CPT code 44960: Appendectomy, rupture with abscess or peritonitis2026 Medicare rate & RVUs in Redding, CA

Open removal of a ruptured appendix is reported when the rupture is accompanied by an abscess or generalized peritonitis.

CMS RVU26DEffective Oct 1, 2026One payment locality545 Medicare services in 2024

In Redding, CA, Medicare pays $798.06 for 44960 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$798.06Hospital or facility

Check a contract rate as a % of Medicare · 44960 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 44960 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 44960 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 44960 covers

This code describes open surgical removal of the appendix in a patient whose appendix has ruptured, producing an abscess or generalized peritonitis. A general or acute care surgeon typically performs the operation in a hospital operating room. The operative record should establish the rupture and the associated abscess or peritoneal infection, as well as the open approach and removal of the appendix.

Choose this code for the specified complicated presentation rather than the standard open appendectomy code; a laparoscopic approach is represented separately. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. 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. Modifier 50 is not appropriate for the single appendix. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery 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 Redding, CA compares for 44960

Across 109 of 109 payment localities, the facility rate for 44960 runs from $730.29 in Wisconsin to $1,022.36 in Miami, FL. Redding, CA pays $798.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

44960 in Redding, CA vs other payment areas
  1. Redding, CA · this page$798.06
  2. Bakersfield, CA · California$807.98+$9.92
  3. Chico, CA · California$798.06
  4. El Centro, CA · California$798.67+$0.61
  5. Fresno, CA · California$798.06
  6. Hanford, CA · California$798.06
  7. Los Angeles, CA · California$845.12+$47.06

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

Every other payment area

44960 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$798.06
Merced, CACalifornia—$798.06
Modesto, CACalifornia—$798.06
Napa, CACalifornia—$867.36
Oxnard, CACalifornia—$833.71
Rest of CaliforniaCalifornia—$798.06
Riverside, CACalifornia—$837.50
Sacramento, CACalifornia—$822.43

44960 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.

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44960 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 44960 in every payment locality

How the 44960 rate is calculated

Each of 44960’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 · 44960

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.14

14.14 RVUs× 1.000 GPCI

Practice expense6.88

6.88 RVUs× 1.000 GPCI

Malpractice3.68

3.68 RVUs× 1.000 GPCI

Adjusted RVUs

24.7000

Conversion factor

$33.4009

Medicare rate

$825.00

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

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,456

Code
44960
Physician work
14.14
Practice expense
6.88
Malpractice
3.68

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 44960 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work14.14× 1.01714.3804
Practice expense6.88× 1.0967.5405
Malpractice3.68× 0.5361.9725
Total RVUs23.8933
Conversion factor× 33.4009

Facility rate, Redding, CA$798.06

Facility: (14.14 × 1.017 + 6.88 × 1.096 + 3.68 × 0.536) × $33.4009 = $798.06

Open 44960 in the RVU calculator

Payment rules and modifiers for 44960

44960 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44960

Appendectomy, rupture with abscess or peritonitis

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 · 44960

Appendectomy, rupture with abscess or peritonitis

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

44960 without 51 · national facility

$825.00

Appendectomy, rupture with abscess or peritonitis

44960-51 · Second procedure: 50%

$412.50

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 44960 has changed in Redding, CA

44960 · 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$798.06RVU26D
2026-07-01Not available in this setting$798.06RVU26C
2026-04-01Not available in this setting$798.06RVU26B
2026-01-01Not available in this setting$798.06RVU26A
2025-10-01Not available in this setting$837.78RVU25D
2025-07-01Not available in this setting$837.78RVU25C
2025-04-01Not available in this setting$837.78RVU25B
2025-01-01Not available in this setting$837.78RVU25A
2024-10-01Not available in this setting$856.16RVU24D
2024-07-01Not available in this setting$856.16RVU24C
2024-04-01Not available in this setting$856.16RVU24B
2024-03-09Not available in this setting$856.16RVU24AR
2024-01-01Not available in this setting$842.19RVU24A
2023-10-01Not available in this setting$870.41RVU23D
2023-07-01Not available in this setting$870.41RVU23C
2023-04-01Not available in this setting$870.41RVU23B
2023-01-01Not available in this setting$870.41RVU23A
2022-10-01Not available in this setting$890.20RVU22D
2022-07-01Not available in this setting$890.20RVU22C
2022-04-01Not available in this setting$890.20RVU22B
2022-01-01Not available in this setting$890.20RVU22A
2021-10-01Not available in this setting$888.60RVU21D
2021-07-01Not available in this setting$888.60RVU21C
2021-04-01Not available in this setting$888.60RVU21B
2021-01-01Not available in this setting$888.60RVU21A
2020-10-01Not available in this setting$902.12RVU20D
2020-07-01Not available in this setting$902.12RVU20C
2020-04-01Not available in this setting$902.12RVU20B
2020-01-01Not available in this setting$902.12RVU20A
2019-10-01Not available in this setting$891.83RVU19D
2019-07-01Not available in this setting$891.83RVU19C
2019-04-01Not available in this setting$891.83RVU19B
2019-01-01Not available in this setting$891.83RVU19A
2018-10-01Not available in this setting$887.72RVU18D
2018-07-01Not available in this setting$887.72RVU18C
2018-04-01Not available in this setting$887.72RVU18B
2018-01-01Not available in this setting$887.72RVU18AR1
2017-10-01Not available in this setting$894.47RVU17D
2017-07-01Not available in this setting$894.47RVU17C
2017-04-01Not available in this setting$894.47RVU17B
2017-01-01Not available in this setting$894.47RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 44960 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

44960 billing questions

How does this differ from 44950?

Use 44960 for open appendectomy when rupture is accompanied by an abscess or generalized peritonitis. Code 44950 describes the standard open appendectomy.

Can 44970 be used for a ruptured appendix?

44970 represents laparoscopic appendectomy. Select the code that matches the documented operative approach and the applicable code definition.

Is drainage of the abscess separately reportable?

The code describes appendectomy in the specified complicated presentation. Do not separately report abscess drainage solely because drainage occurred as part of that operation; the record must support a distinct, separately reportable service.

Should modifier 50 be appended?

No. The appendix is a single structure, and modifier 50 is not appropriate.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

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 44960PPRRVU2026_Oct_nonQPP.csv, line 5,456 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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