No office rate
44120 describes small-bowel resection with anastomosis. Choose 44125 when the surgeon creates an enterostomy instead.
On this page
CMS RVU26D · Effective 2026-10-01
44125 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1063.47
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.
Small-bowel surgery
About 44125: Small-bowel resection with enterostomy
Reports small-intestine resection when the surgeon creates an enterostomy rather than restoring bowel continuity with an anastomosis.
This service involves removing a segment of small intestine and creating an enterostomy, bringing bowel to the abdominal wall to form a stoma. General surgeons commonly perform it in an operating room, including situations such as bowel injury, ischemia, obstruction, or contamination when the operative plan calls for diversion instead of an intestinal anastomosis. The operative report should establish that small bowel was resected and an enterostomy was created.
Select this code when the documented procedure includes both the resection and enterostomy; a resection with anastomosis is a different service. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, 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 bowel procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44125
- 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 RVU19.53 · 59%
- Practice expense (office) RVU8.63 · 26%
- Malpractice RVU4.70 · 14%
856
Medicare services in 2024 · #3088 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.
44125 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
44130 describes an intestinal anastomosis, with or without a cutaneous enterostomy; 44125 involves resection of small bowel with an enterostomy.
No office rate
44126 is for resection addressing congenital small-bowel atresia or stenosis without tapering, rather than the enterostomy procedure represented by 44125.
No office rate
44127 addresses congenital small-bowel atresia or stenosis with tapering. The congenital condition and tapering technique distinguish it from 44125.
The same code, a different location
How does Merced compare?
44125 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Modesto
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Napa
California · 44125
Office
Unavailable
Facility
$1153.08
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44125
Office
Unavailable
Facility
$1109.10
No comparable office rate is available.
Redding
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Rest Of California
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44125
Office
Unavailable
Facility
$1113.89
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44125
Office
Unavailable
Facility
$1095.18
No comparable office rate is available.
Salinas
California · 44125
Office
Unavailable
Facility
$1090.77
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44125
Office
Unavailable
Facility
$1101.72
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44125
Office
Unavailable
Facility
$1192.78
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44125
Office
Unavailable
Facility
$1187.44
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44125
Office
Unavailable
Facility
$1223.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44125
Office
Unavailable
Facility
$1202.05
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44125
Office
Unavailable
Facility
$1075.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44125
Office
Unavailable
Facility
$1100.39
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44125
Office
Unavailable
Facility
$1090.83
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44125
Office
Unavailable
Facility
$1110.00
No comparable office rate is available.
Stockton
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Vallejo
California · 44125
Office
Unavailable
Facility
$1145.38
No comparable office rate is available.
Visalia
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Yuba City
California · 44125
Office
Unavailable
Facility
$1063.47
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44125
Office
Unavailable
Facility
$1201.83
No comparable office rate is available.
Miami
Florida · 44125
Office
Unavailable
Facility
$1349.40
No comparable office rate is available.
Chicago
Illinois · 44125
Office
Unavailable
Facility
$1306.86
No comparable office rate is available.
Manhattan
New York · 44125
Office
Unavailable
Facility
$1277.99
No comparable office rate is available.
Alaska*
Alaska · 44125
Office
Unavailable
Facility
$1371.96
No comparable office rate is available.
Alabama
Alabama · 44125
Office
Unavailable
Facility
$993.39
No comparable office rate is available.
Arkansas
Arkansas · 44125
Office
Unavailable
Facility
$980.77
No comparable office rate is available.
Arizona
Arizona · 44125
Office
Unavailable
Facility
$1066.01
No comparable office rate is available.
Colorado
Colorado · 44125
Office
Unavailable
Facility
$1089.45
No comparable office rate is available.
Connecticut
Connecticut · 44125
Office
Unavailable
Facility
$1165.76
No comparable office rate is available.
Delaware
Delaware · 44125
Office
Unavailable
Facility
$1081.50
No comparable office rate is available.
Fort Lauderdale
Florida · 44125
Office
Unavailable
Facility
$1228.14
No comparable office rate is available.
Rest Of Florida
Florida · 44125
Office
Unavailable
Facility
$1163.83
No comparable office rate is available.
Atlanta
Georgia · 44125
Office
Unavailable
Facility
$1135.68
No comparable office rate is available.
Rest Of Georgia
Georgia · 44125
Office
Unavailable
Facility
$1096.56
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44125
Office
Unavailable
Facility
$1070.95
No comparable office rate is available.
Iowa
Iowa · 44125
Office
Unavailable
Facility
$978.39
No comparable office rate is available.
Idaho
Idaho · 44125
Office
Unavailable
Facility
$991.76
No comparable office rate is available.
East St. Louis
Illinois · 44125
Office
Unavailable
Facility
$1233.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 44125
Office
Unavailable
Facility
$1160.86
No comparable office rate is available.
Suburban Chicago
Illinois · 44125
Office
Unavailable
Facility
$1231.09
No comparable office rate is available.
Indiana
Indiana · 44125
Office
Unavailable
Facility
$995.82
No comparable office rate is available.
Kansas
Kansas · 44125
Office
Unavailable
Facility
$992.02
No comparable office rate is available.
Kentucky
Kentucky · 44125
Office
Unavailable
Facility
$1052.21
No comparable office rate is available.
New Orleans
Louisiana · 44125
Office
Unavailable
Facility
$1101.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44125
Office
Unavailable
Facility
$1057.81
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44125
Office
Unavailable
Facility
$1162.95
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44125
Office
Unavailable
Facility
$1091.40
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44125
Office
Unavailable
Facility
$1166.24
No comparable office rate is available.
Rest Of Maryland
Maryland · 44125
Office
Unavailable
Facility
$1094.66
No comparable office rate is available.
Rest Of Maine
Maine · 44125
Office
Unavailable
Facility
$1015.15
No comparable office rate is available.
Southern Maine
Maine · 44125
Office
Unavailable
Facility
$1037.03
No comparable office rate is available.
Detroit
Michigan · 44125
Office
Unavailable
Facility
$1195.16
No comparable office rate is available.
Rest Of Michigan
Michigan · 44125
Office
Unavailable
Facility
$1092.73
No comparable office rate is available.
Minnesota
Minnesota · 44125
Office
Unavailable
Facility
$995.40
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44125
Office
Unavailable
Facility
$1076.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44125
Office
Unavailable
Facility
$1084.03
No comparable office rate is available.
Rest Of Missouri
Missouri · 44125
Office
Unavailable
Facility
$1053.69
No comparable office rate is available.
Mississippi
Mississippi · 44125
Office
Unavailable
Facility
$1016.51
No comparable office rate is available.
Montana**
Montana · 44125
Office
Unavailable
Facility
$1097.24
No comparable office rate is available.
North Carolina
North Carolina · 44125
Office
Unavailable
Facility
$1021.57
No comparable office rate is available.
North Dakota**
North Dakota · 44125
Office
Unavailable
Facility
$1004.30
No comparable office rate is available.
Nebraska
Nebraska · 44125
Office
Unavailable
Facility
$977.71
No comparable office rate is available.
New Hampshire
New Hampshire · 44125
Office
Unavailable
Facility
$1089.75
No comparable office rate is available.
Northern Nj
New Jersey · 44125
Office
Unavailable
Facility
$1195.44
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44125
Office
Unavailable
Facility
$1165.39
No comparable office rate is available.
New Mexico
New Mexico · 44125
Office
Unavailable
Facility
$1105.18
No comparable office rate is available.
Nevada**
Nevada · 44125
Office
Unavailable
Facility
$1071.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44125
Office
Unavailable
Facility
$1328.32
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44125
Office
Unavailable
Facility
$1187.26
No comparable office rate is available.
Queens
New York · 44125
Office
Unavailable
Facility
$1261.15
No comparable office rate is available.
Rest Of New York
New York · 44125
Office
Unavailable
Facility
$1036.52
No comparable office rate is available.
Ohio
Ohio · 44125
Office
Unavailable
Facility
$1073.73
No comparable office rate is available.
Oklahoma
Oklahoma · 44125
Office
Unavailable
Facility
$1031.70
No comparable office rate is available.
Portland
Oregon · 44125
Office
Unavailable
Facility
$1099.80
No comparable office rate is available.
Rest Of Oregon
Oregon · 44125
Office
Unavailable
Facility
$1049.78
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44125
Office
Unavailable
Facility
$1151.41
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44125
Office
Unavailable
Facility
$1065.28
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44125
Office
Unavailable
Facility
$1098.37
No comparable office rate is available.
Rhode Island
Rhode Island · 44125
Office
Unavailable
Facility
$1102.51
No comparable office rate is available.
South Carolina
South Carolina · 44125
Office
Unavailable
Facility
$1052.10
No comparable office rate is available.
South Dakota**
South Dakota · 44125
Office
Unavailable
Facility
$993.32
No comparable office rate is available.
Tennessee
Tennessee · 44125
Office
Unavailable
Facility
$998.64
No comparable office rate is available.
Austin
Texas · 44125
Office
Unavailable
Facility
$1097.68
No comparable office rate is available.
Beaumont
Texas · 44125
Office
Unavailable
Facility
$1060.47
No comparable office rate is available.
Brazoria
Texas · 44125
Office
Unavailable
Facility
$1065.64
No comparable office rate is available.
Dallas
Texas · 44125
Office
Unavailable
Facility
$1079.98
No comparable office rate is available.
Fort Worth
Texas · 44125
Office
Unavailable
Facility
$1079.14
No comparable office rate is available.
Galveston
Texas · 44125
Office
Unavailable
Facility
$1073.75
No comparable office rate is available.
Houston
Texas · 44125
Office
Unavailable
Facility
$1159.78
No comparable office rate is available.
Rest Of Texas
Texas · 44125
Office
Unavailable
Facility
$1067.63
No comparable office rate is available.
Utah
Utah · 44125
Office
Unavailable
Facility
$1064.25
No comparable office rate is available.
Virginia
Virginia · 44125
Office
Unavailable
Facility
$1046.50
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44125
Office
Unavailable
Facility
$1098.37
No comparable office rate is available.
Vermont
Vermont · 44125
Office
Unavailable
Facility
$1017.12
No comparable office rate is available.
Rest Of Washington
Washington · 44125
Office
Unavailable
Facility
$1083.79
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44125
Office
Unavailable
Facility
$1166.87
No comparable office rate is available.
Wisconsin
Wisconsin · 44125
Office
Unavailable
Facility
$976.81
No comparable office rate is available.
West Virginia
West Virginia · 44125
Office
Unavailable
Facility
$1127.45
No comparable office rate is available.
Wyoming**
Wyoming · 44125
Office
Unavailable
Facility
$1056.74
No comparable office rate is available.
See how rates vary across the country
44125 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 44125 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1169.82
$1063.47 × 110% = $1169.82
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 44125 in Merced.
PPRRVU2026_Oct_nonQPP.csv
5,337
- Code
- 44125
- Physician work
- 19.53
- Practice expense
- 8.63
- Malpractice
- 4.70
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.53 | × 1.017 | 19.8620 |
| Practice expense | 8.63 | × 1.096 | 9.4585 |
| Malpractice | 4.70 | × 0.536 | 2.5192 |
| Total RVUs | 31.8397 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1063.47
Open 44125 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.53 | 1.017 |
| Practice expense | 8.63 | 1.096 |
| Malpractice | 4.7 | 0.536 |
(19.53 × 1.017 + 8.63 × 1.096 + 4.7 × 0.536) × $33.4009 = $1063.47
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
44125 · 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 | $1063.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $1063.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $1063.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $1063.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $1122.10 | RVU25D |
| 2025-07-01 | Not available in this setting | $1122.10 | RVU25C |
| 2025-04-01 | Not available in this setting | $1122.10 | RVU25B |
| 2025-01-01 | Not available in this setting | $1122.10 | RVU25A |
44125 billing questions
How is this different from 44120?
Use 44125 when the small-bowel resection is accompanied by creation of an enterostomy. Code 44120 describes a resection with anastomosis to restore bowel continuity.
Is the enterostomy reported separately?
The enterostomy is part of the service represented by 44125. The operative note should document both the bowel resection and the stoma creation.
What documentation supports choosing this code?
Document the small-bowel segment removed and the creation of the enterostomy. The operative report should make clear that the procedure resulted in a stoma rather than an anastomosis.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this code.
How does the 90-day global period affect postoperative visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical episode.
Should modifier 50 be used?
No. Modifier 50 is not appropriate for this small-bowel resection and enterostomy procedure.
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.
5,33444111,,Excision of bowel lesion(s),A,,16.11,7.57,NA,7.57,,3.43,27.11,27.11,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33544120,,Removal of small intestine,A,,20.30,8.62,NA,8.62,,5.10,34.02,34.02,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33644121,,Removal of small intestine,A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33744125,,Removal of small intestine,A,,19.53,8.63,NA,8.63,,4.70,32.86,32.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33844126,,Enterectomy w/o taper cong,A,,41.17,16.20,NA,16.20,,11.05,68.42,68.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33944127,,Enterectomy w/taper cong,A,,48.07,17.73,NA,17.73,,12.87,78.67,78.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34044128,,Enterectomy cong add-on,A,,4.33,1.05,NA,1.05,,1.16,6.54,6.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623