No office rate
44140 describes partial colectomy with an anastomosis. Choose 44143 when the surgeon instead creates an end colostomy and closes the distal segment.
On this page
CMS RVU26D · Effective 2026-10-01
44143 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1482.76
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.
Colon surgery
About 44143: Partial colectomy with Hartmann procedure
Reports open removal of part of the colon with an end colostomy and closure of the remaining distal bowel, commonly as a Hartmann procedure.
The surgeon removes a diseased portion of colon, brings the upstream bowel through the abdominal wall as an end colostomy, and closes the downstream bowel segment inside the abdomen. This open operation is commonly performed for sigmoid disease, such as perforated diverticulitis or an obstructing lesion, when the surgeon does not create an immediate bowel reconnection. General and colorectal surgeons typically perform it in a hospital operating room.
Select this code when the operative report supports partial colectomy, end colostomy, and closure of the distal segment; a colostomy alone or a resection with another reconstruction is not enough. The record should identify the resection and the resulting bowel configuration. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44143
- 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 RVU27.10 · 59%
- Practice expense (office) RVU12.13 · 26%
- Malpractice RVU6.60 · 14%
9.3K
Medicare services in 2024 · #1514 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.
44143 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
44141 involves a skin-level cecostomy or colostomy. 44143 involves an end colostomy with closure of the distal bowel segment.
No office rate
44144 includes creation of a mucous fistula with the stoma. 44143 describes an end colostomy with the distal segment closed.
No office rate
44150 is for removal of the colon, not the partial colectomy described by 44143.
The same code, a different location
How does Modesto compare?
44143 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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 · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Merced
California · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Napa
California · 44143
Office
Unavailable
Facility
$1608.17
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44143
Office
Unavailable
Facility
$1546.74
No comparable office rate is available.
Redding
California · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Rest Of California
California · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44143
Office
Unavailable
Facility
$1553.55
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44143
Office
Unavailable
Facility
$1527.10
No comparable office rate is available.
Salinas
California · 44143
Office
Unavailable
Facility
$1520.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44143
Office
Unavailable
Facility
$1536.36
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44143
Office
Unavailable
Facility
$1663.61
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44143
Office
Unavailable
Facility
$1656.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44143
Office
Unavailable
Facility
$1707.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44143
Office
Unavailable
Facility
$1676.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44143
Office
Unavailable
Facility
$1500.18
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44143
Office
Unavailable
Facility
$1534.59
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44143
Office
Unavailable
Facility
$1521.08
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44143
Office
Unavailable
Facility
$1548.01
No comparable office rate is available.
Stockton
California · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Vallejo
California · 44143
Office
Unavailable
Facility
$1597.37
No comparable office rate is available.
Visalia
California · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Yuba City
California · 44143
Office
Unavailable
Facility
$1482.76
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44143
Office
Unavailable
Facility
$1676.67
No comparable office rate is available.
Miami
Florida · 44143
Office
Unavailable
Facility
$1884.44
No comparable office rate is available.
Chicago
Illinois · 44143
Office
Unavailable
Facility
$1824.60
No comparable office rate is available.
Manhattan
New York · 44143
Office
Unavailable
Facility
$1783.51
No comparable office rate is available.
Alaska*
Alaska · 44143
Office
Unavailable
Facility
$1910.70
No comparable office rate is available.
Alabama
Alabama · 44143
Office
Unavailable
Facility
$1384.45
No comparable office rate is available.
Arkansas
Arkansas · 44143
Office
Unavailable
Facility
$1366.72
No comparable office rate is available.
Arizona
Arizona · 44143
Office
Unavailable
Facility
$1486.46
No comparable office rate is available.
Colorado
Colorado · 44143
Office
Unavailable
Facility
$1519.28
No comparable office rate is available.
Connecticut
Connecticut · 44143
Office
Unavailable
Facility
$1626.36
No comparable office rate is available.
Delaware
Delaware · 44143
Office
Unavailable
Facility
$1508.16
No comparable office rate is available.
Fort Lauderdale
Florida · 44143
Office
Unavailable
Facility
$1714.15
No comparable office rate is available.
Rest Of Florida
Florida · 44143
Office
Unavailable
Facility
$1623.82
No comparable office rate is available.
Atlanta
Georgia · 44143
Office
Unavailable
Facility
$1584.27
No comparable office rate is available.
Rest Of Georgia
Georgia · 44143
Office
Unavailable
Facility
$1529.33
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44143
Office
Unavailable
Facility
$1493.46
No comparable office rate is available.
Iowa
Iowa · 44143
Office
Unavailable
Facility
$1363.40
No comparable office rate is available.
Idaho
Idaho · 44143
Office
Unavailable
Facility
$1382.18
No comparable office rate is available.
East St. Louis
Illinois · 44143
Office
Unavailable
Facility
$1721.88
No comparable office rate is available.
Rest Of Illinois
Illinois · 44143
Office
Unavailable
Facility
$1619.63
No comparable office rate is available.
Suburban Chicago
Illinois · 44143
Office
Unavailable
Facility
$1718.22
No comparable office rate is available.
Indiana
Indiana · 44143
Office
Unavailable
Facility
$1387.88
No comparable office rate is available.
Kansas
Kansas · 44143
Office
Unavailable
Facility
$1382.53
No comparable office rate is available.
Kentucky
Kentucky · 44143
Office
Unavailable
Facility
$1467.05
No comparable office rate is available.
New Orleans
Louisiana · 44143
Office
Unavailable
Facility
$1536.84
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44143
Office
Unavailable
Facility
$1474.91
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44143
Office
Unavailable
Facility
$1622.23
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44143
Office
Unavailable
Facility
$1521.97
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44143
Office
Unavailable
Facility
$1627.07
No comparable office rate is available.
Rest Of Maryland
Maryland · 44143
Office
Unavailable
Facility
$1526.60
No comparable office rate is available.
Rest Of Maine
Maine · 44143
Office
Unavailable
Facility
$1415.02
No comparable office rate is available.
Southern Maine
Maine · 44143
Office
Unavailable
Facility
$1445.77
No comparable office rate is available.
Detroit
Michigan · 44143
Office
Unavailable
Facility
$1667.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 44143
Office
Unavailable
Facility
$1523.95
No comparable office rate is available.
Minnesota
Minnesota · 44143
Office
Unavailable
Facility
$1387.32
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44143
Office
Unavailable
Facility
$1500.98
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44143
Office
Unavailable
Facility
$1511.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 44143
Office
Unavailable
Facility
$1469.12
No comparable office rate is available.
Mississippi
Mississippi · 44143
Office
Unavailable
Facility
$1416.91
No comparable office rate is available.
Montana**
Montana · 44143
Office
Unavailable
Facility
$1530.32
No comparable office rate is available.
North Carolina
North Carolina · 44143
Office
Unavailable
Facility
$1424.04
No comparable office rate is available.
North Dakota**
North Dakota · 44143
Office
Unavailable
Facility
$1399.82
No comparable office rate is available.
Nebraska
Nebraska · 44143
Office
Unavailable
Facility
$1362.45
No comparable office rate is available.
New Hampshire
New Hampshire · 44143
Office
Unavailable
Facility
$1519.82
No comparable office rate is available.
Northern Nj
New Jersey · 44143
Office
Unavailable
Facility
$1667.60
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44143
Office
Unavailable
Facility
$1625.63
No comparable office rate is available.
New Mexico
New Mexico · 44143
Office
Unavailable
Facility
$1541.45
No comparable office rate is available.
Nevada**
Nevada · 44143
Office
Unavailable
Facility
$1494.35
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44143
Office
Unavailable
Facility
$1854.19
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44143
Office
Unavailable
Facility
$1656.28
No comparable office rate is available.
Queens
New York · 44143
Office
Unavailable
Facility
$1759.87
No comparable office rate is available.
Rest Of New York
New York · 44143
Office
Unavailable
Facility
$1445.03
No comparable office rate is available.
Ohio
Ohio · 44143
Office
Unavailable
Facility
$1497.28
No comparable office rate is available.
Oklahoma
Oklahoma · 44143
Office
Unavailable
Facility
$1438.25
No comparable office rate is available.
Portland
Oregon · 44143
Office
Unavailable
Facility
$1533.78
No comparable office rate is available.
Rest Of Oregon
Oregon · 44143
Office
Unavailable
Facility
$1463.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44143
Office
Unavailable
Facility
$1606.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44143
Office
Unavailable
Facility
$1485.42
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44143
Office
Unavailable
Facility
$1531.91
No comparable office rate is available.
Rhode Island
Rhode Island · 44143
Office
Unavailable
Facility
$1537.52
No comparable office rate is available.
South Carolina
South Carolina · 44143
Office
Unavailable
Facility
$1466.90
No comparable office rate is available.
South Dakota**
South Dakota · 44143
Office
Unavailable
Facility
$1384.39
No comparable office rate is available.
Tennessee
Tennessee · 44143
Office
Unavailable
Facility
$1391.83
No comparable office rate is available.
Austin
Texas · 44143
Office
Unavailable
Facility
$1530.94
No comparable office rate is available.
Beaumont
Texas · 44143
Office
Unavailable
Facility
$1478.65
No comparable office rate is available.
Brazoria
Texas · 44143
Office
Unavailable
Facility
$1485.86
No comparable office rate is available.
Dallas
Texas · 44143
Office
Unavailable
Facility
$1505.99
No comparable office rate is available.
Fort Worth
Texas · 44143
Office
Unavailable
Facility
$1504.80
No comparable office rate is available.
Galveston
Texas · 44143
Office
Unavailable
Facility
$1497.25
No comparable office rate is available.
Houston
Texas · 44143
Office
Unavailable
Facility
$1618.06
No comparable office rate is available.
Rest Of Texas
Texas · 44143
Office
Unavailable
Facility
$1488.72
No comparable office rate is available.
Utah
Utah · 44143
Office
Unavailable
Facility
$1483.97
No comparable office rate is available.
Virginia
Virginia · 44143
Office
Unavailable
Facility
$1459.06
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44143
Office
Unavailable
Facility
$1531.91
No comparable office rate is available.
Vermont
Vermont · 44143
Office
Unavailable
Facility
$1417.81
No comparable office rate is available.
Rest Of Washington
Washington · 44143
Office
Unavailable
Facility
$1511.32
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44143
Office
Unavailable
Facility
$1627.65
No comparable office rate is available.
Wisconsin
Wisconsin · 44143
Office
Unavailable
Facility
$1361.20
No comparable office rate is available.
West Virginia
West Virginia · 44143
Office
Unavailable
Facility
$1572.70
No comparable office rate is available.
Wyoming**
Wyoming · 44143
Office
Unavailable
Facility
$1473.45
No comparable office rate is available.
See how rates vary across the country
44143 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 44143 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1631.04
$1482.76 × 110% = $1631.04
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 44143 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,350
- Code
- 44143
- Physician work
- 27.10
- Practice expense
- 12.13
- Malpractice
- 6.60
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.10 | × 1.017 | 27.5607 |
| Practice expense | 12.13 | × 1.096 | 13.2945 |
| Malpractice | 6.60 | × 0.536 | 3.5376 |
| Total RVUs | 44.3928 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1482.76
Open 44143 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.1 | 1.017 |
| Practice expense | 12.13 | 1.096 |
| Malpractice | 6.6 | 0.536 |
(27.1 × 1.017 + 12.13 × 1.096 + 6.6 × 0.536) × $33.4009 = $1482.76
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
44143 · 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 | $1482.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $1482.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $1482.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $1482.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $1567.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $1567.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $1567.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $1567.33 | RVU25A |
44143 billing questions
How does this differ from 44140?
44143 describes partial colectomy with an end colostomy and a closed distal segment. 44140 describes partial colectomy with bowel anastomosis.
Can the surgeon report a colostomy separately?
The end colostomy is part of the resection and reconstruction represented by 44143. The operative report should show the resection, end stoma, and closure of the distal segment.
When is 44141 a better fit?
Use 44141 for partial colectomy with a skin-level cecostomy or colostomy. Use 44143 when the surgeon creates an end colostomy and closes the distal bowel segment.
Can 44139 be reported with 44143?
44139 may be reported as an add-on when splenic flexure mobilization is performed with the colectomy and documented. The note should support that additional mobilization.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for resection on both sides?
No. Modifier 50 is inappropriate for this code; the colon resection and reconstruction are reported as a single 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.
5,34744139,,Mobilization of colon,A,,2.17,0.54,NA,0.54,,0.49,3.20,3.20,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34844140,,Partial removal of colon,A,,22.03,10.00,NA,10.00,,5.40,37.43,37.43,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34944141,,Partial removal of colon,A,,29.16,14.31,NA,14.31,,7.16,50.63,50.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35044143,,Partial removal of colon,A,,27.10,12.13,NA,12.13,,6.60,45.83,45.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35144144,,Partial removal of colon,A,,29.16,12.76,NA,12.76,,7.02,48.94,48.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35244145,,Partial removal of colon,A,,27.87,11.33,NA,11.33,,6.17,45.37,45.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35344146,,Partial removal of colon,A,,34.42,15.82,NA,15.82,,7.90,58.14,58.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536