CPT code 44970: Appendectomy, laparoscopic approach2026 Medicare rate & RVUs in Oxnard, CA

Reports surgical removal of the appendix using a laparoscopic approach, commonly for acute appendicitis when the surgeon completes the operation through minimally invasive access.

CMS RVU26DEffective Oct 1, 2026One payment locality23.1K Medicare services in 2024

In Oxnard, CA, Medicare pays $591.59 for 44970 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$591.59Hospital or facility

Check a contract rate as a % of Medicare · 44970 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 44970 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 44970 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 44970 covers

A surgeon removes the appendix through small abdominal incisions using a camera and laparoscopic instruments. The operation is commonly performed in a hospital operating room for acute appendicitis, including cases where inflammation or infection affects the appendix. The surgeon identifies and frees the appendix, divides it from its attachments, and removes it from the abdomen. General or acute care surgeons typically perform the procedure.

Select this code when the operative report supports a laparoscopic appendectomy; document the indication, approach, and work performed. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for the single appendix. Assistant-at-surgery and co-surgeon services may be paid; 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 Oxnard, CA compares for 44970

Across 109 of 109 payment localities, the facility rate for 44970 runs from $512.68 in Arkansas to $708.71 in Alaska. Oxnard, CA pays $591.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

44970 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$591.59
  2. Bakersfield, CA · California$571.27−$20.32
  3. Chico, CA · California$564.85−$26.74
  4. El Centro, CA · California$565.25−$26.34
  5. Fresno, CA · California$564.85−$26.74
  6. Hanford, CA · California$564.85−$26.74
  7. Los Angeles, CA · California$599.03+$7.44

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

Every other payment area

44970 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$564.85
Merced, CACalifornia—$564.85
Modesto, CACalifornia—$564.85
Napa, CACalifornia—$619.19
Redding, CACalifornia—$564.85
Rest of CaliforniaCalifornia—$564.85
Riverside, CACalifornia—$590.36
Sacramento, CACalifornia—$583.50

44970 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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44970 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 44970 in every payment locality

How the 44970 rate is calculated

Each of 44970’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 · 44970

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.21

9.21 RVUs× 1.000 GPCI

Practice expense5.72

5.72 RVUs× 1.000 GPCI

Malpractice2.38

2.38 RVUs× 1.000 GPCI

Adjusted RVUs

17.3100

Conversion factor

$33.4009

Medicare rate

$578.17

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

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,457

Code
44970
Physician work
9.21
Practice expense
5.72
Malpractice
2.38

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Facility calculation for 44970 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work9.21× 1.0289.4679
Practice expense5.72× 1.1826.7610
Malpractice2.38× 0.6231.4827
Total RVUs17.7117
Conversion factor× 33.4009

Facility rate, Oxnard, CA$591.59

Facility: (9.21 × 1.028 + 5.72 × 1.182 + 2.38 × 0.623) × $33.4009 = $591.59

Open 44970 in the RVU calculator

Payment rules and modifiers for 44970

44970 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44970

Appendectomy, laparoscopic approach

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)2Permitted.
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 · 44970

Appendectomy, laparoscopic 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.

  • 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

44970 without 51 · national facility

$578.17

Appendectomy, laparoscopic approach

44970-51 · Second procedure: 50%

$289.09

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 44970 has changed in Oxnard, CA

44970 · 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$591.59RVU26D
2026-07-01Not available in this setting$591.59RVU26C
2026-04-01Not available in this setting$591.59RVU26B
2026-01-01Not available in this setting$591.59RVU26A
2025-10-01Not available in this setting$612.14RVU25D
2025-07-01Not available in this setting$612.14RVU25C
2025-04-01Not available in this setting$612.14RVU25B
2025-01-01Not available in this setting$612.14RVU25A
2024-10-01Not available in this setting$625.09RVU24D
2024-07-01Not available in this setting$625.09RVU24C
2024-04-01Not available in this setting$625.09RVU24B
2024-03-09Not available in this setting$625.09RVU24AR
2024-01-01Not available in this setting$614.88RVU24A
2023-10-01Not available in this setting$635.28RVU23D
2023-07-01Not available in this setting$635.28RVU23C
2023-04-01Not available in this setting$635.28RVU23B
2023-01-01Not available in this setting$635.28RVU23A
2022-10-01Not available in this setting$648.90RVU22D
2022-07-01Not available in this setting$648.90RVU22C
2022-04-01Not available in this setting$648.90RVU22B
2022-01-01Not available in this setting$648.90RVU22A
2021-10-01Not available in this setting$647.57RVU21D
2021-07-01Not available in this setting$647.57RVU21C
2021-04-01Not available in this setting$647.57RVU21B
2021-01-01Not available in this setting$647.57RVU21A
2020-10-01Not available in this setting$653.43RVU20D
2020-07-01Not available in this setting$653.43RVU20C
2020-04-01Not available in this setting$653.43RVU20B
2020-01-01Not available in this setting$653.43RVU20A
2019-10-01Not available in this setting$646.28RVU19D
2019-07-01Not available in this setting$646.28RVU19C
2019-04-01Not available in this setting$646.28RVU19B
2019-01-01Not available in this setting$646.28RVU19A
2018-10-01Not available in this setting$644.91RVU18D
2018-07-01Not available in this setting$644.91RVU18C
2018-04-01Not available in this setting$644.91RVU18B
2018-01-01Not available in this setting$644.91RVU18AR1
2017-10-01Not available in this setting$649.93RVU17D
2017-07-01Not available in this setting$649.93RVU17C
2017-04-01Not available in this setting$649.93RVU17B
2017-01-01Not available in this setting$649.93RVU17A
2016-10-01Not available in this setting$657.48RVU16D
2016-07-01Not available in this setting$657.48RVU16C
2016-04-01Not available in this setting$657.48RVU16B
2016-01-01Not available in this setting$657.48RVU16A
2015-10-01Not available in this setting$657.50RVU15D
2015-07-01Not available in this setting$657.50RVU15C
2015-04-01Not available in this setting$654.23RVU15B
2015-01-01Not available in this setting$654.23RVU15A
2014-10-01Not available in this setting$641.50RVU14D
2014-07-01Not available in this setting$641.50RVU14C
2014-04-01Not available in this setting$641.50RVU14B
2014-01-01Not available in this setting$641.50RVU14A
2013-10-01Not available in this setting$632.77RVU13D
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 44970 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

44970 billing questions

How does this differ from 44950?

44970 describes appendectomy performed laparoscopically. 44950 is the open appendectomy code, so the operative report's approach determines which code fits.

When would 44960 be considered instead?

44960 describes an open appendectomy for a ruptured appendix with abscess or peritonitis. Use 44970 when the appendectomy is performed laparoscopically, rather than selecting the open code based only on disease severity.

Should modifier 50 be appended?

No. The appendix is a single organ, and modifier 50 is inappropriate for this service.

What postoperative care is included?

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

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

CMS permits payment for assistant-at-surgery and co-surgeon services for this code. Team surgery is not permitted.

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 44970PPRRVU2026_Oct_nonQPP.csv, line 5,457 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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