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Billing code 44626: Enterostomy closureMedicare rate & RVUs

Reports closure of a surgically created small- or large-bowel opening with bowel resection and reconnection, including repair of a parastomal hernia.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.1K Medicare services in 2024

Medicare pays $1,456.28 for 44626 nationally in a facility.

Medicare rate · 44626

Enterostomy closure

Swap in your local Medicare rate.

Work RVUs
27.2
Total RVUs
43.60
Global days
090

National rate · 2026

$1,456.28

Facility setting, before claim adjustments.

See every locality for 44626 → · 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 44626 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 44626 covers

This operation closes a surgically created enterostomy, such as an ileostomy or colostomy, by removing bowel at the stoma and reconnecting the remaining ends. The service also includes repair of the parastomal hernia. A surgeon typically performs it in a hospital operating room when the patient is ready for intestinal continuity to be restored and the stoma site has a hernia requiring repair.

Report 44626 when the closure includes both bowel resection with anastomosis and parastomal hernia repair; operative documentation should support each part of that service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. 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 44626 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

44626 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,323.61
Alaska*Unavailable$1,839.35
ArizonaUnavailable$1,415.82
ArkansasUnavailable$1,307.58
AtlantaUnavailable$1,506.20
AustinUnavailable$1,454.13
BakersfieldUnavailable$1,424.95
Baltimore/Surr. CntysUnavailable$1,544.87
BeaumontUnavailable$1,410.93
BrazoriaUnavailable$1,414.78

44626 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
44626 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 44626 rate is calculated

Each of 44626’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 · 44626

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 27.20Practice expense 10.18Malpractice 6.22

43.6000 adjusted RVUs×$33.4009 conversion factor=$1,456.28

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

Payment rules and modifiers for 44626

44626 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44626

Enterostomy closure

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 · 44626

Enterostomy closure

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

44626 without 51 · national facility

$1,456.28

Enterostomy closure

44626-51 · Second procedure: 50%

$728.14

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

44626 compared with similar codes

Compare codes

44626 vs 44620 vs 44625 vs 44640: national Medicare rates

Swap in your local Medicare rate.

  • 44626
    Enterostomy closure · 27.2 wRVU
    —
  • 44620
    Stoma closure · 14.07 wRVU
    —
  • 44625
    Ostomy reversal · 16.85 wRVU
    —
  • 44640
    Fistula repair · 23.6 wRVU
    —

How to choose

44620Stoma closure
Use 44620 for enterostomy closure without bowel resection and anastomosis. 44626 involves resection and anastomosis and includes parastomal hernia repair.
44625Ostomy reversal
Use 44625 when enterostomy closure includes bowel resection and anastomosis but not parastomal hernia repair. 44626 includes the hernia repair as well.
44640Fistula repair
44640 is for repair of an intestinal-to-skin fistula. 44626 closes a surgically created enterostomy and includes resection, anastomosis, and parastomal hernia repair.

Codes related to 44626

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

Codes related to 44626
CodeHow it relatesNational office range
Same family
44620Stoma closureEnterostomy closure without bowel resection and anastomosis.No office rate
44625Ostomy reversalEnterostomy closure with resection and anastomosis, without the parastomal hernia repair included in 44626.No office rate
Used instead
44640Fistula repairFor repair of an intestinal-to-skin fistula rather than closure of a surgically created enterostomy.No office rate
44650Fistula repairFor repair of an intestinal fistula rather than closure of a surgically created enterostomy.No office rate

44626 billing questions

How does 44626 differ from 44625?

Both involve enterostomy closure with bowel resection and anastomosis. 44626 also includes repair of a parastomal hernia.

When is 44620 used instead?

44620 describes enterostomy closure without bowel resection and anastomosis. Use 44626 when resection and reconnection are performed and a parastomal hernia is repaired.

Can the parastomal hernia repair be reported separately?

The hernia repair is included in 44626. The operative report should document the hernia repair along with the bowel resection, anastomosis, and stoma closure.

Does 44626 have a global period?

Yes. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for two stomas?

No. Modifier 50 is inappropriate for this code under the CMS bilateral rule.

May an assistant or co-surgeon be reported?

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 44626PPRRVU2026_Oct_nonQPP.csv, line 5,433 (RVU26D)

Open CMS sourceHow we calculate rates

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