No office rate
44312 is the simpler ileostomy revision. Choose 44314 when the operative work is a complicated reconstruction, such as with bowel resection and re-anastomosis.
On this page
CMS RVU26D · Effective 2026-10-01
44314 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$902.55
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.
Ostomy surgery
About 44314: Complicated ileostomy revision
Reports operative reconstruction of an existing ileostomy when substantial revision, such as bowel resection and re-anastomosis, is required.
A complicated ileostomy revision reconstructs an existing ileal stoma when a limited local repair is not sufficient. The surgeon may remove a diseased or unusable segment of bowel and reconnect bowel as part of refashioning the stoma. Clinical problems prompting revision can include stenosis, retraction, or prolapse when operative reconstruction is needed. General or colorectal surgeons typically perform the operation in a hospital operating room.
Report this code for the more extensive revision, not for creation of a new ileostomy or a simple revision. The operative report should identify the problem with the existing stoma and describe the reconstruction, including any bowel resection or re-anastomosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this single ileostomy revision. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 44314
- 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 RVU16.32 · 58%
- Practice expense (office) RVU8.33 · 30%
- Malpractice RVU3.36 · 12%
593
Medicare services in 2024 · #3403 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.
44314 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
44310 is for forming an ileostomy or jejunostomy. Code 44314 revises an ileostomy that already exists.
No office rate
44340 concerns revision of a colostomy. Code 44314 is for revision of an ileostomy.
No office rate
44316 is for creating a continent ileostomy, not revising an existing ileostomy.
The same code, a different location
How does Beaumont compare?
44314 across payment areas
Same release and payment basis · bars start at $0
Beaumont · 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 · 44314
Office
Unavailable
Facility
$910.48
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 44314
Office
Unavailable
Facility
$971.12
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44314
Office
Unavailable
Facility
$1027.20
No comparable office rate is available.
Miami
Florida · 44314
Office
Unavailable
Facility
$1118.56
No comparable office rate is available.
Chicago
Illinois · 44314
Office
Unavailable
Facility
$1086.10
No comparable office rate is available.
Manhattan
New York · 44314
Office
Unavailable
Facility
$1081.28
No comparable office rate is available.
Alaska*
Alaska · 44314
Office
Unavailable
Facility
$1175.81
No comparable office rate is available.
Alabama
Alabama · 44314
Office
Unavailable
Facility
$852.07
No comparable office rate is available.
Arkansas
Arkansas · 44314
Office
Unavailable
Facility
$841.90
No comparable office rate is available.
Arizona
Arizona · 44314
Office
Unavailable
Facility
$910.77
No comparable office rate is available.
Bakersfield
California · 44314
Office
Unavailable
Facility
$928.75
No comparable office rate is available.
Chico
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
El Centro
California · 44314
Office
Unavailable
Facility
$920.02
No comparable office rate is available.
Fresno
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Hanford-Corcoran
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Madera
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Merced
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Modesto
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Napa
California · 44314
Office
Unavailable
Facility
$1003.16
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44314
Office
Unavailable
Facility
$959.15
No comparable office rate is available.
Redding
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Rest Of California
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44314
Office
Unavailable
Facility
$955.58
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44314
Office
Unavailable
Facility
$948.46
No comparable office rate is available.
Salinas
California · 44314
Office
Unavailable
Facility
$944.62
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44314
Office
Unavailable
Facility
$955.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44314
Office
Unavailable
Facility
$1040.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44314
Office
Unavailable
Facility
$1036.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44314
Office
Unavailable
Facility
$1066.42
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44314
Office
Unavailable
Facility
$1050.83
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44314
Office
Unavailable
Facility
$931.43
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44314
Office
Unavailable
Facility
$954.75
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44314
Office
Unavailable
Facility
$944.93
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44314
Office
Unavailable
Facility
$963.28
No comparable office rate is available.
Stockton
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Vallejo
California · 44314
Office
Unavailable
Facility
$997.66
No comparable office rate is available.
Visalia
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Yuba City
California · 44314
Office
Unavailable
Facility
$919.46
No comparable office rate is available.
Colorado
Colorado · 44314
Office
Unavailable
Facility
$935.33
No comparable office rate is available.
Connecticut
Connecticut · 44314
Office
Unavailable
Facility
$991.45
No comparable office rate is available.
Delaware
Delaware · 44314
Office
Unavailable
Facility
$923.61
No comparable office rate is available.
Fort Lauderdale
Florida · 44314
Office
Unavailable
Facility
$1029.86
No comparable office rate is available.
Rest Of Florida
Florida · 44314
Office
Unavailable
Facility
$979.77
No comparable office rate is available.
Atlanta
Georgia · 44314
Office
Unavailable
Facility
$964.20
No comparable office rate is available.
Rest Of Georgia
Georgia · 44314
Office
Unavailable
Facility
$927.06
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44314
Office
Unavailable
Facility
$926.43
No comparable office rate is available.
Iowa
Iowa · 44314
Office
Unavailable
Facility
$844.24
No comparable office rate is available.
Idaho
Idaho · 44314
Office
Unavailable
Facility
$854.16
No comparable office rate is available.
East St. Louis
Illinois · 44314
Office
Unavailable
Facility
$1027.10
No comparable office rate is available.
Rest Of Illinois
Illinois · 44314
Office
Unavailable
Facility
$974.54
No comparable office rate is available.
Suburban Chicago
Illinois · 44314
Office
Unavailable
Facility
$1033.53
No comparable office rate is available.
Indiana
Indiana · 44314
Office
Unavailable
Facility
$857.56
No comparable office rate is available.
Kansas
Kansas · 44314
Office
Unavailable
Facility
$853.18
No comparable office rate is available.
Kentucky
Kentucky · 44314
Office
Unavailable
Facility
$895.14
No comparable office rate is available.
New Orleans
Louisiana · 44314
Office
Unavailable
Facility
$934.41
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44314
Office
Unavailable
Facility
$898.85
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44314
Office
Unavailable
Facility
$999.54
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44314
Office
Unavailable
Facility
$936.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44314
Office
Unavailable
Facility
$991.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 44314
Office
Unavailable
Facility
$935.15
No comparable office rate is available.
Rest Of Maine
Maine · 44314
Office
Unavailable
Facility
$870.88
No comparable office rate is available.
Southern Maine
Maine · 44314
Office
Unavailable
Facility
$891.64
No comparable office rate is available.
Detroit
Michigan · 44314
Office
Unavailable
Facility
$1002.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 44314
Office
Unavailable
Facility
$925.83
No comparable office rate is available.
Minnesota
Minnesota · 44314
Office
Unavailable
Facility
$864.62
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44314
Office
Unavailable
Facility
$916.01
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44314
Office
Unavailable
Facility
$922.43
No comparable office rate is available.
Rest Of Missouri
Missouri · 44314
Office
Unavailable
Facility
$894.25
No comparable office rate is available.
Mississippi
Mississippi · 44314
Office
Unavailable
Facility
$867.59
No comparable office rate is available.
Montana**
Montana · 44314
Office
Unavailable
Facility
$935.33
No comparable office rate is available.
North Carolina
North Carolina · 44314
Office
Unavailable
Facility
$876.40
No comparable office rate is available.
North Dakota**
North Dakota · 44314
Office
Unavailable
Facility
$868.90
No comparable office rate is available.
Nebraska
Nebraska · 44314
Office
Unavailable
Facility
$844.33
No comparable office rate is available.
New Hampshire
New Hampshire · 44314
Office
Unavailable
Facility
$932.94
No comparable office rate is available.
Northern Nj
New Jersey · 44314
Office
Unavailable
Facility
$1022.05
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44314
Office
Unavailable
Facility
$993.85
No comparable office rate is available.
New Mexico
New Mexico · 44314
Office
Unavailable
Facility
$935.02
No comparable office rate is available.
Nevada**
Nevada · 44314
Office
Unavailable
Facility
$917.10
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44314
Office
Unavailable
Facility
$1119.21
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44314
Office
Unavailable
Facility
$1010.09
No comparable office rate is available.
Queens
New York · 44314
Office
Unavailable
Facility
$1070.69
No comparable office rate is available.
Rest Of New York
New York · 44314
Office
Unavailable
Facility
$888.32
No comparable office rate is available.
Ohio
Ohio · 44314
Office
Unavailable
Facility
$912.25
No comparable office rate is available.
Oklahoma
Oklahoma · 44314
Office
Unavailable
Facility
$880.76
No comparable office rate is available.
Portland
Oregon · 44314
Office
Unavailable
Facility
$946.43
No comparable office rate is available.
Rest Of Oregon
Oregon · 44314
Office
Unavailable
Facility
$901.11
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44314
Office
Unavailable
Facility
$978.44
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44314
Office
Unavailable
Facility
$906.57
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44314
Office
Unavailable
Facility
$936.94
No comparable office rate is available.
Rhode Island
Rhode Island · 44314
Office
Unavailable
Facility
$942.98
No comparable office rate is available.
South Carolina
South Carolina · 44314
Office
Unavailable
Facility
$897.58
No comparable office rate is available.
South Dakota**
South Dakota · 44314
Office
Unavailable
Facility
$861.04
No comparable office rate is available.
Tennessee
Tennessee · 44314
Office
Unavailable
Facility
$858.28
No comparable office rate is available.
Utah
Utah · 44314
Office
Unavailable
Facility
$907.42
No comparable office rate is available.
Virginia
Virginia · 44314
Office
Unavailable
Facility
$897.83
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44314
Office
Unavailable
Facility
$936.94
No comparable office rate is available.
Vermont
Vermont · 44314
Office
Unavailable
Facility
$877.34
No comparable office rate is available.
Rest Of Washington
Washington · 44314
Office
Unavailable
Facility
$930.57
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44314
Office
Unavailable
Facility
$1005.43
No comparable office rate is available.
Wisconsin
Wisconsin · 44314
Office
Unavailable
Facility
$846.21
No comparable office rate is available.
West Virginia
West Virginia · 44314
Office
Unavailable
Facility
$947.48
No comparable office rate is available.
Wyoming**
Wyoming · 44314
Office
Unavailable
Facility
$906.38
No comparable office rate is available.
See how rates vary across the country
44314 · 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?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 44314 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$992.81
$902.55 × 110% = $992.81
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 44314 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
5,382
- Code
- 44314
- Physician work
- 16.32
- Practice expense
- 8.33
- Malpractice
- 3.36
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.32 | × 1.000 | 16.3200 |
| Practice expense | 8.33 | × 0.910 | 7.5803 |
| Malpractice | 3.36 | × 0.929 | 3.1214 |
| Total RVUs | 27.0217 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$902.55
Open 44314 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.32 | 1 |
| Practice expense | 8.33 | 0.91 |
| Malpractice | 3.36 | 0.929 |
(16.32 × 1 + 8.33 × 0.91 + 3.36 × 0.929) × $33.4009 = $902.55
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
44314 · 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 | $902.55 | RVU26D |
| 2026-07-01 | Not available in this setting | $902.55 | RVU26C |
| 2026-04-01 | Not available in this setting | $902.55 | RVU26B |
| 2026-01-01 | Not available in this setting | $902.55 | RVU26A |
| 2025-10-01 | Not available in this setting | $938.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $938.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $938.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $938.37 | RVU25A |
44314 billing questions
How does this differ from 44312?
Use 44314 for a complicated reconstruction, such as one involving bowel resection and re-anastomosis. Code 44312 describes a simpler ileostomy revision.
Can this be reported for creating a new ileostomy?
No. This code concerns revision of an existing ileostomy; creation of an ileostomy is represented by a different code, such as 44310.
What documentation supports the complicated revision?
Document the existing stoma problem and the operative work used to reconstruct it. Describe bowel resection or re-anastomosis when performed.
Does the service have a 90-day global period?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used?
No. Modifier 50 is not appropriate for this ileostomy revision.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation.
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.
5,37944300,,Open bowel to skin,A,,13.41,7.04,NA,7.04,,3.39,23.84,23.84,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38044310,,Ileostomy/jejunostomy,A,,17.15,7.97,NA,7.97,,3.85,28.97,28.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38144312,,Revision of ileostomy,A,,9.19,5.83,NA,5.83,,1.99,17.01,17.01,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38244314,,Revision of ileostomy,A,,16.32,8.33,NA,8.33,,3.36,28.01,28.01,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38344316,,Devise bowel pouch,A,,23.00,10.49,NA,10.49,,6.16,39.65,39.65,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38444320,,Colostomy,A,,19.41,9.68,NA,9.68,,4.50,33.59,33.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38544322,,Colostomy with biopsies,A,,12.99,12.99,NA,12.99,,3.46,29.44,29.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10004412,TX,28,FORT WORTH,1.009,0.986,0.871