No office rate
Both involve total abdominal colectomy without proctectomy, but 44151 is distinguished by construction of a continent ileostomy.
On this page
CMS RVU26D · Effective 2026-10-01
44151 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2011.57
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Colorectal surgery
About 44151: Total colectomy with continent ileostomy
Reports removal of the colon while retaining the rectum, with construction of a continent ileal reservoir and catheterizable abdominal stoma.
This operation removes the colon without removing the rectum and creates a continent ileostomy from the end of the small intestine. The surgeon forms an internal reservoir, commonly called a continent pouch, and brings it to the abdominal wall as a catheterizable stoma. It is performed by a colorectal or general surgeon, typically in a hospital operating room, for patients needing total colectomy who are candidates for this type of diversion.
Choose this code when the operative report supports total abdominal colectomy without proctectomy and creation of a continent ileostomy. Documentation should identify the bowel removed, confirm that the rectum was retained, and describe construction of the reservoir and stoma. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Modifier 50 is inappropriate for this operation, and team-surgery payment is not permitted.
CMS billing rules for 44151
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU34.05 · 57%
- Practice expense (office) RVU17.03 · 28%
- Malpractice RVU9.13 · 15%
53
Medicare services in 2024 · #5321 by national volume
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.
44151 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
44155 includes proctectomy and an ileostomy; 44151 retains the rectum and creates a continent ileostomy.
No office rate
Both include a continent ileostomy, but 44156 also removes the rectum.
No office rate
44140 is for partial colectomy with anastomosis, not total abdominal colectomy with continent ileostomy.
The same code, a different location
How does Austin compare?
44151 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 44151
Office
Unavailable
Facility
$1952.48
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 44151
Office
Unavailable
Facility
$2059.33
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44151
Office
Unavailable
Facility
$2208.19
No comparable office rate is available.
Miami
Florida · 44151
Office
Unavailable
Facility
$2500.66
No comparable office rate is available.
Chicago
Illinois · 44151
Office
Unavailable
Facility
$2416.78
No comparable office rate is available.
Manhattan
New York · 44151
Office
Unavailable
Facility
$2354.70
No comparable office rate is available.
Alaska*
Alaska · 44151
Office
Unavailable
Facility
$2479.77
No comparable office rate is available.
Alabama
Alabama · 44151
Office
Unavailable
Facility
$1807.62
No comparable office rate is available.
Arkansas
Arkansas · 44151
Office
Unavailable
Facility
$1782.96
No comparable office rate is available.
Arizona
Arizona · 44151
Office
Unavailable
Facility
$1949.52
No comparable office rate is available.
Bakersfield
California · 44151
Office
Unavailable
Facility
$1968.05
No comparable office rate is available.
Chico
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
El Centro
California · 44151
Office
Unavailable
Facility
$1945.04
No comparable office rate is available.
Fresno
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Hanford-Corcoran
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Madera
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Merced
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Modesto
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Napa
California · 44151
Office
Unavailable
Facility
$2113.57
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44151
Office
Unavailable
Facility
$2031.47
No comparable office rate is available.
Redding
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Rest Of California
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44151
Office
Unavailable
Facility
$2041.32
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44151
Office
Unavailable
Facility
$2003.23
No comparable office rate is available.
Salinas
California · 44151
Office
Unavailable
Facility
$1995.27
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44151
Office
Unavailable
Facility
$2017.01
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44151
Office
Unavailable
Facility
$2187.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44151
Office
Unavailable
Facility
$2176.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44151
Office
Unavailable
Facility
$2246.09
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44151
Office
Unavailable
Facility
$2203.70
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44151
Office
Unavailable
Facility
$1967.97
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44151
Office
Unavailable
Facility
$2015.75
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44151
Office
Unavailable
Facility
$1995.84
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44151
Office
Unavailable
Facility
$2033.38
No comparable office rate is available.
Stockton
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Vallejo
California · 44151
Office
Unavailable
Facility
$2098.62
No comparable office rate is available.
Visalia
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Yuba City
California · 44151
Office
Unavailable
Facility
$1943.51
No comparable office rate is available.
Colorado
Colorado · 44151
Office
Unavailable
Facility
$1994.34
No comparable office rate is available.
Connecticut
Connecticut · 44151
Office
Unavailable
Facility
$2141.65
No comparable office rate is available.
Delaware
Delaware · 44151
Office
Unavailable
Facility
$1979.13
No comparable office rate is available.
Fort Lauderdale
Florida · 44151
Office
Unavailable
Facility
$2264.86
No comparable office rate is available.
Rest Of Florida
Florida · 44151
Office
Unavailable
Facility
$2139.43
No comparable office rate is available.
Atlanta
Georgia · 44151
Office
Unavailable
Facility
$2084.88
No comparable office rate is available.
Rest Of Georgia
Georgia · 44151
Office
Unavailable
Facility
$2008.19
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44151
Office
Unavailable
Facility
$1960.61
No comparable office rate is available.
Iowa
Iowa · 44151
Office
Unavailable
Facility
$1778.83
No comparable office rate is available.
Idaho
Idaho · 44151
Office
Unavailable
Facility
$1804.85
No comparable office rate is available.
East St. Louis
Illinois · 44151
Office
Unavailable
Facility
$2274.78
No comparable office rate is available.
Rest Of Illinois
Illinois · 44151
Office
Unavailable
Facility
$2133.27
No comparable office rate is available.
Suburban Chicago
Illinois · 44151
Office
Unavailable
Facility
$2269.81
No comparable office rate is available.
Indiana
Indiana · 44151
Office
Unavailable
Facility
$1812.80
No comparable office rate is available.
Kansas
Kansas · 44151
Office
Unavailable
Facility
$1805.21
No comparable office rate is available.
Kentucky
Kentucky · 44151
Office
Unavailable
Facility
$1922.01
No comparable office rate is available.
New Orleans
Louisiana · 44151
Office
Unavailable
Facility
$2018.98
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44151
Office
Unavailable
Facility
$1932.85
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44151
Office
Unavailable
Facility
$2134.50
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44151
Office
Unavailable
Facility
$1997.51
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44151
Office
Unavailable
Facility
$2143.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 44151
Office
Unavailable
Facility
$2004.26
No comparable office rate is available.
Rest Of Maine
Maine · 44151
Office
Unavailable
Facility
$1850.29
No comparable office rate is available.
Southern Maine
Maine · 44151
Office
Unavailable
Facility
$1893.42
No comparable office rate is available.
Detroit
Michigan · 44151
Office
Unavailable
Facility
$2200.36
No comparable office rate is available.
Rest Of Michigan
Michigan · 44151
Office
Unavailable
Facility
$2000.92
No comparable office rate is available.
Minnesota
Minnesota · 44151
Office
Unavailable
Facility
$1812.88
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44151
Office
Unavailable
Facility
$1969.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44151
Office
Unavailable
Facility
$1984.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 44151
Office
Unavailable
Facility
$1924.64
No comparable office rate is available.
Mississippi
Mississippi · 44151
Office
Unavailable
Facility
$1852.41
No comparable office rate is available.
Montana**
Montana · 44151
Office
Unavailable
Facility
$2010.46
No comparable office rate is available.
North Carolina
North Carolina · 44151
Office
Unavailable
Facility
$1862.87
No comparable office rate is available.
North Dakota**
North Dakota · 44151
Office
Unavailable
Facility
$1829.93
No comparable office rate is available.
Nebraska
Nebraska · 44151
Office
Unavailable
Facility
$1777.59
No comparable office rate is available.
New Hampshire
New Hampshire · 44151
Office
Unavailable
Facility
$1996.27
No comparable office rate is available.
Northern Nj
New Jersey · 44151
Office
Unavailable
Facility
$2194.47
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44151
Office
Unavailable
Facility
$2138.47
No comparable office rate is available.
New Mexico
New Mexico · 44151
Office
Unavailable
Facility
$2025.15
No comparable office rate is available.
Nevada**
Nevada · 44151
Office
Unavailable
Facility
$1960.71
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44151
Office
Unavailable
Facility
$2452.70
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44151
Office
Unavailable
Facility
$2180.32
No comparable office rate is available.
Queens
New York · 44151
Office
Unavailable
Facility
$2322.17
No comparable office rate is available.
Rest Of New York
New York · 44151
Office
Unavailable
Facility
$1892.06
No comparable office rate is available.
Ohio
Ohio · 44151
Office
Unavailable
Facility
$1964.02
No comparable office rate is available.
Oklahoma
Oklahoma · 44151
Office
Unavailable
Facility
$1882.20
No comparable office rate is available.
Portland
Oregon · 44151
Office
Unavailable
Facility
$2014.34
No comparable office rate is available.
Rest Of Oregon
Oregon · 44151
Office
Unavailable
Facility
$1918.22
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44151
Office
Unavailable
Facility
$2113.72
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44151
Office
Unavailable
Facility
$1947.65
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44151
Office
Unavailable
Facility
$2012.75
No comparable office rate is available.
Rhode Island
Rhode Island · 44151
Office
Unavailable
Facility
$2018.51
No comparable office rate is available.
South Carolina
South Carolina · 44151
Office
Unavailable
Facility
$1922.10
No comparable office rate is available.
South Dakota**
South Dakota · 44151
Office
Unavailable
Facility
$1808.58
No comparable office rate is available.
Tennessee
Tennessee · 44151
Office
Unavailable
Facility
$1818.11
No comparable office rate is available.
Utah
Utah · 44151
Office
Unavailable
Facility
$1945.83
No comparable office rate is available.
Virginia
Virginia · 44151
Office
Unavailable
Facility
$1911.74
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44151
Office
Unavailable
Facility
$2012.75
No comparable office rate is available.
Vermont
Vermont · 44151
Office
Unavailable
Facility
$1854.73
No comparable office rate is available.
Rest Of Washington
Washington · 44151
Office
Unavailable
Facility
$1983.12
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44151
Office
Unavailable
Facility
$2141.25
No comparable office rate is available.
Wisconsin
Wisconsin · 44151
Office
Unavailable
Facility
$1776.15
No comparable office rate is available.
West Virginia
West Virginia · 44151
Office
Unavailable
Facility
$2067.99
No comparable office rate is available.
Wyoming**
Wyoming · 44151
Office
Unavailable
Facility
$1931.78
No comparable office rate is available.
See how rates vary across the country
44151 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 44151 in Austin
Multiple payment areas
- 44151 in Barton Creek
- 44151 in Bee Cave
- 44151 in Briarcliff
- 44151 in Cedar Park
Multiple payment areas
- 44151 in Creedmoor
Multiple payment areas
- 44151 in Elgin
Multiple payment areas
- 44151 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 44151 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2212.73
$2011.57 × 110% = $2212.73
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 44151 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,356
- Code
- 44151
- Physician work
- 34.05
- Practice expense
- 17.03
- Malpractice
- 9.13
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.05 | × 1.002 | 34.1181 |
| Practice expense | 17.03 | × 1.058 | 18.0177 |
| Malpractice | 9.13 | × 0.886 | 8.0892 |
| Total RVUs | 60.2250 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$2011.57
Open 44151 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 34.05 | 1.002 |
| Practice expense | 17.03 | 1.058 |
| Malpractice | 9.13 | 0.886 |
(34.05 × 1.002 + 17.03 × 1.058 + 9.13 × 0.886) × $33.4009 = $2011.57
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
44151 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2011.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $2011.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $2011.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $2011.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $2092.07 | RVU25D |
| 2025-07-01 | Not available in this setting | $2092.07 | RVU25C |
| 2025-04-01 | Not available in this setting | $2092.07 | RVU25B |
| 2025-01-01 | Not available in this setting | $2092.07 | RVU25A |
44151 billing questions
How does this differ from 44150?
44151 includes construction of a continent ileostomy. 44150 describes total abdominal colectomy without proctectomy with a different ileostomy or ileoproctostomy reconstruction.
When should 44156 be considered instead?
44156 describes total colectomy with proctectomy and a continent ileostomy. Use 44151 when the rectum is retained.
What operative details support reporting 44151?
The report should establish total colon removal, retention of the rectum, and creation of the continent ileal reservoir and catheterizable stoma.
Are related postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,35344146,,Partial removal of colon,A,,34.42,15.82,NA,15.82,,7.90,58.14,58.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35444147,,Partial removal of colon,A,,32.85,12.46,NA,12.46,,7.35,52.66,52.66,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35544150,,Removal of colon,A,,29.43,15.59,NA,15.59,,6.79,51.81,51.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35644151,,Removal of colon/ileostomy,A,,34.05,17.03,NA,17.03,,9.13,60.21,60.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35744155,,Removal of colon/ileostomy,A,,33.56,16.46,NA,16.46,,7.47,57.49,57.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35844156,,Removal of colon/ileostomy,A,,36.48,18.03,NA,18.03,,9.79,64.30,64.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35944157,,Colectomy w/ileoanal anast,A,,34.81,17.01,NA,17.01,,9.32,61.14,61.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858