No office rate
44360 describes the diagnostic examination without tissue biopsy. Choose 44361 when the endoscopist obtains biopsy tissue during the examination.
On this page
CMS RVU26D · Effective 2026-10-01
44361 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$141.57
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 44361: Small bowel enteroscopy with biopsy
Reports enteroscopy into the small bowel beyond the second portion of the duodenum, with tissue biopsy and without examination of the ileum.
A gastroenterologist or other qualified endoscopist advances an enteroscope beyond the second portion of the duodenum to examine the small bowel and obtain tissue samples. The examined segment may include the jejunum, but this code excludes examination of the ileum. Biopsies may be taken from abnormal-appearing mucosa or to investigate suspected small-bowel disease, such as a cause of malabsorption or unexplained anemia. These procedures are commonly performed in a hospital outpatient department or ambulatory endoscopy center.
Report 44361 when the endoscopist obtains one or more tissue biopsies during the qualifying examination; the number of samples does not create separate procedure units. The report should support the route and extent of the examination, the biopsy sites, and the reason for sampling. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted. Bilateral adjustment does not apply, and modifier 50 is inappropriate.
CMS billing rules for 44361
- 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 RVU2.70 · 64%
- Practice expense (office) RVU1.22 · 29%
- Malpractice RVU0.29 · 7%
10.5K
Medicare services in 2024 · #1445 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.
44361 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Both codes include small-bowel biopsy, but 44377 applies when the examination includes the ileum; 44361 excludes the ileum.
No office rate
44364 describes snare removal of a lesion during small-bowel endoscopy. Report 44361 for biopsy sampling rather than snare excision.
$486.28
44389 is a colonoscopy-through-stoma code with biopsy. It does not describe enteroscopy into the small bowel beyond the duodenum.
The same code, a different location
How does Merced compare?
44361 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 · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Modesto
California · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Napa
California · 44361
Office
Unavailable
Facility
$154.49
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44361
Office
Unavailable
Facility
$146.91
No comparable office rate is available.
Redding
California · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Rest Of California
California · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44361
Office
Unavailable
Facility
$144.73
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44361
Office
Unavailable
Facility
$146.01
No comparable office rate is available.
Salinas
California · 44361
Office
Unavailable
Facility
$145.40
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44361
Office
Unavailable
Facility
$146.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44361
Office
Unavailable
Facility
$160.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44361
Office
Unavailable
Facility
$160.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44361
Office
Unavailable
Facility
$164.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44361
Office
Unavailable
Facility
$162.71
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44361
Office
Unavailable
Facility
$143.32
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44361
Office
Unavailable
Facility
$146.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44361
Office
Unavailable
Facility
$145.41
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44361
Office
Unavailable
Facility
$148.12
No comparable office rate is available.
Stockton
California · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Vallejo
California · 44361
Office
Unavailable
Facility
$154.02
No comparable office rate is available.
Visalia
California · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Yuba City
California · 44361
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44361
Office
Unavailable
Facility
$153.84
No comparable office rate is available.
Miami
Florida · 44361
Office
Unavailable
Facility
$157.10
No comparable office rate is available.
Chicago
Illinois · 44361
Office
Unavailable
Facility
$154.00
No comparable office rate is available.
Manhattan
New York · 44361
Office
Unavailable
Facility
$158.67
No comparable office rate is available.
Alaska*
Alaska · 44361
Office
Unavailable
Facility
$184.01
No comparable office rate is available.
Alabama
Alabama · 44361
Office
Unavailable
Facility
$131.32
No comparable office rate is available.
Arkansas
Arkansas · 44361
Office
Unavailable
Facility
$130.17
No comparable office rate is available.
Arizona
Arizona · 44361
Office
Unavailable
Facility
$137.96
No comparable office rate is available.
Colorado
Colorado · 44361
Office
Unavailable
Facility
$142.19
No comparable office rate is available.
Connecticut
Connecticut · 44361
Office
Unavailable
Facility
$147.59
No comparable office rate is available.
Delaware
Delaware · 44361
Office
Unavailable
Facility
$139.60
No comparable office rate is available.
Fort Lauderdale
Florida · 44361
Office
Unavailable
Facility
$148.97
No comparable office rate is available.
Rest Of Florida
Florida · 44361
Office
Unavailable
Facility
$143.70
No comparable office rate is available.
Atlanta
Georgia · 44361
Office
Unavailable
Facility
$143.49
No comparable office rate is available.
Rest Of Georgia
Georgia · 44361
Office
Unavailable
Facility
$138.08
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44361
Office
Unavailable
Facility
$142.12
No comparable office rate is available.
Iowa
Iowa · 44361
Office
Unavailable
Facility
$131.31
No comparable office rate is available.
Idaho
Idaho · 44361
Office
Unavailable
Facility
$132.25
No comparable office rate is available.
East St. Louis
Illinois · 44361
Office
Unavailable
Facility
$147.18
No comparable office rate is available.
Rest Of Illinois
Illinois · 44361
Office
Unavailable
Facility
$142.53
No comparable office rate is available.
Suburban Chicago
Illinois · 44361
Office
Unavailable
Facility
$149.83
No comparable office rate is available.
Indiana
Indiana · 44361
Office
Unavailable
Facility
$132.66
No comparable office rate is available.
Kansas
Kansas · 44361
Office
Unavailable
Facility
$131.90
No comparable office rate is available.
Kentucky
Kentucky · 44361
Office
Unavailable
Facility
$135.27
No comparable office rate is available.
New Orleans
Louisiana · 44361
Office
Unavailable
Facility
$139.53
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44361
Office
Unavailable
Facility
$135.52
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44361
Office
Unavailable
Facility
$151.16
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44361
Office
Unavailable
Facility
$142.25
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44361
Office
Unavailable
Facility
$147.33
No comparable office rate is available.
Rest Of Maryland
Maryland · 44361
Office
Unavailable
Facility
$141.21
No comparable office rate is available.
Rest Of Maine
Maine · 44361
Office
Unavailable
Facility
$133.70
No comparable office rate is available.
Southern Maine
Maine · 44361
Office
Unavailable
Facility
$136.68
No comparable office rate is available.
Detroit
Michigan · 44361
Office
Unavailable
Facility
$145.84
No comparable office rate is available.
Rest Of Michigan
Michigan · 44361
Office
Unavailable
Facility
$138.32
No comparable office rate is available.
Minnesota
Minnesota · 44361
Office
Unavailable
Facility
$134.98
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44361
Office
Unavailable
Facility
$137.91
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44361
Office
Unavailable
Facility
$138.68
No comparable office rate is available.
Rest Of Missouri
Missouri · 44361
Office
Unavailable
Facility
$134.74
No comparable office rate is available.
Mississippi
Mississippi · 44361
Office
Unavailable
Facility
$132.43
No comparable office rate is available.
Montana**
Montana · 44361
Office
Unavailable
Facility
$140.60
No comparable office rate is available.
North Carolina
North Carolina · 44361
Office
Unavailable
Facility
$134.39
No comparable office rate is available.
North Dakota**
North Dakota · 44361
Office
Unavailable
Facility
$134.86
No comparable office rate is available.
Nebraska
Nebraska · 44361
Office
Unavailable
Facility
$131.46
No comparable office rate is available.
New Hampshire
New Hampshire · 44361
Office
Unavailable
Facility
$141.08
No comparable office rate is available.
Northern Nj
New Jersey · 44361
Office
Unavailable
Facility
$153.48
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44361
Office
Unavailable
Facility
$148.91
No comparable office rate is available.
New Mexico
New Mexico · 44361
Office
Unavailable
Facility
$139.18
No comparable office rate is available.
Nevada**
Nevada · 44361
Office
Unavailable
Facility
$139.04
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44361
Office
Unavailable
Facility
$162.39
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44361
Office
Unavailable
Facility
$150.58
No comparable office rate is available.
Queens
New York · 44361
Office
Unavailable
Facility
$158.09
No comparable office rate is available.
Rest Of New York
New York · 44361
Office
Unavailable
Facility
$135.70
No comparable office rate is available.
Ohio
Ohio · 44361
Office
Unavailable
Facility
$137.15
No comparable office rate is available.
Oklahoma
Oklahoma · 44361
Office
Unavailable
Facility
$134.10
No comparable office rate is available.
Portland
Oregon · 44361
Office
Unavailable
Facility
$144.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 44361
Office
Unavailable
Facility
$137.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44361
Office
Unavailable
Facility
$145.78
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44361
Office
Unavailable
Facility
$136.74
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44361
Office
Unavailable
Facility
$140.92
No comparable office rate is available.
Rhode Island
Rhode Island · 44361
Office
Unavailable
Facility
$142.63
No comparable office rate is available.
South Carolina
South Carolina · 44361
Office
Unavailable
Facility
$136.07
No comparable office rate is available.
South Dakota**
South Dakota · 44361
Office
Unavailable
Facility
$134.19
No comparable office rate is available.
Tennessee
Tennessee · 44361
Office
Unavailable
Facility
$132.42
No comparable office rate is available.
Austin
Texas · 44361
Office
Unavailable
Facility
$142.06
No comparable office rate is available.
Beaumont
Texas · 44361
Office
Unavailable
Facility
$136.26
No comparable office rate is available.
Brazoria
Texas · 44361
Office
Unavailable
Facility
$138.84
No comparable office rate is available.
Dallas
Texas · 44361
Office
Unavailable
Facility
$139.89
No comparable office rate is available.
Fort Worth
Texas · 44361
Office
Unavailable
Facility
$139.61
No comparable office rate is available.
Galveston
Texas · 44361
Office
Unavailable
Facility
$139.39
No comparable office rate is available.
Houston
Texas · 44361
Office
Unavailable
Facility
$144.70
No comparable office rate is available.
Rest Of Texas
Texas · 44361
Office
Unavailable
Facility
$137.60
No comparable office rate is available.
Utah
Utah · 44361
Office
Unavailable
Facility
$137.18
No comparable office rate is available.
Virginia
Virginia · 44361
Office
Unavailable
Facility
$137.08
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44361
Office
Unavailable
Facility
$140.92
No comparable office rate is available.
Vermont
Vermont · 44361
Office
Unavailable
Facility
$135.43
No comparable office rate is available.
Rest Of Washington
Washington · 44361
Office
Unavailable
Facility
$141.63
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44361
Office
Unavailable
Facility
$152.60
No comparable office rate is available.
Wisconsin
Wisconsin · 44361
Office
Unavailable
Facility
$132.20
No comparable office rate is available.
West Virginia
West Virginia · 44361
Office
Unavailable
Facility
$139.45
No comparable office rate is available.
Wyoming**
Wyoming · 44361
Office
Unavailable
Facility
$138.10
No comparable office rate is available.
See how rates vary across the country
44361 · 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 44361 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$155.73
$141.57 × 110% = $155.73
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 44361 in Merced.
PPRRVU2026_Oct_nonQPP.csv
5,390
- Code
- 44361
- Physician work
- 2.70
- Practice expense
- 1.22
- Malpractice
- 0.29
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.70 | × 1.017 | 2.7459 |
| Practice expense | 1.22 | × 1.096 | 1.3371 |
| Malpractice | 0.29 | × 0.536 | 0.1554 |
| Total RVUs | 4.2385 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$141.57
Open 44361 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.7 | 1.017 |
| Practice expense | 1.22 | 1.096 |
| Malpractice | 0.29 | 0.536 |
(2.7 × 1.017 + 1.22 × 1.096 + 0.29 × 0.536) × $33.4009 = $141.57
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
44361 · 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 | $141.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $141.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $141.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $141.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $153.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $153.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $153.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $153.40 | RVU25A |
44361 billing questions
When should 44361 be reported instead of 44360?
Use 44361 when tissue biopsy is obtained during the qualifying small-bowel examination. Use 44360 for the diagnostic examination when no tissue biopsy is performed.
Does the code include multiple biopsy samples?
Yes. One or multiple biopsies during the examination are included in the procedure service; do not report a separate unit for each sample.
Can 44361 be used when the endoscopist examines the ileum?
No. This code describes examination beyond the second portion of the duodenum without including the ileum. For an examination that includes the ileum with biopsy, compare 44377.
How is 44361 handled when another related endoscopy is performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. The record should identify each examination and any distinct intervention or biopsy performed.
Is modifier 50 appropriate, and can an assistant or co-surgeon be paid?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
What documentation supports reporting 44361?
Document the endoscopic route and extent, the small-bowel segment examined, the biopsy site or sites, and the clinical reason for obtaining tissue.
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.
5,38744345,,Revision of colostomy,A,,16.79,9.00,NA,9.00,,3.75,29.54,29.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38844346,,Revision of colostomy,A,,19.14,9.58,NA,9.58,,4.22,32.94,32.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38944360,,Small bowel endoscopy,A,,2.43,1.13,NA,1.13,,0.26,3.82,3.82,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,39044361,,Small bowel endoscopy/biopsy,A,,2.70,1.22,NA,1.22,,0.29,4.21,4.21,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39144363,,Small bowel endoscopy,A,,3.31,1.39,NA,1.39,,0.38,5.08,5.08,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39244364,,Small bowel endoscopy,A,,3.54,1.47,NA,1.47,,0.39,5.40,5.40,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39344365,,Small bowel endoscopy,A,,3.13,1.34,NA,1.34,,0.35,4.82,4.82,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
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