No office rate
Choose 44005 for operative freeing of intestinal adhesions. Choose 44050 when the surgeon reduces an obstruction such as volvulus, intussusception, or internal hernia.
On this page
CMS RVU26D · Effective 2026-10-01
44050 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$867.96
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.
General surgery
About 44050: Operative intestinal obstruction reduction
Reports operative reduction of an intestinal obstruction, such as volvulus, intussusception, or internal hernia, when surgery restores bowel position or patency.
A surgeon reports this service for operative reduction of an intestinal obstruction, including volvulus, intussusception, or internal hernia. The work centers on releasing or repositioning the obstructed bowel; it is not the same as nonoperative reduction, such as an enema for intussusception. These procedures are typically performed in a hospital operating room, including during emergency surgery.
Choose the code when the operative work reduces the obstruction, rather than solely decompressing bowel, freeing adhesions, or correcting malrotation. The operative report should identify the obstruction and its site, describe the findings and reduction performed, and distinguish any additional procedures. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this intestinal service. An assistant may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44050
- 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 RVU15.13 · 57%
- Practice expense (office) RVU7.39 · 28%
- Malpractice RVU3.87 · 15%
3K
Medicare services in 2024 · #2173 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.
44050 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
44021 represents small-bowel decompression. This code represents operative reduction of the obstruction itself.
No office rate
44055 is for surgical correction of intestinal malrotation. Use 44050 when the operation reduces an obstruction without that malrotation-correction service.
The same code, a different location
How does Delaware compare?
44050 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 44050
Office
Unavailable
Facility
$794.50
No comparable office rate is available.
Arkansas
Arkansas · 44050
Office
Unavailable
Facility
$783.95
No comparable office rate is available.
Arizona
Arizona · 44050
Office
Unavailable
Facility
$855.18
No comparable office rate is available.
Bakersfield
California · 44050
Office
Unavailable
Facility
$864.21
No comparable office rate is available.
Chico
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
El Centro
California · 44050
Office
Unavailable
Facility
$854.41
No comparable office rate is available.
Fresno
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Hanford-Corcoran
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Madera
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Merced
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Modesto
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Napa
California · 44050
Office
Unavailable
Facility
$928.18
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44050
Office
Unavailable
Facility
$891.79
No comparable office rate is available.
Redding
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Rest Of California
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44050
Office
Unavailable
Facility
$895.24
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44050
Office
Unavailable
Facility
$879.90
No comparable office rate is available.
Salinas
California · 44050
Office
Unavailable
Facility
$876.38
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44050
Office
Unavailable
Facility
$885.79
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44050
Office
Unavailable
Facility
$960.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44050
Office
Unavailable
Facility
$956.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44050
Office
Unavailable
Facility
$986.16
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44050
Office
Unavailable
Facility
$968.19
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44050
Office
Unavailable
Facility
$864.37
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44050
Office
Unavailable
Facility
$885.15
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44050
Office
Unavailable
Facility
$876.60
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44050
Office
Unavailable
Facility
$892.91
No comparable office rate is available.
Stockton
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Vallejo
California · 44050
Office
Unavailable
Facility
$921.85
No comparable office rate is available.
Visalia
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Yuba City
California · 44050
Office
Unavailable
Facility
$853.76
No comparable office rate is available.
Colorado
Colorado · 44050
Office
Unavailable
Facility
$875.00
No comparable office rate is available.
Connecticut
Connecticut · 44050
Office
Unavailable
Facility
$937.71
No comparable office rate is available.
Fort Lauderdale
Florida · 44050
Office
Unavailable
Facility
$989.10
No comparable office rate is available.
Rest Of Florida
Florida · 44050
Office
Unavailable
Facility
$935.61
No comparable office rate is available.
Atlanta
Georgia · 44050
Office
Unavailable
Facility
$912.90
No comparable office rate is available.
Rest Of Georgia
Georgia · 44050
Office
Unavailable
Facility
$879.61
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44050
Office
Unavailable
Facility
$860.85
No comparable office rate is available.
Iowa
Iowa · 44050
Office
Unavailable
Facility
$782.52
No comparable office rate is available.
Idaho
Idaho · 44050
Office
Unavailable
Facility
$793.58
No comparable office rate is available.
East St. Louis
Illinois · 44050
Office
Unavailable
Facility
$992.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 44050
Office
Unavailable
Facility
$932.75
No comparable office rate is available.
Suburban Chicago
Illinois · 44050
Office
Unavailable
Facility
$991.44
No comparable office rate is available.
Indiana
Indiana · 44050
Office
Unavailable
Facility
$796.99
No comparable office rate is available.
Kansas
Kansas · 44050
Office
Unavailable
Facility
$793.64
No comparable office rate is available.
Kentucky
Kentucky · 44050
Office
Unavailable
Facility
$843.06
No comparable office rate is available.
New Orleans
Louisiana · 44050
Office
Unavailable
Facility
$884.47
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44050
Office
Unavailable
Facility
$847.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44050
Office
Unavailable
Facility
$935.84
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44050
Office
Unavailable
Facility
$876.38
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44050
Office
Unavailable
Facility
$938.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 44050
Office
Unavailable
Facility
$878.87
No comparable office rate is available.
Rest Of Maine
Maine · 44050
Office
Unavailable
Facility
$812.84
No comparable office rate is available.
Southern Maine
Maine · 44050
Office
Unavailable
Facility
$831.53
No comparable office rate is available.
Detroit
Michigan · 44050
Office
Unavailable
Facility
$961.48
No comparable office rate is available.
Rest Of Michigan
Michigan · 44050
Office
Unavailable
Facility
$876.65
No comparable office rate is available.
Minnesota
Minnesota · 44050
Office
Unavailable
Facility
$797.61
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44050
Office
Unavailable
Facility
$863.42
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44050
Office
Unavailable
Facility
$869.86
No comparable office rate is available.
Rest Of Missouri
Missouri · 44050
Office
Unavailable
Facility
$844.03
No comparable office rate is available.
Mississippi
Mississippi · 44050
Office
Unavailable
Facility
$813.40
No comparable office rate is available.
Montana**
Montana · 44050
Office
Unavailable
Facility
$881.19
No comparable office rate is available.
North Carolina
North Carolina · 44050
Office
Unavailable
Facility
$818.25
No comparable office rate is available.
North Dakota**
North Dakota · 44050
Office
Unavailable
Facility
$804.67
No comparable office rate is available.
Nebraska
Nebraska · 44050
Office
Unavailable
Facility
$782.04
No comparable office rate is available.
New Hampshire
New Hampshire · 44050
Office
Unavailable
Facility
$875.41
No comparable office rate is available.
Northern Nj
New Jersey · 44050
Office
Unavailable
Facility
$961.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44050
Office
Unavailable
Facility
$936.91
No comparable office rate is available.
New Mexico
New Mexico · 44050
Office
Unavailable
Facility
$886.94
No comparable office rate is available.
Nevada**
Nevada · 44050
Office
Unavailable
Facility
$860.11
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44050
Office
Unavailable
Facility
$1071.22
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44050
Office
Unavailable
Facility
$954.78
No comparable office rate is available.
Queens
New York · 44050
Office
Unavailable
Facility
$1015.85
No comparable office rate is available.
Rest Of New York
New York · 44050
Office
Unavailable
Facility
$830.72
No comparable office rate is available.
Ohio
Ohio · 44050
Office
Unavailable
Facility
$861.01
No comparable office rate is available.
Oklahoma
Oklahoma · 44050
Office
Unavailable
Facility
$826.21
No comparable office rate is available.
Portland
Oregon · 44050
Office
Unavailable
Facility
$883.84
No comparable office rate is available.
Rest Of Oregon
Oregon · 44050
Office
Unavailable
Facility
$842.07
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44050
Office
Unavailable
Facility
$925.61
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44050
Office
Unavailable
Facility
$854.10
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44050
Office
Unavailable
Facility
$882.23
No comparable office rate is available.
Rhode Island
Rhode Island · 44050
Office
Unavailable
Facility
$885.24
No comparable office rate is available.
South Carolina
South Carolina · 44050
Office
Unavailable
Facility
$843.30
No comparable office rate is available.
South Dakota**
South Dakota · 44050
Office
Unavailable
Facility
$795.62
No comparable office rate is available.
Tennessee
Tennessee · 44050
Office
Unavailable
Facility
$799.14
No comparable office rate is available.
Austin
Texas · 44050
Office
Unavailable
Facility
$882.04
No comparable office rate is available.
Beaumont
Texas · 44050
Office
Unavailable
Facility
$850.06
No comparable office rate is available.
Brazoria
Texas · 44050
Office
Unavailable
Facility
$854.83
No comparable office rate is available.
Dallas
Texas · 44050
Office
Unavailable
Facility
$866.66
No comparable office rate is available.
Fort Worth
Texas · 44050
Office
Unavailable
Facility
$865.87
No comparable office rate is available.
Galveston
Texas · 44050
Office
Unavailable
Facility
$861.53
No comparable office rate is available.
Houston
Texas · 44050
Office
Unavailable
Facility
$932.37
No comparable office rate is available.
Rest Of Texas
Texas · 44050
Office
Unavailable
Facility
$856.32
No comparable office rate is available.
Utah
Utah · 44050
Office
Unavailable
Facility
$853.46
No comparable office rate is available.
Virginia
Virginia · 44050
Office
Unavailable
Facility
$839.25
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44050
Office
Unavailable
Facility
$882.23
No comparable office rate is available.
Vermont
Vermont · 44050
Office
Unavailable
Facility
$815.13
No comparable office rate is available.
Rest Of Washington
Washington · 44050
Office
Unavailable
Facility
$870.21
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44050
Office
Unavailable
Facility
$939.09
No comparable office rate is available.
Wisconsin
Wisconsin · 44050
Office
Unavailable
Facility
$781.63
No comparable office rate is available.
West Virginia
West Virginia · 44050
Office
Unavailable
Facility
$904.83
No comparable office rate is available.
Wyoming**
Wyoming · 44050
Office
Unavailable
Facility
$847.84
No comparable office rate is available.
See how rates vary across the country
44050 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 44050 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$954.76
$867.96 × 110% = $954.76
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 44050 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,330
- Code
- 44050
- Physician work
- 15.13
- Practice expense
- 7.39
- Malpractice
- 3.87
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.13 | × 1.005 | 15.2056 |
| Practice expense | 7.39 | × 0.988 | 7.3013 |
| Malpractice | 3.87 | × 0.899 | 3.4791 |
| Total RVUs | 25.9861 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$867.96
Open 44050 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.13 | 1.005 |
| Practice expense | 7.39 | 0.988 |
| Malpractice | 3.87 | 0.899 |
(15.13 × 1.005 + 7.39 × 0.988 + 3.87 × 0.899) × $33.4009 = $867.96
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
44050 · 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 | $867.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $867.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $867.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $867.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $910.72 | RVU25D |
| 2025-07-01 | Not available in this setting | $910.72 | RVU25C |
| 2025-04-01 | Not available in this setting | $910.72 | RVU25B |
| 2025-01-01 | Not available in this setting | $910.72 | RVU25A |
44050 billing questions
When should this code be chosen over bowel decompression?
Use this code when the surgeon operatively reduces the obstruction. A service limited to relieving bowel distention by decompression is a different procedure.
Does this code describe nonoperative reduction of intussusception?
No. It describes operative reduction; nonoperative reduction, such as an enema procedure, is not the service represented here.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this intestinal reduction service.
What documentation supports reporting the code?
Document the obstruction's location and cause when known, the operative findings, and how the surgeon reduced it. Identify other procedures performed during the same session separately in the operative report.
How are assistants and co-surgeons handled?
Assistant-at-surgery payment may be made. 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 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.
5,32744020,,Explore small intestine,A,,15.81,7.56,NA,7.56,,4.03,27.40,27.40,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32844021,,Decompress small bowel,A,,15.90,7.35,NA,7.35,,3.96,27.21,27.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32944025,,Incision of large bowel,A,,16.10,7.50,NA,7.50,,3.93,27.53,27.53,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33044050,,Reduce bowel obstruction,A,,15.13,7.39,NA,7.39,,3.87,26.39,26.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33144055,,Correct malrotation of bowel,A,,24.99,9.92,NA,9.92,,6.34,41.25,41.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33244100,,Biopsy of bowel,A,,1.96,0.57,NA,0.57,,0.21,2.74,2.74,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33344110,,Excise intestine lesion(s),A,,13.69,7.00,NA,7.00,,3.18,23.87,23.87,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503