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Billing code 44140: Partial colectomyMedicare rate & RVUs

Reports open removal of part of the colon with reconnection of the remaining bowel, such as for a diseased or obstructed segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities9K Medicare services in 2024

Medicare pays $1,250.20 for 44140 nationally in a facility.

Medicare rate · 44140

Partial colectomy

Swap in your local Medicare rate.

Work RVUs
22.03
Total RVUs
37.43
Global days
090

National rate · 2026

$1,250.20

Facility setting, before claim adjustments.

See every locality for 44140 → · 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 44140 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 44140 covers

This service involves open removal of a portion of the colon followed by an anastomosis joining the bowel ends. General and colorectal surgeons commonly perform it in a hospital operating room for conditions such as diverticular disease, a localized colon tumor, or a segment of nonviable bowel. The resected specimen is generally sent for pathology. The operative approach and reconstruction distinguish this service from partial colectomy procedures that create a stoma or use a different anastomosis.

Choose the code from the operative report’s documented resection and reconstruction; it should support removal of a colon segment and anastomosis. The anastomosis is part of the service, not separately reported as a distinct procedure. Medicare applies a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 44140 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

44140 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,130.17
Alaska*Unavailable$1,558.83
ArizonaUnavailable$1,213.87
ArkansasUnavailable$1,115.62
AtlantaUnavailable$1,294.00
AustinUnavailable$1,250.48
BakersfieldUnavailable$1,225.72
Baltimore/Surr. CntysUnavailable$1,329.10
BeaumontUnavailable$1,207.33
BrazoriaUnavailable$1,213.40

44140 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.

View every state and territory as a table
44140 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 44140 rate is calculated

Each of 44140’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 · 44140

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.03Practice expense 10.00Malpractice 5.40

37.4300 adjusted RVUs×$33.4009 conversion factor=$1,250.20

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 44140

44140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44140

Partial colectomy

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 · 44140

Partial colectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

44140 without 51 · national facility

$1,250.20

Partial colectomy

44140-51 · Second procedure: 50%

$625.10

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

44140 compared with similar codes

Compare codes

44140 vs 44141 vs 44143 vs 44204: national Medicare rates

Swap in your local Medicare rate.

  • 44140
    Partial colectomy · 22.03 wRVU
    —
  • 44141
    Partial colectomy · 29.16 wRVU
    —
  • 44143
    Partial colectomy · 27.1 wRVU
    —
  • 44204
    Partial colectomy · 25.76 wRVU
    —

How to choose

44141Partial colectomy
44140 includes anastomosis of the remaining bowel. Choose 44141 when the partial colectomy includes creation of a cecostomy or colostomy.
44143Partial colectomy
44143 describes a partial colectomy with an end colostomy and closure of the distal segment; 44140 describes bowel reconnection.
44204Partial colectomy
44204 is the laparoscopic counterpart for partial colectomy with anastomosis. 44140 represents the open approach.

Codes related to 44140

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

Codes related to 44140
CodeHow it relatesNational office range
Same family
44141Partial colectomyPartial colectomy with a cecostomy or colostomy instead of bowel reconnection.No office rate
44143Partial colectomyPartial colectomy with end colostomy and closure of the distal bowel segment.No office rate
44145Partial colectomyPartial colectomy with a low pelvic connection to the rectum.No office rate
44147Partial colectomyPartial colectomy that also removes terminal ileum and creates an ileocolostomy.No office rate
Add-on codes
44139Colon mobilizationAdd-on for splenic flexure mobilization performed with a partial colectomy.No office rate
Used instead
44204Partial colectomyLaparoscopic partial colectomy with anastomosis for the corresponding minimally invasive approach.No office rate
44150Total colectomyFor removal of the colon rather than resection of only a portion.No office rate

44140 billing questions

How is this different from 44141?

44140 describes partial colectomy with bowel reconnection. 44141 is selected when the operation creates a cecostomy or colostomy instead.

When would 44143 be more appropriate?

Use 44143 for partial colectomy with an end colostomy and closure of the downstream bowel segment, rather than an anastomosis reconnecting the bowel ends.

Can the anastomosis be billed separately?

No. The bowel reconnection is included in this partial colectomy service.

Should modifier 50 be appended for work on both sides of the colon?

No. The anatomy and service do not support bilateral adjustment or modifier 50.

What documentation supports assistant or co-surgeon billing?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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 44140PPRRVU2026_Oct_nonQPP.csv, line 5,348 (RVU26D)

Open CMS sourceHow we calculate rates

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