FeeBase
Log inGet started
Menu

Billing code 44110: Intestinal excisionMedicare rate & RVUs

Open excision of one intestinal lesion through an enterotomy is reported when the surgeon removes the lesion without segmental bowel resection.

CMS RVU26DEffective Oct 1, 2026109 payment localities559 Medicare services in 2024

Medicare pays $797.28 for 44110 nationally in a facility.

Medicare rate · 44110

Intestinal excision

Work RVUs
13.69
Total RVUs
23.87
Global days
090

National rate · 2026

$797.28

Facility setting, before claim adjustments.

See every locality for 44110 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 44110 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 44110 covers

The surgeon opens the bowel through an enterotomy, removes one discrete lesion, and closes the bowel. This open operation may be used for a focal lesion, such as a polyp or localized tumor, that requires surgical excision. It describes removal of the lesion itself rather than removal of a bowel segment.

Report this code when the operative record supports excision of a single lesion. Documentation should identify the bowel site, lesion, and excision performed, and distinguish removal from biopsy or segmental resection. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires 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.

Where 44110 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

44110 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$721.96
Alaska*Unavailable$993.42
ArizonaUnavailable$774.74
ArkansasUnavailable$712.80
AtlantaUnavailable$823.74
AustinUnavailable$799.65
BakersfieldUnavailable$786.88
Baltimore/Surr. CntysUnavailable$846.84
BeaumontUnavailable$768.70
BrazoriaUnavailable$775.47

44110 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
44110 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

How the 44110 rate is calculated

Each of 44110’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 · 44110

RVUs × geographic indexes × conversion factor

Work13.69

13.69 RVUs× 1.000 GPCI

Practice expense7.00

7.00 RVUs× 1.000 GPCI

Malpractice3.18

3.18 RVUs× 1.000 GPCI

Adjusted RVUs

23.8700

Conversion factor

$33.4009

Medicare rate

$797.28

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

Payment rules and modifiers for 44110

44110 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44110

Intestinal excision

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 · 44110

Intestinal excision

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

44110 without 51 · national facility

$797.28

Intestinal excision

44110-51 · Second procedure: 50%

$398.64

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

44110 compared with similar codes

Compare codes · National

5 codes, side by side

  • 44110

    Intestinal excision13.69 wRVU

    Not priced

  • 44111

    Bowel lesion excision16.11 wRVU

    Not priced

  • 44100

    Bowel biopsy1.96 wRVU

    Not priced

  • 44120

    Small-bowel resection20.3 wRVU

    Not priced

  • 44140

    Partial colectomy22.03 wRVU

    Not priced

How to choose

44111Bowel lesion excision
Choose 44110 for one excised intestinal lesion and 44111 when the surgeon excises multiple lesions.
44100Bowel biopsy
44100 represents intestinal tissue sampling for biopsy; 44110 represents removal of a single lesion.
44120Small-bowel resection
44120 describes small-intestine segmental resection with anastomosis. Use 44110 when the surgeon excises the lesion without removing a bowel segment.
44140Partial colectomy
44140 describes partial colon removal. It is distinct from focal intestinal lesion excision through an enterotomy.

Codes related to 44110

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

Codes related to 44110
CodeHow it relatesNational office range
Same family
44111Bowel lesion excisionSibling code for excision of multiple intestinal lesions.No office rate
Used instead
44100Bowel biopsyDescribes intestinal biopsy when tissue is sampled rather than the lesion excised.No office rate
44120Small-bowel resectionSmall-intestine segmental resection with anastomosis, rather than excision of one lesion.No office rate
44140Partial colectomyPartial colon removal when treatment requires colonic resection rather than focal lesion excision.No office rate

44110 billing questions

How does 44110 differ from 44111?

44110 is for excision of a single intestinal lesion. Use 44111 when the surgeon excises multiple lesions.

When is excision reported instead of an intestinal biopsy?

Report 44110 when the surgeon removes the lesion, rather than sampling tissue for diagnosis. A biopsy code such as 44100 describes sampling, not lesion excision.

Does 44110 include removal of a bowel segment?

No. It describes lesion excision through an enterotomy; when the surgeon removes a bowel segment, consider the applicable resection code, such as 44120 for small-intestine resection.

Should modifier 50 be appended for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. The operative report should document the lesion excised and its bowel site.

What surgical-assistance rules apply?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while 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 44110PPRRVU2026_Oct_nonQPP.csv, line 5,333 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 44110 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 44110 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →