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Billing code 44207: ColectomyMedicare rate & RVUs

Reports laparoscopic removal of part of the colon when the remaining colon is joined to the rectum through a low pelvic anastomosis.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.4K Medicare services in 2024

Medicare pays $1,649.34 for 44207 nationally in a facility.

Medicare rate · 44207

Colectomy

Work RVUs
31.12
Total RVUs
49.38
Global days
090

National rate · 2026

$1,649.34

Facility setting, before claim adjustments.

See every locality for 44207 →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 44207 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 44207 covers

The surgeon removes a segment of colon using a laparoscopic approach and connects the remaining colon to the rectum in the pelvis. This operation may be performed for conditions such as sigmoid diverticular disease or colorectal neoplasia when the resection requires a low pelvic connection. It is typically performed by a colorectal or general surgeon in a hospital or other surgical facility.

Report this code when the operative record supports laparoscopic partial colectomy and a colon-to-rectum anastomosis. Document the resection and the anastomosis site; a colon-to-colon connection or a resection ending in a stoma points to a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this single bowel resection. 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 44207 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

44207 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,507.46
Alaska*Unavailable$2,099.51
ArizonaUnavailable$1,606.42
ArkansasUnavailable$1,490.26
AtlantaUnavailable$1,701.51
AustinUnavailable$1,650.25
BakersfieldUnavailable$1,624.18
Baltimore/Surr. CntysUnavailable$1,745.33
BeaumontUnavailable$1,598.48
BrazoriaUnavailable$1,607.34

44207 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
44207 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 44207 rate is calculated

Each of 44207’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 · 44207

RVUs × geographic indexes × conversion factor

Work31.12

31.12 RVUs× 1.000 GPCI

Practice expense11.90

11.90 RVUs× 1.000 GPCI

Malpractice6.36

6.36 RVUs× 1.000 GPCI

Adjusted RVUs

49.3800

Conversion factor

$33.4009

Medicare rate

$1,649.34

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

Payment rules and modifiers for 44207

44207 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44207

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 · 44207

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.

  • 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

44207 without 51 · national facility

$1,649.34

Colectomy

44207-51 · Second procedure: 50%

$824.67

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

44207 compared with similar codes

Compare codes · National

5 codes, side by side

  • 44207

    Colectomy31.12 wRVU

    Not priced

  • 44204

    Partial colectomy25.76 wRVU

    Not priced

  • 44206

    Partial colectomy29.05 wRVU

    Not priced

  • 44208

    Colectomy33.14 wRVU

    Not priced

  • 44145

    Partial colectomy27.87 wRVU

    Not priced

How to choose

44204Partial colectomy
44204 describes laparoscopic partial colectomy with anastomosis at a site other than the low pelvic colon-to-rectum connection represented by 44207.
44206Partial colectomy
44206 is for a laparoscopic partial colectomy that ends in an end colostomy, not a colon-to-rectum anastomosis.
44208Colectomy
44208 involves a colostomy with the laparoscopic partial colectomy. Choose 44207 when the remaining colon is joined to the rectum.
44145Partial colectomy
44145 describes the open approach for partial colectomy with a colon-to-rectum anastomosis; 44207 is for the laparoscopic approach.

Codes related to 44207

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

Codes related to 44207
CodeHow it relatesNational office range
Same family
44204Partial colectomyLaparoscopic partial colectomy with anastomosis, without the low pelvic colon-to-rectum connection.No office rate
44205ColectomyLaparoscopic partial colectomy involving terminal ileum removal and an ileocolic connection.No office rate
44206Partial colectomyLaparoscopic partial colectomy ending in an end colostomy.No office rate
44208ColectomyLaparoscopic partial colectomy with a colostomy rather than the reconstruction reported by 44207.No office rate
Add-on codes
44213Splenic flexureAdd-on for laparoscopic splenic flexure mobilization performed with partial colectomy.No office rate
Used instead
44145Partial colectomyOpen approach for partial colectomy with a colon-to-rectum anastomosis.No office rate

44207 billing questions

How does this differ from 44204?

Use 44207 when the remaining colon is joined to the rectum through a low pelvic anastomosis. Code 44204 describes a partial colectomy with an anastomosis that is not this low pelvic colon-to-rectum connection.

Is the anastomosis separately reported?

The colon-to-rectum connection is part of the colectomy service. Do not report a separate code just for creating that anastomosis.

When may 44213 be reported with 44207?

44213 may be reported as an add-on when laparoscopic mobilization of the splenic flexure is performed with the partial colectomy and documented in the operative report.

Can modifier 50 be used?

No. This code represents a single bowel resection and reconstruction; modifier 50 is inappropriate.

What should the operative report document?

Document the laparoscopic approach, the portion of colon removed, and that the remaining colon was connected to the rectum in the pelvis. These details distinguish 44207 from codes for other anastomosis sites or a stoma.

How are assistant and co-surgeon services handled?

An assistant at surgery may be paid. 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 44207PPRRVU2026_Oct_nonQPP.csv, line 5,371 (RVU26D)

Open CMS sourceHow we calculate rates

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