FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

44381 in Madera

Office / nonfacility

$1163.23

Base rate per service

Facility setting

$78.19

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 44381: Ileoscopy through stoma with biopsy

Reports ileal examination through an existing stoma when the endoscopist obtains one or more tissue samples for diagnostic evaluation.

A flexible endoscope is passed through an existing ileostomy or other small-bowel stoma to examine the ileum and obtain one or more mucosal biopsies. Gastroenterologists and surgeons commonly perform this procedure in a hospital outpatient department or ambulatory surgery center. Biopsies may support evaluation of suspected inflammation, unexplained symptoms, or a known small-bowel condition; the report should identify the route, examined anatomy, and biopsy performed.

Choose this code when the examination is through a stoma and tissue is sampled, rather than reporting the diagnostic stoma ileoscopy code alone. Document the indication, findings, and biopsy site or sites. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Do not use modifier 50; CMS identifies bilateral adjustment as inappropriate for this anatomy and service. CMS payment is restricted for an assistant at surgery, and co-surgeon and team-surgery payment is not permitted.

CMS billing rules for 44381

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
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 RVU1.35 · 4%
  • Practice expense (office) RVU30.44 · 95%
  • Malpractice RVU0.17 · 1%

136

Medicare services in 2024 · #4629 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.

44381 compared with similar codes

Office rates for Madera, from the same CMS release.

44380

Ileoscopy

Through a stoma, diagnostic

$241.34

Both describe ileoscopy through a stoma. Report 44381 when tissue is biopsied; 44380 is the diagnostic examination without biopsy.

44361

Small bowel endoscopy

Biopsy, ileum excluded

No office rate

Both involve small-bowel endoscopy with biopsy, but 44381 is specifically performed through a stoma; 44361 describes enteroscopy beyond the second portion of the duodenum.

44385

Pouch endoscopy

Without tissue biopsy

$262.43

44385 examines an ileal pouch. Use 44381 for ileal examination through a stoma with biopsy, not examination of a pouch.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 44381 is $1163.73—$0.50 higher than the $1163.23 rate in Madera. Both use the same code, release and participation basis.

44381 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $1163.23

  2. Bakersfield

    $1163.73

    $0.50 higher than Madera

  3. Chico

    $1163.23

    The same base rate than Madera

  4. El Centro

    $1163.26

    $0.03 higher than Madera

  5. Fresno

    $1163.23

    The same base rate than Madera

  6. Hanford-Corcoran

    $1163.23

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1253.49

    $90.26 higher than Madera

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, 44381 ranges from $921.38 in Arkansas to $1519.21 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 · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Modesto

    California · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Napa

    California · 44381

    Office

    $1390.86

    Facility

    $86.03

    $227.63 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 44381

    Office

    $1251.66

    Facility

    $81.48

    $88.43 higher than Madera for the office setting.

  • Redding

    California · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 44381

    Office

    $1165.08

    Facility

    $80.03

    $1.85 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 44381

    Office

    $1232.21

    Facility

    $80.83

    $68.98 higher than Madera for the office setting.

  • Salinas

    California · 44381

    Office

    $1227.91

    Facility

    $80.50

    $64.68 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 44381

    Office

    $1265.52

    Facility

    $81.48

    $102.29 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 44381

    Office

    $1485.56

    Facility

    $89.66

    $322.33 higher than Madera for the office setting.

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

    California · 44381

    Office

    $1485.37

    Facility

    $89.46

    $322.14 higher than Madera for the office setting.

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

    California · 44381

    Office

    $1519.21

    Facility

    $91.63

    $355.98 higher than Madera for the office setting.

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

    California · 44381

    Office

    $1518.42

    Facility

    $90.84

    $355.19 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 44381

    Office

    $1206.95

    Facility

    $79.34

    $43.72 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 44381

    Office

    $1284.40

    Facility

    $81.55

    $121.17 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 44381

    Office

    $1234.90

    Facility

    $80.55

    $71.67 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 44381

    Office

    $1298.02

    Facility

    $82.30

    $134.79 higher than Madera for the office setting.

  • Stockton

    California · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 44381

    Office

    $1390.58

    Facility

    $85.76

    $227.35 higher than Madera for the office setting.

  • Visalia

    California · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 44381

    Office

    $1163.23

    Facility

    $78.19

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 44381

    Office

    $1251.55

    Facility

    $85.32

    $88.32 higher than Madera for the office setting.

  • Miami

    Florida · 44381

    Office

    $1117.86

    Facility

    $87.27

    $45.37 lower than Madera for the office setting.

  • Chicago

    Illinois · 44381

    Office

    $1080.25

    Facility

    $85.29

    $82.98 lower than Madera for the office setting.

  • Manhattan

    New York · 44381

    Office

    $1238.42

    Facility

    $88.03

    $75.19 higher than Madera for the office setting.

  • Alaska*

    Alaska · 44381

    Office

    $1153.58

    Facility

    $99.22

    $9.65 lower than Madera for the office setting.

  • Alabama

    Alabama · 44381

    Office

    $937.94

    Facility

    $71.69

    $225.29 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 44381

    Office

    $921.38

    Facility

    $70.97

    $241.85 lower than Madera for the office setting.

  • Arizona

    Arizona · 44381

    Office

    $1035.16

    Facility

    $75.84

    $128.07 lower than Madera for the office setting.

  • Colorado

    Colorado · 44381

    Office

    $1131.86

    Facility

    $78.50

    $31.37 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 44381

    Office

    $1147.87

    Facility

    $81.64

    $15.36 lower than Madera for the office setting.

  • Delaware

    Delaware · 44381

    Office

    $1054.94

    Facility

    $76.82

    $108.29 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 44381

    Office

    $1085.30

    Facility

    $82.43

    $77.93 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 44381

    Office

    $1025.61

    Facility

    $79.17

    $137.62 lower than Madera for the office setting.

  • Atlanta

    Georgia · 44381

    Office

    $1085.04

    Facility

    $79.19

    $78.19 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 44381

    Office

    $958.78

    Facility

    $75.69

    $204.45 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 44381

    Office

    $1204.39

    Facility

    $78.76

    $41.16 higher than Madera for the office setting.

  • Iowa

    Iowa · 44381

    Office

    $977.65

    Facility

    $71.79

    $185.58 lower than Madera for the office setting.

  • Idaho

    Idaho · 44381

    Office

    $983.16

    Facility

    $72.36

    $180.07 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 44381

    Office

    $991.91

    Facility

    $81.11

    $171.32 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 44381

    Office

    $982.23

    Facility

    $78.36

    $181.00 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 44381

    Office

    $1099.64

    Facility

    $82.91

    $63.59 lower than Madera for the office setting.

  • Indiana

    Indiana · 44381

    Office

    $990.35

    Facility

    $72.62

    $172.88 lower than Madera for the office setting.

  • Kansas

    Kansas · 44381

    Office

    $967.07

    Facility

    $72.11

    $196.16 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 44381

    Office

    $954.15

    Facility

    $74.04

    $209.08 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 44381

    Office

    $1008.28

    Facility

    $76.69

    $154.95 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 44381

    Office

    $950.33

    Facility

    $74.18

    $212.90 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 44381

    Office

    $1265.96

    Facility

    $83.90

    $102.73 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 44381

    Office

    $1120.95

    Facility

    $78.48

    $42.28 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 44381

    Office

    $1143.78

    Facility

    $81.51

    $19.45 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 44381

    Office

    $1079.68

    Facility

    $77.80

    $83.55 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 44381

    Office

    $984.01

    Facility

    $73.21

    $179.22 lower than Madera for the office setting.

  • Southern Maine

    Maine · 44381

    Office

    $1056.25

    Facility

    $75.15

    $106.98 lower than Madera for the office setting.

  • Detroit

    Michigan · 44381

    Office

    $1035.80

    Facility

    $80.45

    $127.43 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 44381

    Office

    $979.77

    Facility

    $75.90

    $183.46 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 44381

    Office

    $1092.98

    Facility

    $74.27

    $70.25 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 44381

    Office

    $1005.34

    Facility

    $75.73

    $157.89 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 44381

    Office

    $1018.70

    Facility

    $76.22

    $144.53 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 44381

    Office

    $927.04

    Facility

    $73.65

    $236.19 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 44381

    Office

    $924.69

    Facility

    $72.29

    $238.54 lower than Madera for the office setting.

  • Montana**

    Montana · 44381

    Office

    $1067.48

    Facility

    $77.48

    $95.75 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 44381

    Office

    $997.32

    Facility

    $73.65

    $165.91 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 44381

    Office

    $1064.12

    Facility

    $74.12

    $99.11 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 44381

    Office

    $985.67

    Facility

    $71.90

    $177.56 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 44381

    Office

    $1108.47

    Facility

    $77.88

    $54.76 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 44381

    Office

    $1233.40

    Facility

    $84.99

    $70.17 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 44381

    Office

    $1163.39

    Facility

    $82.30

    $0.16 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 44381

    Office

    $984.25

    Facility

    $76.41

    $178.98 lower than Madera for the office setting.

  • Nevada**

    Nevada · 44381

    Office

    $1067.56

    Facility

    $76.57

    $95.67 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 44381

    Office

    $1267.41

    Facility

    $90.29

    $104.18 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 44381

    Office

    $1167.30

    Facility

    $83.25

    $4.07 higher than Madera for the office setting.

  • Queens

    New York · 44381

    Office

    $1257.93

    Facility

    $87.75

    $94.70 higher than Madera for the office setting.

  • Rest Of New York

    New York · 44381

    Office

    $1014.97

    Facility

    $74.47

    $148.26 lower than Madera for the office setting.

  • Ohio

    Ohio · 44381

    Office

    $979.08

    Facility

    $75.21

    $184.15 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 44381

    Office

    $957.44

    Facility

    $73.36

    $205.79 lower than Madera for the office setting.

  • Portland

    Oregon · 44381

    Office

    $1179.62

    Facility

    $79.72

    $16.39 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 44381

    Office

    $1061.74

    Facility

    $75.70

    $101.49 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 44381

    Office

    $1111.09

    Facility

    $80.49

    $52.14 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 44381

    Office

    $983.81

    Facility

    $74.99

    $179.42 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 44381

    Office

    $1078.59

    Facility

    $77.70

    $84.64 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 44381

    Office

    $1101.29

    Facility

    $78.62

    $61.94 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 44381

    Office

    $989.37

    Facility

    $74.61

    $173.86 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 44381

    Office

    $1063.72

    Facility

    $73.72

    $99.51 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 44381

    Office

    $972.34

    Facility

    $72.43

    $190.89 lower than Madera for the office setting.

  • Austin

    Texas · 44381

    Office

    $1125.91

    Facility

    $78.48

    $37.32 lower than Madera for the office setting.

  • Beaumont

    Texas · 44381

    Office

    $975.58

    Facility

    $74.68

    $187.65 lower than Madera for the office setting.

  • Brazoria

    Texas · 44381

    Office

    $1057.45

    Facility

    $76.36

    $105.78 lower than Madera for the office setting.

  • Dallas

    Texas · 44381

    Office

    $1063.03

    Facility

    $76.98

    $100.20 lower than Madera for the office setting.

  • Fort Worth

    Texas · 44381

    Office

    $1052.93

    Facility

    $76.79

    $110.30 lower than Madera for the office setting.

  • Galveston

    Texas · 44381

    Office

    $1059.76

    Facility

    $76.69

    $103.47 lower than Madera for the office setting.

  • Houston

    Texas · 44381

    Office

    $1062.87

    Facility

    $79.80

    $100.36 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 44381

    Office

    $1015.09

    Facility

    $75.58

    $148.14 lower than Madera for the office setting.

  • Utah

    Utah · 44381

    Office

    $1005.91

    Facility

    $75.31

    $157.32 lower than Madera for the office setting.

  • Virginia

    Virginia · 44381

    Office

    $1048.54

    Facility

    $75.37

    $114.69 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 44381

    Office

    $1078.59

    Facility

    $77.70

    $84.64 lower than Madera for the office setting.

  • Vermont

    Vermont · 44381

    Office

    $1054.52

    Facility

    $74.42

    $108.71 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 44381

    Office

    $1120.61

    Facility

    $78.14

    $42.62 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 44381

    Office

    $1299.50

    Facility

    $84.77

    $136.27 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 44381

    Office

    $1020.86

    Facility

    $72.44

    $142.37 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 44381

    Office

    $936.75

    Facility

    $76.44

    $226.48 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 44381

    Office

    $1066.02

    Facility

    $76.01

    $97.21 lower than Madera for the office setting.

See how rates vary across the country

44381 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$921.38

$1,341.22

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,153.581
AL$937.941
AR$921.381
AZ$1,035.161
CA$1,163.23–$1,519.2129
CO$1,131.861
CT$1,147.871
DC$1,251.551
DE$1,054.941
FL$1,025.61–$1,117.863
GA$958.78–$1,085.042
GU$1,204.391
HI$1,204.391
IA$977.651
ID$983.161
IL$982.23–$1,099.644
IN$990.351
KS$967.071
KY$954.151
LA$950.33–$1,008.282
MA$1,120.95–$1,265.962
MD$1,079.68–$1,251.553
ME$984.01–$1,056.252
MI$979.77–$1,035.802
MN$1,092.981
MO$927.04–$1,018.703
MS$924.691
MT$1,067.481
NC$997.321
ND$1,064.121
NE$985.671
NH$1,108.471
NJ$1,163.39–$1,233.402
NM$984.251
NV$1,067.561
NY$1,014.97–$1,267.415
OH$979.081
OK$957.441
OR$1,061.74–$1,179.622
PA$983.81–$1,111.092
PR$1,078.591
RI$1,101.291
SC$989.371
SD$1,063.721
TN$972.341
TX$975.58–$1,125.918
UT$1,005.911
VA$1,048.54–$1,251.552
VI$1,078.591
VT$1,054.521
WA$1,120.61–$1,299.502
WI$1,020.861
WV$936.751
WY$1,066.021

Explore 44381 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 44381 in Madera, the physician’s office rate is $1163.23 and the facility-setting rate is $78.19: a difference of $1085.04.

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 44381 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1279.55

$1163.23 × 110% = $1279.55

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 44381 in Madera.

PPRRVU2026_Oct_nonQPP.csv

5,404

Code
44381
Physician work
1.35
Practice expense
30.44
Malpractice
0.17

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 44381 in Madera
ComponentRVULocality factorAdjusted
Physician work1.35× 1.0171.3729
Practice expense30.44× 1.09633.3622
Malpractice0.17× 0.5360.0911
Total RVUs34.8263
Conversion factor× 33.4009

Office / nonfacility rate, Madera$1163.23

Open 44381 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.351.017
Practice expense30.441.096
Malpractice0.170.536

(1.35 × 1.017 + 30.44 × 1.096 + 0.17 × 0.536) × $33.4009 = $1163.23

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.351.017
Practice expense0.81.096
Malpractice0.170.536

(1.35 × 1.017 + 0.8 × 1.096 + 0.17 × 0.536) × $33.4009 = $78.19

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

44381 · Office / nonfacility

$1163.23

Effective 2026-10-01

The base rate is $192.84 higher than on 2025-10-01, moving from $970.39 to $1163.23 (19.9%).

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

    $970.39changed to$1163.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.38 changed to 1.35
    • Practice expense RVU 26.08 changed to 30.44
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $970.39

    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$1163.23$78.19RVU26D
2026-07-01$1163.23$78.19RVU26C
2026-04-01$1163.23$78.19RVU26B
2026-01-01$1163.23$78.19RVU26A
2025-10-01$970.39$82.28RVU25D
2025-07-01$970.39$82.28RVU25C
2025-04-01$970.39$82.28RVU25B
2025-01-01$970.39$82.28RVU25A

44381 billing questions

How does this differ from 44380?

44381 is for ileoscopy through a stoma when one or more biopsies are obtained. Use 44380 for the diagnostic stoma examination without biopsy.

Can the biopsy be billed separately?

The biopsy is part of the service represented by 44381; do not report a separate biopsy procedure for the sampling included in this endoscopy.

Is modifier 50 appropriate for an examination of both sides?

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

What happens when another related endoscopy is performed in the same session?

CMS endoscopy-family pricing applies when related endoscopies are performed together. Document each procedure and its distinct work.

What documentation supports reporting 44381?

Document that the endoscope passed through a stoma, the ileal examination and findings, and that tissue was obtained, including the biopsy site or sites when known.

Can an assistant surgeon or co-surgeon be paid for this service?

CMS restricts payment for an assistant at surgery and does not permit co-surgeon or team-surgery payment for this code.

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 44381PPRRVU2026_Oct_nonQPP.csv, line 5,404 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet