.69 |
| Rest of MassachusettsMassachusetts | — | $602.56 |
| Baltimore area, MDMaryland | — | $644.38 |
| Rest of MarylandMaryland | — | $603.94 |
| Rest of MaineMaine | — | $558.76 |
| Southern Maine, MEMaine | — | $571.83 |
| Detroit, MIMichigan | — | $659.31 |
| Rest of MichiganMichigan | — | $601.75 |
| MinnesotaMinnesota | — | $549.20 |
| Metropolitan Kansas City, MOMissouri | — | $593.00 |
| Metropolitan St. Louis, MOMissouri | — | $597.43 |
| Rest of MissouriMissouri | — | $579.42 |
| MississippiMississippi | — | $558.76 |
| MontanaMontana | — | $605.38 |
| North CarolinaNorth Carolina | — | $562.50 |
| North DakotaNorth Dakota | — | $553.78 |
| NebraskaNebraska | — | $538.01 |
| New HampshireNew Hampshire | — | $601.75 |
| Northern New JerseyNew Jersey | — | $660.93 |
| Rest of New JerseyNew Jersey | — | $643.75 |
| New MexicoNew Mexico | — | $608.72 |
| NevadaNevada | — | $591.17 |
| NYC suburbs and Long Island, NYNew York | — | $735.07 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $655.84 |
| Queens, NYNew York | — | $697.68 |
| Rest of New YorkNew York | — | $571.02 |
| OhioOhio | — | $591.20 |
| OklahomaOklahoma | — | $567.61 |
| Portland, OROregon | — | $607.97 |
| Rest of OregonOregon | — | $578.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $635.69 |
| Rest of PennsylvaniaPennsylvania | — | $586.58 |
| Puerto RicoPuerto Rico | — | $606.15 |
| South CarolinaSouth Carolina | — | $579.33 |
| South DakotaSouth Dakota | — | $547.67 |
| TennesseeTennessee | — | $549.45 |
| Austin, TXTexas | — | $606.35 |
| Beaumont, TXTexas | — | $583.80 |
| Brazoria, TXTexas | — | $587.59 |
| Dallas, TXTexas | — | $595.60 |
| Fort Worth, TXTexas | — | $595.00 |
| Galveston, TXTexas | — | $592.12 |
| Houston, TXTexas | — | $639.89 |
| Rest of TexasTexas | — | $588.28 |
| UtahUtah | — | $586.29 |
| VirginiaVirginia | — | $576.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $606.15 |
| VermontVermont | — | $560.76 |
| Rest of WashingtonWashington | — | $598.38 |
| King County, WAWashington | — | $646.15 |
| WisconsinWisconsin | — | $537.97 |
| West VirginiaWest Virginia | — | $620.47 |
| WyomingWyoming | — | $582.89 |
44950 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 44950 rate is calculated
Each of 44950’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 · 44950
RVUs × geographic indexes × conversion factor
Work10.34
10.34 RVUs× 1.000 GPCI
Practice expense5.18
5.18 RVUs× 1.000 GPCI
Malpractice2.61
2.61 RVUs× 1.000 GPCI
Adjusted RVUs
18.1300
Conversion factor
$33.4009
Medicare rate
$605.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Rhode Island inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,454
- Code
- 44950
- Physician work
- 10.34
- Practice expense
- 5.18
- Malpractice
- 2.61
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.34 | × 1.019 | 10.5365 |
| Practice expense | 5.18 | × 1.033 | 5.3509 |
| Malpractice | 2.61 | × 0.892 | 2.3281 |
| Total RVUs | 18.2155 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$608.41
Facility: (10.34 × 1.019 + 5.18 × 1.033 + 2.61 × 0.892) × $33.4009 = $608.41
Payment rules and modifiers for 44950
44950 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44950
Appendectomy, open approach
| 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 · 44950
Appendectomy, open approach
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
44950 without 51 · national facility
$605.56
Appendectomy, open approach
44950-51 · Second procedure: 50%
$302.78
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 44950 has changed in Rhode Island
44950 · 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 | $608.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $608.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $608.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $608.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $632.07 | RVU25D |
| 2025-07-01 | Not available in this setting | $632.07 | RVU25C |
| 2025-04-01 | Not available in this setting | $632.07 | RVU25B |
| 2025-01-01 | Not available in this setting | $632.07 | RVU25A |
| 2024-10-01 | Not available in this setting | $646.75 | RVU24D |
| 2024-07-01 | Not available in this setting | $646.75 | RVU24C |
| 2024-04-01 | Not available in this setting | $646.75 | RVU24B |
| 2024-03-09 | Not available in this setting | $646.75 | RVU24AR |
| 2024-01-01 | Not available in this setting | $636.19 | RVU24A |
| 2023-10-01 | Not available in this setting | $660.93 | RVU23D |
| 2023-07-01 | Not available in this setting | $660.93 | RVU23C |
| 2023-04-01 | Not available in this setting | $660.93 | RVU23B |
| 2023-01-01 | Not available in this setting | $660.93 | RVU23A |
| 2022-10-01 | Not available in this setting | $679.74 | RVU22D |
| 2022-07-01 | Not available in this setting | $679.74 | RVU22C |
| 2022-04-01 | Not available in this setting | $679.74 | RVU22B |
| 2022-01-01 | Not available in this setting | $679.74 | RVU22A |
| 2021-10-01 | Not available in this setting | $679.69 | RVU21D |
| 2021-07-01 | Not available in this setting | $679.69 | RVU21C |
| 2021-04-01 | Not available in this setting | $679.69 | RVU21B |
| 2021-01-01 | Not available in this setting | $679.69 | RVU21A |
| 2020-10-01 | Not available in this setting | $694.24 | RVU20D |
| 2020-07-01 | Not available in this setting | $694.24 | RVU20C |
| 2020-04-01 | Not available in this setting | $694.24 | RVU20B |
| 2020-01-01 | Not available in this setting | $694.24 | RVU20A |
| 2019-10-01 | Not available in this setting | $691.29 | RVU19D |
| 2019-07-01 | Not available in this setting | $691.29 | RVU19C |
| 2019-04-01 | Not available in this setting | $691.29 | RVU19B |
| 2019-01-01 | Not available in this setting | $691.29 | RVU19A |
| 2018-10-01 | Not available in this setting | $689.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $689.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $689.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $689.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $676.26 | RVU17D |
| 2017-07-01 | Not available in this setting | $676.26 | RVU17C |
| 2017-04-01 | Not available in this setting | $676.26 | RVU17B |
| 2017-01-01 | Not available in this setting | $676.26 | RVU17A |
| 2016-10-01 | Not available in this setting | $664.68 | RVU16D |
| 2016-07-01 | Not available in this setting | $664.68 | RVU16C |
| 2016-04-01 | Not available in this setting | $664.68 | RVU16B |
| 2016-01-01 | Not available in this setting | $664.68 | RVU16A |
| 2015-10-01 | Not available in this setting | $664.58 | RVU15D |
| 2015-07-01 | Not available in this setting | $664.58 | RVU15C |
| 2015-04-01 | Not available in this setting | $661.28 | RVU15B |
| 2015-01-01 | Not available in this setting | $661.28 | RVU15A |
| 2014-10-01 | Not available in this setting | $670.54 | RVU14D |
| 2014-07-01 | Not available in this setting | $670.54 | RVU14C |
| 2014-04-01 | Not available in this setting | $670.54 | RVU14B |
| 2014-01-01 | Not available in this setting | $670.54 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
44950 billing questions
How does 44950 differ from 44960?
Use 44950 for open appendectomy when the operative findings do not meet the 44960 circumstance. Code 44960 is for a ruptured appendix with abscess or generalized peritonitis.
When should 44970 be reported instead?
Report 44970 when the appendix is removed laparoscopically. Code 44950 describes the open approach.
Is 44955 an add-on to 44950?
44955 describes appendectomy performed for an indicated purpose during another major procedure and is reported in addition to that primary procedure. It is not an add-on to 44950.
What documentation supports 44950?
The operative report should establish that the appendix was removed through an open approach and describe the relevant operative findings. Document rupture, abscess, or generalized peritonitis when present to support code selection.
Can modifier 50 be used for 44950?
No. The appendix is a single organ, so modifier 50 is not appropriate.
How is related postoperative care handled?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
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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