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CMS RVU26D · Effective 2026-10-01

44385 in El Centro

Office / nonfacility

$262.46

Base rate per service

Facility setting

$67.71

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.

Gastrointestinal endoscopy

About 44385: Diagnostic ileal pouch endoscopy

Endoscopic inspection of an ileal pouch is reported for evaluation when the examination does not include tissue biopsy.

This service examines an ileal reservoir with an endoscope, such as a pouch created after restorative proctocolectomy. Gastroenterologists and colorectal surgeons commonly perform it to evaluate symptoms such as pouch-related inflammation, bleeding, or altered bowel function. The examination may include collecting cells or fluid by brushing or washing; those methods do not make it a biopsy service.

Report this code when the pouch is examined without tissue sampling. If the endoscopist takes tissue biopsies, use the related biopsy code instead. The report should identify the pouch examined, the examination findings, and any specimen collection method. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 44385

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.17 · 16%
  • Practice expense (office) RVU6.00 · 82%
  • Malpractice RVU0.17 · 2%

1.1K

Medicare services in 2024 · #2901 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.

44385 compared with similar codes

Office rates for El Centro, from the same CMS release.

44386

Pouch endoscopy

With biopsy

$373.89

Both examine an ileal pouch. Choose 44385 when no tissue biopsy is taken; choose 44386 when one or more tissue biopsies are performed.

44388

Colonoscopy

Diagnostic, through stoma

$373.08

44385 examines an ileal pouch. 44388 applies when the endoscope is used for colonoscopy through a stoma.

44389

Colonoscopy

Through stoma, with biopsy

$486.35

44389 is for colonoscopy through a stoma with biopsy. For biopsy of an ileal pouch, use 44386 instead.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 44385 is $262.92—$0.46 higher than the $262.46 rate in El Centro. Both use the same code, release and participation basis.

44385 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $262.46

  2. $0.46 higher than El Centro

  3. Chico

    $262.43

    $0.03 lower than El Centro

  4. Fresno

    $262.43

    $0.03 lower than El Centro

  5. $0.03 lower than El Centro

  6. $19.07 higher than El Centro

  7. Madera

    $262.43

    $0.03 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 44385 ranges from $214.15 in Arkansas to $335.41 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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
  • Merced

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Modesto

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Napa

    California · 44385

    Office

    $308.56

    Facility

    $74.36

    $46.10 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 44385

    Office

    $280.59

    Facility

    $70.56

    $18.13 higher than El Centro for the office setting.

  • Redding

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Rest Of California

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 44385

    Office

    $264.27

    Facility

    $69.52

    $1.81 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 44385

    Office

    $276.60

    Facility

    $69.94

    $14.14 higher than El Centro for the office setting.

  • Salinas

    California · 44385

    Office

    $275.60

    Facility

    $69.66

    $13.14 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 44385

    Office

    $283.01

    Facility

    $70.49

    $20.55 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 44385

    Office

    $327.97

    Facility

    $77.42

    $65.51 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 44385

    Office

    $327.78

    Facility

    $77.23

    $65.32 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 44385

    Office

    $335.41

    Facility

    $79.17

    $72.95 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 44385

    Office

    $334.62

    Facility

    $78.38

    $72.16 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 44385

    Office

    $271.05

    Facility

    $68.66

    $8.59 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 44385

    Office

    $286.44

    Facility

    $70.54

    $23.98 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 44385

    Office

    $276.89

    Facility

    $69.70

    $14.43 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 44385

    Office

    $289.39

    Facility

    $71.19

    $26.93 higher than El Centro for the office setting.

  • Stockton

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Vallejo

    California · 44385

    Office

    $308.28

    Facility

    $74.08

    $45.82 higher than El Centro for the office setting.

  • Visalia

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Yuba City

    California · 44385

    Office

    $262.43

    Facility

    $67.68

    $0.03 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 44385

    Office

    $283.59

    Facility

    $74.26

    $21.13 higher than El Centro for the office setting.

  • Miami

    Florida · 44385

    Office

    $262.06

    Facility

    $77.08

    $0.40 lower than El Centro for the office setting.

  • Chicago

    Illinois · 44385

    Office

    $253.79

    Facility

    $75.21

    $8.67 lower than El Centro for the office setting.

  • Manhattan

    New York · 44385

    Office

    $283.46

    Facility

    $76.98

    $21.00 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 44385

    Office

    $275.18

    Facility

    $85.94

    $12.72 higher than El Centro for the office setting.

  • Alabama

    Alabama · 44385

    Office

    $217.65

    Facility

    $62.17

    $44.81 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 44385

    Office

    $214.15

    Facility

    $61.51

    $48.31 lower than El Centro for the office setting.

  • Arizona

    Arizona · 44385

    Office

    $238.13

    Facility

    $65.95

    $24.33 lower than El Centro for the office setting.

  • Colorado

    Colorado · 44385

    Office

    $257.21

    Facility

    $68.15

    $5.25 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 44385

    Office

    $262.57

    Facility

    $71.19

    $0.11 higher than El Centro for the office setting.

  • Delaware

    Delaware · 44385

    Office

    $242.38

    Facility

    $66.82

    $20.08 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 44385

    Office

    $252.36

    Facility

    $72.35

    $10.10 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 44385

    Office

    $239.20

    Facility

    $69.33

    $23.26 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 44385

    Office

    $249.63

    Facility

    $69.09

    $12.83 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 44385

    Office

    $224.61

    Facility

    $66.11

    $37.85 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 44385

    Office

    $270.23

    Facility

    $68.19

    $7.77 higher than El Centro for the office setting.

  • Iowa

    Iowa · 44385

    Office

    $224.70

    Facility

    $62.12

    $37.76 lower than El Centro for the office setting.

  • Idaho

    Idaho · 44385

    Office

    $226.14

    Facility

    $62.66

    $36.32 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 44385

    Office

    $234.89

    Facility

    $71.41

    $27.57 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 44385

    Office

    $230.92

    Facility

    $68.69

    $31.54 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 44385

    Office

    $255.23

    Facility

    $72.74

    $7.23 lower than El Centro for the office setting.

  • Indiana

    Indiana · 44385

    Office

    $227.61

    Facility

    $62.89

    $34.85 lower than El Centro for the office setting.

  • Kansas

    Kansas · 44385

    Office

    $223.11

    Facility

    $62.47

    $39.35 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 44385

    Office

    $222.43

    Facility

    $64.47

    $40.03 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 44385

    Office

    $234.11

    Facility

    $66.90

    $28.35 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 44385

    Office

    $221.88

    Facility

    $64.62

    $40.58 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 44385

    Office

    $285.02

    Facility

    $72.85

    $22.56 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 44385

    Office

    $255.26

    Facility

    $68.15

    $7.20 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 44385

    Office

    $261.76

    Facility

    $71.10

    $0.70 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 44385

    Office

    $247.49

    Facility

    $67.67

    $14.97 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 44385

    Office

    $226.98

    Facility

    $63.51

    $35.48 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 44385

    Office

    $241.26

    Facility

    $65.17

    $21.20 lower than El Centro for the office setting.

  • Detroit

    Michigan · 44385

    Office

    $242.04

    Facility

    $70.57

    $20.42 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 44385

    Office

    $228.46

    Facility

    $66.23

    $34.00 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 44385

    Office

    $246.98

    Facility

    $64.13

    $15.48 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 44385

    Office

    $232.81

    Facility

    $65.95

    $29.65 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 44385

    Office

    $235.55

    Facility

    $66.39

    $26.91 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 44385

    Office

    $217.36

    Facility

    $64.19

    $45.10 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 44385

    Office

    $215.82

    Facility

    $62.83

    $46.64 lower than El Centro for the office setting.

  • Montana**

    Montana · 44385

    Office

    $245.15

    Facility

    $67.46

    $17.31 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 44385

    Office

    $229.69

    Facility

    $63.90

    $32.77 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 44385

    Office

    $241.79

    Facility

    $64.10

    $20.67 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 44385

    Office

    $226.20

    Facility

    $62.19

    $36.26 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 44385

    Office

    $252.67

    Facility

    $67.69

    $9.79 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 44385

    Office

    $280.08

    Facility

    $73.95

    $17.62 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 44385

    Office

    $265.71

    Facility

    $71.67

    $3.25 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 44385

    Office

    $229.67

    Facility

    $66.73

    $32.79 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 44385

    Office

    $244.41

    Facility

    $66.54

    $18.05 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 44385

    Office

    $290.41

    Facility

    $79.13

    $27.95 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 44385

    Office

    $267.15

    Facility

    $72.58

    $4.69 higher than El Centro for the office setting.

  • Queens

    New York · 44385

    Office

    $286.65

    Facility

    $76.61

    $24.19 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 44385

    Office

    $233.46

    Facility

    $64.65

    $29.00 lower than El Centro for the office setting.

  • Ohio

    Ohio · 44385

    Office

    $227.77

    Facility

    $65.54

    $34.69 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 44385

    Office

    $222.45

    Facility

    $63.77

    $40.01 lower than El Centro for the office setting.

  • Portland

    Oregon · 44385

    Office

    $266.58

    Facility

    $69.16

    $4.12 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 44385

    Office

    $242.67

    Facility

    $65.69

    $19.79 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 44385

    Office

    $255.18

    Facility

    $70.20

    $7.28 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 44385

    Office

    $228.42

    Facility

    $65.30

    $34.04 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 44385

    Office

    $247.28

    Facility

    $67.63

    $15.18 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 44385

    Office

    $251.91

    Facility

    $68.35

    $10.55 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 44385

    Office

    $229.08

    Facility

    $64.89

    $33.38 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 44385

    Office

    $241.39

    Facility

    $63.70

    $21.07 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 44385

    Office

    $224.30

    Facility

    $62.77

    $38.16 lower than El Centro for the office setting.

  • Austin

    Texas · 44385

    Office

    $256.22

    Facility

    $68.22

    $6.24 lower than El Centro for the office setting.

  • Beaumont

    Texas · 44385

    Office

    $226.72

    Facility

    $65.02

    $35.74 lower than El Centro for the office setting.

  • Brazoria

    Texas · 44385

    Office

    $242.42

    Facility

    $66.33

    $20.04 lower than El Centro for the office setting.

  • Dallas

    Texas · 44385

    Office

    $243.91

    Facility

    $66.92

    $18.55 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 44385

    Office

    $241.98

    Facility

    $66.77

    $20.48 lower than El Centro for the office setting.

  • Galveston

    Texas · 44385

    Office

    $243.10

    Facility

    $66.65

    $19.36 lower than El Centro for the office setting.

  • Houston

    Texas · 44385

    Office

    $246.21

    Facility

    $69.76

    $16.25 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 44385

    Office

    $234.39

    Facility

    $65.76

    $28.07 lower than El Centro for the office setting.

  • Utah

    Utah · 44385

    Office

    $232.56

    Facility

    $65.53

    $29.90 lower than El Centro for the office setting.

  • Virginia

    Virginia · 44385

    Office

    $240.09

    Facility

    $65.41

    $22.37 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 44385

    Office

    $247.28

    Facility

    $67.63

    $15.18 lower than El Centro for the office setting.

  • Vermont

    Vermont · 44385

    Office

    $240.35

    Facility

    $64.44

    $22.11 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 44385

    Office

    $254.94

    Facility

    $67.82

    $7.52 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 44385

    Office

    $291.57

    Facility

    $73.54

    $29.11 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 44385

    Office

    $232.82

    Facility

    $62.59

    $29.64 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 44385

    Office

    $221.36

    Facility

    $66.94

    $41.10 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 44385

    Office

    $243.69

    Facility

    $65.99

    $18.77 lower than El Centro for the office setting.

See how rates vary across the country

44385 · 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.

$214.15

$298.92

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$275.181
AL$217.651
AR$214.151
AZ$238.131
CA$262.43–$335.4129
CO$257.211
CT$262.571
DC$283.591
DE$242.381
FL$239.20–$262.063
GA$224.61–$249.632
GU$270.231
HI$270.231
IA$224.701
ID$226.141
IL$230.92–$255.234
IN$227.611
KS$223.111
KY$222.431
LA$221.88–$234.112
MA$255.26–$285.022
MD$247.49–$283.593
ME$226.98–$241.262
MI$228.46–$242.042
MN$246.981
MO$217.36–$235.553
MS$215.821
MT$245.151
NC$229.691
ND$241.791
NE$226.201
NH$252.671
NJ$265.71–$280.082
NM$229.671
NV$244.411
NY$233.46–$290.415
OH$227.771
OK$222.451
OR$242.67–$266.582
PA$228.42–$255.182
PR$247.281
RI$251.911
SC$229.081
SD$241.391
TN$224.301
TX$226.72–$256.228
UT$232.561
VA$240.09–$283.592
VI$247.281
VT$240.351
WA$254.94–$291.572
WI$232.821
WV$221.361
WY$243.691

Explore 44385 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Why are the office and facility amounts different?

For 44385 in El Centro, the physician’s office rate is $262.46 and the facility-setting rate is $67.71: a difference of $194.75.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 44385 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$288.71

$262.46 × 110% = $288.71

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.

Compare your contract offer →

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 44385 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

5,407

Code
44385
Physician work
1.17
Practice expense
6.00
Malpractice
0.17

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 44385 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0171.1899
Practice expense6.00× 1.0966.5760
Malpractice0.17× 0.5410.0920
Total RVUs7.8579
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$262.46

Open 44385 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.171.017
Practice expense61.096
Malpractice0.170.541

(1.17 × 1.017 + 6 × 1.096 + 0.17 × 0.541) × $33.4009 = $262.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.171.017
Practice expense0.681.096
Malpractice0.170.541

(1.17 × 1.017 + 0.68 × 1.096 + 0.17 × 0.541) × $33.4009 = $67.71

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

44385 · Office / nonfacility

$262.46

Effective 2026-10-01

The base rate is $40.20 higher than on 2025-10-01, moving from $222.26 to $262.46 (18.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $222.26changed to$262.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 5.09 changed to 6.00
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $222.26

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$262.46$67.71RVU26D
2026-07-01$262.46$67.71RVU26C
2026-04-01$262.46$67.71RVU26B
2026-01-01$262.46$67.71RVU26A
2025-10-01$222.26$70.95RVU25D
2025-07-01$222.26$70.95RVU25C
2025-04-01$222.26$70.95RVU25B
2025-01-01$222.26$70.95RVU25A

44385 billing questions

When should 44385 be used instead of 44386?

Use 44385 for pouch examination without tissue biopsy, including when brushing or washing is performed. Use 44386 when tissue is sampled by biopsy.

Are brushing and washing included in 44385?

Yes. Specimen collection by brushing or washing, when performed during the pouch examination, is included in this service.

Is modifier 50 appropriate for pouch endoscopy?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the multiple-procedure reduction affect 44385?

When it is performed in the same session as other procedures, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

What care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

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 44385PPRRVU2026_Oct_nonQPP.csv, line 5,407 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)