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Billing code 44205: ColectomyMedicare rate & RVUs

Laparoscopic removal of a colonic segment with terminal ileum and ileocolic reconstruction, reported when the operative resection includes this specific anatomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities13.4K Medicare services in 2024

Medicare pays $1,226.15 for 44205 nationally in a facility.

Medicare rate · 44205

Colectomy

Swap in your local Medicare rate.

Work RVUs
22.38
Total RVUs
36.71
Global days
090

National rate · 2026

$1,226.15

Facility setting, before claim adjustments.

See every locality for 44205 → · 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 44205 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 44205 covers

This code describes laparoscopic resection of part of the colon that also removes the terminal ileum, followed by joining the remaining small bowel to the colon. It commonly represents a right-sided resection for colon cancer, Crohn disease, or another condition affecting the ileocecal region. A colorectal or general surgeon typically performs the operation in a hospital or other surgical facility. The operative report should establish the laparoscopic approach, the bowel removed, and the reconstruction performed.

Report this code when the documented resection includes terminal ileum and the ileocolic connection; a partial colectomy with a different reconstruction may fall under a neighboring code. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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-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.

Where 44205 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

44205 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,116.98
Alaska*Unavailable$1,548.95
ArizonaUnavailable$1,193.27
ArkansasUnavailable$1,103.74
AtlantaUnavailable$1,265.58
AustinUnavailable$1,227.94
BakersfieldUnavailable$1,208.55
Baltimore/Surr. CntysUnavailable$1,299.23
BeaumontUnavailable$1,186.10
BrazoriaUnavailable$1,194.13

44205 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
44205 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 44205 rate is calculated

Each of 44205’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 · 44205

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.38Practice expense 9.55Malpractice 4.78

36.7100 adjusted RVUs×$33.4009 conversion factor=$1,226.15

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

Payment rules and modifiers for 44205

44205 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44205

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 · 44205

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

44205 without 51 · national facility

$1,226.15

Colectomy

44205-51 · Second procedure: 50%

$613.08

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

44205 compared with similar codes

Compare codes

44205 vs 44204 vs 44206 vs 44160: national Medicare rates

Swap in your local Medicare rate.

  • 44205
    Colectomy · 22.38 wRVU
    —
  • 44204
    Partial colectomy · 25.76 wRVU
    —
  • 44206
    Partial colectomy · 29.05 wRVU
    —
  • 44160
    Colectomy · 20.37 wRVU
    —

How to choose

44204Partial colectomy
44205 includes terminal ileum removal and an ileocolic connection. Choose 44204 when the colectomy has a different anastomosis and does not match that anatomy.
44206Partial colectomy
44206 describes a partial colectomy with a stoma. This code is for the resection with ileocolic reconstruction, not the stoma configuration.
44160Colectomy
44160 describes the corresponding open operation. Use 44205 for the laparoscopic approach when its terminal-ileum and ileocolic-reconstruction details are met.

Codes related to 44205

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

Codes related to 44205
CodeHow it relatesNational office range
Same family
44204Partial colectomyLaparoscopic partial colectomy with a different anastomosis configuration.No office rate
44206Partial colectomyLaparoscopic partial colectomy with a stoma rather than the ileocolic reconstruction.No office rate
44207ColectomyLaparoscopic partial colectomy with a coloproctostomy.No office rate
Used instead
44160ColectomyOpen counterpart for resection involving terminal ileum and ileocolic reconstruction.No office rate

44205 billing questions

How is this distinguished from 44204?

Use 44205 when the resection includes terminal ileum and the reconstruction joins small bowel to colon. A partial colectomy with a different anastomosis may fit 44204 instead.

Is the ileocolic connection separately reported?

The connection is part of the resection service described by this code; it is not a separate service solely because the surgeon documents the anastomosis.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used to indicate bilateral surgery.

What supports reporting 44205?

The operative report should document the laparoscopic approach, removal of terminal ileum along with colon, and the ileocolic reconstruction.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. An assistant may be paid; co-surgeons require supporting documentation.

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 44205PPRRVU2026_Oct_nonQPP.csv, line 5,369 (RVU26D)

Open CMS sourceHow we calculate rates

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