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Billing code 44372: Small bowel endoscopyMedicare rate & RVUs

Reports enteroscopy beyond the second portion of the duodenum, excluding the ileum, when the endoscopist places a tube or catheter.

CMS RVU26DEffective Oct 1, 2026109 payment localities519 Medicare services in 2024

Medicare pays $212.10 for 44372 nationally in a facility.

Medicare rate · 44372

Small bowel endoscopy

Work RVUs
4.19
Total RVUs
6.35
Global days
000

National rate · 2026

$212.10

Facility setting, before claim adjustments.

See every locality for 44372 →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 44372 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 44372 covers

This service involves advancing an endoscope beyond the second portion of the duodenum, without entering the ileum, and placing a tube or catheter through the endoscope. Gastroenterologists typically perform it in a hospital or ambulatory endoscopy setting when endoscopic guidance is needed to position the device in the small bowel. The report should establish the extent of examination and describe the placement performed; routine diagnostic inspection alone does not capture the tube-placement service.

Select this code when the documented intervention is tube or catheter insertion, rather than biopsy, stent placement, or dilation. Record the indication, endoscopic route and extent, device placed, and its final position. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this anatomy and descriptor. Medicare does not pay an assistant at surgery, co-surgeons, or a team of surgeons for this service.

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 44372 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

44372 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$197.40
Alaska*Unavailable$277.32
ArizonaUnavailable$207.78
ArkansasUnavailable$195.60
AtlantaUnavailable$217.07
AustinUnavailable$213.40
BakersfieldUnavailable$212.73
Baltimore/Surr. CntysUnavailable$222.61
BeaumontUnavailable$205.95
BrazoriaUnavailable$208.69

44372 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
44372 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 44372 rate is calculated

Each of 44372’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 · 44372

RVUs × geographic indexes × conversion factor

Work4.19

4.19 RVUs× 1.000 GPCI

Practice expense1.61

1.61 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

6.3500

Conversion factor

$33.4009

Medicare rate

$212.10

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

Payment rules and modifiers for 44372

The CMS indicators that decide how 44372 is paid alongside other services.

CMS payment indicators · 44372

Small bowel endoscopy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

44372 without 51 · national facility

$212.10

Small bowel endoscopy

44372-51 · Second procedure: 50%

$106.05

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

44372 compared with similar codes

Compare codes · National

5 codes, side by side

  • 44372

    Small bowel endoscopy4.19 wRVU

    Not priced

  • 44360

    Small-bowel exam2.43 wRVU

    Not priced

  • 44370

    Small bowel endoscopy4.57 wRVU

    Not priced

  • 44373

    Small bowel endoscopy3.31 wRVU

    Not priced

  • 44376

    Small-bowel enteroscopy5.02 wRVU

    Not priced

How to choose

44360Small-bowel exam
Use for diagnostic enteroscopy beyond the second portion of the duodenum, excluding the ileum, when no tube or catheter is placed.
44370Small bowel endoscopy
Use when the endoscopic intervention is stent placement, rather than placement of a tube or catheter.
44373Small bowel endoscopy
Use when the enteroscopy includes dilation of the small intestine rather than tube or catheter placement.
44376Small-bowel enteroscopy
This related enteroscopy code includes the ileum; 44372 describes an examination that does not include it and includes tube or catheter placement.

Codes related to 44372

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

Codes related to 44372
CodeHow it relatesNational office range
Same family
44360Small-bowel examDiagnostic enteroscopy beyond the second duodenum portion, without the tube-placement service.No office rate
44361Small bowel endoscopyRelated enteroscopy code when biopsy is performed.No office rate
44370Small bowel endoscopyRelated small-bowel endoscopy code for endoscopic stent placement.No office rate
44373Small bowel endoscopyRelated enteroscopy code for small-intestinal dilation.No office rate
44376Small-bowel enteroscopyEnteroscopy code that includes examination of the ileum.No office rate

44372 billing questions

How is this different from diagnostic small-bowel enteroscopy?

This code is for enteroscopy beyond the second portion of the duodenum, excluding the ileum, with tube or catheter placement. Use the diagnostic code when the service is inspection without that placement.

Does tube placement support this code if the endoscopist also examines the bowel?

The defining intervention is endoscopic tube or catheter placement. Document the examination extent and device placement; inspection alone is not enough.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code’s anatomy and descriptor.

How are related endoscopies priced when performed together?

CMS applies endoscopy family pricing when related endoscopies are performed together. The applicable pricing reflects the family rule rather than treating every related endoscopy as an independent full service.

Can an assistant or another surgeon be billed for this procedure?

CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.

What is included in the global period?

The code has a 0-day global period. Same-day preoperative and postoperative care is included.

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 44372PPRRVU2026_Oct_nonQPP.csv, line 5,397 (RVU26D)

Open CMS sourceHow we calculate rates

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