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CMS RVU26D · Effective 2026-10-01

44700 in Austin

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$920.00

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.

Intestinal surgery

About 44700: Surgical bowel suspension with prosthesis

Reports operative suspension of bowel using a prosthesis, typically to displace intestinal loops from a planned pelvic radiation treatment area.

This service surgically holds bowel away from a planned treatment area using a prosthesis. It is most relevant when intestinal loops need to be displaced from the pelvis before radiation treatment. A surgeon performs the operation in an operating room; it is a facility-based service rather than a routine office procedure.

Report 44700 when the operative record supports bowel suspension with a prosthesis, including the surgical purpose and method. The code has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When other 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 service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 44700

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 RVU17.04 · 62%
Practice expense (office) RVU7.30 · 27%
Malpractice RVU3.10 · 11%

410

Medicare services in 2024 · #3716 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.

44700 compared with similar codes

Office rates for Austin, from the same CMS release.

44799

Unlisted px small intestine

No office rate

This is the unlisted small-intestine procedure code. Use 44700 when the documented service is specifically bowel suspension with a prosthesis, rather than an unlisted intestinal procedure.

49411

Fiducial placement

Abdominal or pelvic, percutaneous

$489.34

This code concerns placement of devices used to guide radiation treatment. It does not describe surgically suspending bowel away from the treatment area.

The same code, a different location

How does Austin compare?

44700 across payment areas

Same release and payment basis · bars start at $0

Austin · This locality
Unavailable
Beaumont
Unavailable
No comparable rate is available in this setting.
Brazoria
Unavailable
No comparable rate is available in this setting.
Dallas
Unavailable
No comparable rate is available in this setting.
Fort Worth
Unavailable
No comparable rate is available in this setting.
Galveston
Unavailable
No comparable rate is available in this setting.
Houston
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 · 44700
Office
Unavailable
Facility
$894.04
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 44700
Office
Unavailable
Facility
$949.69
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44700
Office
Unavailable
Facility
$1002.36
No comparable office rate is available.
Miami
Florida · 44700
Office
Unavailable
Facility
$1084.83
No comparable office rate is available.
Chicago
Illinois · 44700
Office
Unavailable
Facility
$1055.81
No comparable office rate is available.
Manhattan
New York · 44700
Office
Unavailable
Facility
$1053.12
No comparable office rate is available.
Alaska*
Alaska · 44700
Office
Unavailable
Facility
$1170.45
No comparable office rate is available.
Alabama
Alabama · 44700
Office
Unavailable
Facility
$841.10
No comparable office rate is available.
Arkansas
Arkansas · 44700
Office
Unavailable
Facility
$831.92
No comparable office rate is available.
Arizona
Arizona · 44700
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Bakersfield
California · 44700
Office
Unavailable
Facility
$910.26
No comparable office rate is available.
Chico
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
El Centro
California · 44700
Office
Unavailable
Facility
$902.08
No comparable office rate is available.
Fresno
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Hanford-Corcoran
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Madera
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Merced
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Modesto
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Napa
California · 44700
Office
Unavailable
Facility
$978.97
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44700
Office
Unavailable
Facility
$937.80
No comparable office rate is available.
Redding
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Rest Of California
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44700
Office
Unavailable
Facility
$934.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44700
Office
Unavailable
Facility
$928.71
No comparable office rate is available.
Salinas
California · 44700
Office
Unavailable
Facility
$924.89
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44700
Office
Unavailable
Facility
$933.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44700
Office
Unavailable
Facility
$1014.54
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44700
Office
Unavailable
Facility
$1011.02
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44700
Office
Unavailable
Facility
$1038.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44700
Office
Unavailable
Facility
$1024.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44700
Office
Unavailable
Facility
$912.04
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44700
Office
Unavailable
Facility
$932.85
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44700
Office
Unavailable
Facility
$924.89
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44700
Office
Unavailable
Facility
$941.14
No comparable office rate is available.
Stockton
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Vallejo
California · 44700
Office
Unavailable
Facility
$973.90
No comparable office rate is available.
Visalia
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Yuba City
California · 44700
Office
Unavailable
Facility
$901.56
No comparable office rate is available.
Colorado
Colorado · 44700
Office
Unavailable
Facility
$916.28
No comparable office rate is available.
Connecticut
Connecticut · 44700
Office
Unavailable
Facility
$968.42
No comparable office rate is available.
Delaware
Delaware · 44700
Office
Unavailable
Facility
$905.98
No comparable office rate is available.
Fort Lauderdale
Florida · 44700
Office
Unavailable
Facility
$1003.35
No comparable office rate is available.
Rest Of Florida
Florida · 44700
Office
Unavailable
Facility
$957.87
No comparable office rate is available.
Atlanta
Georgia · 44700
Office
Unavailable
Facility
$942.94
No comparable office rate is available.
Rest Of Georgia
Georgia · 44700
Office
Unavailable
Facility
$910.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44700
Office
Unavailable
Facility
$906.33
No comparable office rate is available.
Iowa
Iowa · 44700
Office
Unavailable
Facility
$833.36
No comparable office rate is available.
Idaho
Idaho · 44700
Office
Unavailable
Facility
$842.45
No comparable office rate is available.
East St. Louis
Illinois · 44700
Office
Unavailable
Facility
$1002.01
No comparable office rate is available.
Rest Of Illinois
Illinois · 44700
Office
Unavailable
Facility
$953.60
No comparable office rate is available.
Suburban Chicago
Illinois · 44700
Office
Unavailable
Facility
$1007.02
No comparable office rate is available.
Indiana
Indiana · 44700
Office
Unavailable
Facility
$845.50
No comparable office rate is available.
Kansas
Kansas · 44700
Office
Unavailable
Facility
$841.76
No comparable office rate is available.
Kentucky
Kentucky · 44700
Office
Unavailable
Facility
$880.65
No comparable office rate is available.
New Orleans
Louisiana · 44700
Office
Unavailable
Facility
$916.22
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44700
Office
Unavailable
Facility
$884.13
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44700
Office
Unavailable
Facility
$975.77
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44700
Office
Unavailable
Facility
$917.53
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44700
Office
Unavailable
Facility
$967.97
No comparable office rate is available.
Rest Of Maryland
Maryland · 44700
Office
Unavailable
Facility
$916.65
No comparable office rate is available.
Rest Of Maine
Maine · 44700
Office
Unavailable
Facility
$857.88
No comparable office rate is available.
Southern Maine
Maine · 44700
Office
Unavailable
Facility
$876.12
No comparable office rate is available.
Detroit
Michigan · 44700
Office
Unavailable
Facility
$979.02
No comparable office rate is available.
Rest Of Michigan
Michigan · 44700
Office
Unavailable
Facility
$908.66
No comparable office rate is available.
Minnesota
Minnesota · 44700
Office
Unavailable
Facility
$850.70
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44700
Office
Unavailable
Facility
$899.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44700
Office
Unavailable
Facility
$905.02
No comparable office rate is available.
Rest Of Missouri
Missouri · 44700
Office
Unavailable
Facility
$880.18
No comparable office rate is available.
Mississippi
Mississippi · 44700
Office
Unavailable
Facility
$855.60
No comparable office rate is available.
Montana**
Montana · 44700
Office
Unavailable
Facility
$916.31
No comparable office rate is available.
North Carolina
North Carolina · 44700
Office
Unavailable
Facility
$862.81
No comparable office rate is available.
North Dakota**
North Dakota · 44700
Office
Unavailable
Facility
$855.02
No comparable office rate is available.
Nebraska
Nebraska · 44700
Office
Unavailable
Facility
$833.34
No comparable office rate is available.
New Hampshire
New Hampshire · 44700
Office
Unavailable
Facility
$913.57
No comparable office rate is available.
Northern Nj
New Jersey · 44700
Office
Unavailable
Facility
$998.43
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44700
Office
Unavailable
Facility
$971.76
No comparable office rate is available.
New Mexico
New Mexico · 44700
Office
Unavailable
Facility
$917.10
No comparable office rate is available.
Nevada**
Nevada · 44700
Office
Unavailable
Facility
$899.47
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44700
Office
Unavailable
Facility
$1087.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44700
Office
Unavailable
Facility
$987.04
No comparable office rate is available.
Queens
New York · 44700
Office
Unavailable
Facility
$1043.09
No comparable office rate is available.
Rest Of New York
New York · 44700
Office
Unavailable
Facility
$873.58
No comparable office rate is available.
Ohio
Ohio · 44700
Office
Unavailable
Facility
$896.14
No comparable office rate is available.
Oklahoma
Oklahoma · 44700
Office
Unavailable
Facility
$867.34
No comparable office rate is available.
Portland
Oregon · 44700
Office
Unavailable
Facility
$926.18
No comparable office rate is available.
Rest Of Oregon
Oregon · 44700
Office
Unavailable
Facility
$884.79
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44700
Office
Unavailable
Facility
$956.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44700
Office
Unavailable
Facility
$890.83
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44700
Office
Unavailable
Facility
$917.65
No comparable office rate is available.
Rhode Island
Rhode Island · 44700
Office
Unavailable
Facility
$924.20
No comparable office rate is available.
South Carolina
South Carolina · 44700
Office
Unavailable
Facility
$882.46
No comparable office rate is available.
South Dakota**
South Dakota · 44700
Office
Unavailable
Facility
$847.77
No comparable office rate is available.
Tennessee
Tennessee · 44700
Office
Unavailable
Facility
$846.39
No comparable office rate is available.
Utah
Utah · 44700
Office
Unavailable
Facility
$891.33
No comparable office rate is available.
Virginia
Virginia · 44700
Office
Unavailable
Facility
$881.93
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44700
Office
Unavailable
Facility
$917.65
No comparable office rate is available.
Vermont
Vermont · 44700
Office
Unavailable
Facility
$862.93
No comparable office rate is available.
Rest Of Washington
Washington · 44700
Office
Unavailable
Facility
$912.10
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44700
Office
Unavailable
Facility
$981.38
No comparable office rate is available.
Wisconsin
Wisconsin · 44700
Office
Unavailable
Facility
$834.63
No comparable office rate is available.
West Virginia
West Virginia · 44700
Office
Unavailable
Facility
$929.21
No comparable office rate is available.
Wyoming**
Wyoming · 44700
Office
Unavailable
Facility
$889.60
No comparable office rate is available.

See how rates vary across the country

44700 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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

Explore 44700 on the national rate map →

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.

44700 in Austin
Multiple payment areas
44700 in Barton Creek
44700 in Bee Cave
44700 in Briarcliff
44700 in Cedar Park
Multiple payment areas
44700 in Creedmoor
Multiple payment areas
44700 in Elgin
Multiple payment areas
44700 in Garfield

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 44700 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Percentage of Medicare

Setting

Reference amount per service

$1012.00

$920.00 × 110% = $1012.00

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.

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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 44700 in Austin.

PPRRVU2026_Oct_nonQPP.csv

5,439

Code: 44700
Physician work: 17.04
Practice expense: 7.30
Malpractice: 3.10

GPCI2026.csv

Locality: Austin
Physician work: 1.002
Practice expense: 1.058
Malpractice: 0.886

Facility calculation for 44700 in Austin
Component	RVU	Locality factor	Adjusted
Physician work	17.04	× 1.002	17.0741
Practice expense	7.30	× 1.058	7.7234
Malpractice	3.10	× 0.886	2.7466
Total RVUs			27.5441
Conversion factor			× 33.4009

Facility rate, Austin$920.00

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 44700 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
Component	RVU	Local GPCI
Work	17.04	1.002
Practice expense	7.3	1.058
Malpractice	3.1	0.886

(17.04 × 1.002 + 7.3 × 1.058 + 3.1 × 0.886) × $33.4009 = $920.00

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

44700 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

Compare with release effective

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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	$920.00	RVU26D
2026-07-01	Not available in this setting	$920.00	RVU26C
2026-04-01	Not available in this setting	$920.00	RVU26B
2026-01-01	Not available in this setting	$920.00	RVU26A
2025-10-01	Not available in this setting	$973.97	RVU25D
2025-07-01	Not available in this setting	$973.97	RVU25C
2025-04-01	Not available in this setting	$973.97	RVU25B
2025-01-01	Not available in this setting	$973.97	RVU25A

44700 billing questions

What documentation supports reporting 44700?

Document the operative technique, use of a prosthesis to suspend the bowel, and the clinical purpose for moving the bowel away from the treatment area.

Should modifier 50 be appended when bowel is suspended?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the service.

How does the 90-day global period affect postoperative visits?

The day-before preoperative visit and related postoperative care for 90 days are included in the surgical global period.

Can 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.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures 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.

RVUs for 44700PPRRVU2026_Oct_nonQPP.csv, line 5,439 (RVU26D)

5,43644660,,Repair bowel-bladder fistula,A,,23.31,8.75,NA,8.75,,4.36,36.42,36.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,43744661,,Repair bowel-bladder fistula,A,,26.67,9.85,NA,9.85,,5.82,42.34,42.34,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,43844680,,Surgical revision intestine,A,,17.51,8.02,NA,8.02,,4.69,30.22,30.22,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,43944700,,Suspend bowel w/prosthesis,A,,17.04,7.30,NA,7.30,,3.10,27.44,27.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,44044701,,Intraop colon lavage add-on,A,,3.02,0.73,NA,0.73,,0.81,4.56,4.56,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

5,44144705,,Prepare fecal microbiota,I,+,1.38,1.92,,0.31,,0.15,3.45,1.84,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

5,4424470F,,Icd counseling provided,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)

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

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