Billing code 44382: IleoscopyMedicare rate & RVUs
Reports ileoscopy performed through a stoma when the clinician obtains one or more ileal tissue samples for diagnostic examination.
Medicare pays $334.68 for 44382 nationally in the office and $67.80 in a hospital or facility. Local office rates run $291.36–$466.03.
Medicare rate · 44382
Ileoscopy
- Work RVUs
- 1.14
- Total RVUs
- 10.02
- Global days
- 000
National rate · 2026
$334.68
Office setting, before claim adjustments.
See every locality for 44382 →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
What 44382 covers
A gastroenterologist or other qualified endoscopist advances an endoscope through an ileostomy or other intestinal stoma to examine the ileum and obtain tissue samples. The service is used to investigate abnormalities such as suspected inflammation, ulceration, or other mucosal disease in the portion of bowel reached through the stoma. It is distinct from examining an ileal pouch or reaching the small bowel by an oral enteroscopy route.
Report this code when the endoscopy is performed through the stoma and includes one or more biopsies. The procedure note should identify the route, the bowel examined, and the tissue sampling performed. 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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 44382 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$291.36 to $466.03
109 of 109 payment localities
44382 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$291.36
$413.70
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $370.76 | 1 |
| AL | $296.26 | 1 |
| AR | $291.36 | 1 |
| AZ | $324.99 | 1 |
| CA | $361.37–$466.03 | 29 |
| CO | $352.89 | 1 |
| CT | $358.85 | 1 |
| DC | $389.25 | 1 |
| DE | $330.92 | 1 |
| FL | $324.00–$353.30 | 3 |
| GA | $303.95–$340.34 | 2 |
| GU | $372.89 | 1 |
| HI | $372.89 | 1 |
| IA | $307.22 | 1 |
| ID | $309.01 | 1 |
| IL | $311.70–$346.19 | 4 |
| IN | $311.11 | 1 |
| KS | $304.47 | 1 |
| KY | $301.87 | 1 |
| LA | $300.88–$318.02 | 2 |
| MA | $349.89–$392.46 | 2 |
| MD | $338.21–$389.25 | 3 |
| ME | $309.66–$330.44 | 2 |
| MI | $309.81–$327.43 | 2 |
| MN | $340.10 | 1 |
| MO | $294.23–$320.66 | 3 |
| MS | $292.92 | 1 |
| MT | $334.67 | 1 |
| NC | $313.53 | 1 |
| ND | $332.10 | 1 |
| NE | $309.47 | 1 |
| NH | $346.12 | 1 |
| NJ | $363.51–$384.13 | 2 |
| NM | $311.29 | 1 |
| NV | $334.24 | 1 |
| NY | $318.77–$396.07 | 5 |
| OH | $309.29 | 1 |
| OK | $302.44 | 1 |
| OR | $332.22–$366.62 | 2 |
| PA | $310.47–$348.18 | 2 |
| PR | $337.83 | 1 |
| RI | $344.58 | 1 |
| SC | $311.81 | 1 |
| SD | $331.79 | 1 |
| TN | $306.07 | 1 |
| TX | $308.07–$351.21 | 8 |
| UT | $316.70 | 1 |
| VA | $328.43–$389.25 | 2 |
| VI | $337.83 | 1 |
| VT | $329.61 | 1 |
| WA | $349.62–$402.13 | 2 |
| WI | $319.40 | 1 |
| WV | $298.26 | 1 |
| WY | $333.55 | 1 |
How the 44382 rate is calculated
Each of 44382’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 · 44382
RVUs × geographic indexes × conversion factor
Work1.14
1.14 RVUs× 1.000 GPCI
Practice expense8.75
8.75 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
10.0200
Conversion factor
$33.4009
Medicare rate
$334.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44382
The CMS indicators that decide how 44382 is paid alongside other services.
CMS payment indicators · 44382
Ileoscopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44382 without 51 · national office
$334.68
Ileoscopy
44382-51 · Second procedure: 50%
$167.34
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%).
44382 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 44380Ileoscopy
- Choose 44380 for diagnostic ileoscopy through a stoma without biopsy; choose 44382 when one or more biopsies are taken.
- 44361Small bowel endoscopy
- 44361 covers small-bowel enteroscopy with biopsy by an enteroscopy route. 44382 is for ileoscopy performed through a stoma.
- 44386Pouch endoscopy
- 44386 is used when biopsying an ileal pouch. 44382 covers biopsy during ileoscopy through a stoma.
44382 billing questions
How does this differ from 44380?
44380 describes diagnostic ileoscopy through a stoma without biopsy. Report 44382 when the endoscopist obtains one or more ileal tissue samples during the examination.
Can the biopsy be reported separately from the endoscopy?
The biopsy is part of this endoscopic service; do not separately report another endoscopy code just for obtaining the samples. The pathology examination of submitted tissue is a separate laboratory service when performed.
Does modifier 50 apply when examining bowel through a stoma?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What if another related endoscopy is performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. The procedure documentation should support each service and its distinct findings or work.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are 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
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