No office rate
44205 includes terminal ileum removal and an ileocolic connection. Choose 44204 when the colectomy has a different anastomosis and does not match that anatomy.
On this page
CMS RVU26D · Effective 2026-10-01
44205 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1195.40
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.
Colorectal surgery
About 44205: Laparoscopic ileocolic colectomy
Laparoscopic removal of a colonic segment with terminal ileum and ileocolic reconstruction, reported when the operative resection includes this specific anatomy.
This code describes laparoscopic resection of part of the colon that also removes the terminal ileum, followed by joining the remaining small bowel to the colon. It commonly represents a right-sided resection for colon cancer, Crohn disease, or another condition affecting the ileocecal region. A colorectal or general surgeon typically performs the operation in a hospital or other surgical facility. The operative report should establish the laparoscopic approach, the bowel removed, and the reconstruction performed.
Report this code when the documented resection includes terminal ileum and the ileocolic connection; a partial colectomy with a different reconstruction may fall under a neighboring code. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44205
- 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 RVU22.38 · 61%
- Practice expense (office) RVU9.55 · 26%
- Malpractice RVU4.78 · 13%
13.4K
Medicare services in 2024 · #1316 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.
44205 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
44206 describes a partial colectomy with a stoma. This code is for the resection with ileocolic reconstruction, not the stoma configuration.
No office rate
44160 describes the corresponding open operation. Use 44205 for the laparoscopic approach when its terminal-ileum and ileocolic-reconstruction details are met.
The same code, a different location
How does Modesto compare?
44205 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 · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Merced
California · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Napa
California · 44205
Office
Unavailable
Facility
$1296.12
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44205
Office
Unavailable
Facility
$1244.94
No comparable office rate is available.
Redding
California · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Rest Of California
California · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44205
Office
Unavailable
Facility
$1246.75
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44205
Office
Unavailable
Facility
$1230.97
No comparable office rate is available.
Salinas
California · 44205
Office
Unavailable
Facility
$1225.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44205
Office
Unavailable
Facility
$1237.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44205
Office
Unavailable
Facility
$1341.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44205
Office
Unavailable
Facility
$1336.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44205
Office
Unavailable
Facility
$1375.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44205
Office
Unavailable
Facility
$1353.09
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44205
Office
Unavailable
Facility
$1209.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44205
Office
Unavailable
Facility
$1236.34
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44205
Office
Unavailable
Facility
$1225.95
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44205
Office
Unavailable
Facility
$1247.22
No comparable office rate is available.
Stockton
California · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Vallejo
California · 44205
Office
Unavailable
Facility
$1288.30
No comparable office rate is available.
Visalia
California · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Yuba City
California · 44205
Office
Unavailable
Facility
$1195.40
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44205
Office
Unavailable
Facility
$1341.33
No comparable office rate is available.
Miami
Florida · 44205
Office
Unavailable
Facility
$1483.34
No comparable office rate is available.
Chicago
Illinois · 44205
Office
Unavailable
Facility
$1439.73
No comparable office rate is available.
Manhattan
New York · 44205
Office
Unavailable
Facility
$1419.22
No comparable office rate is available.
Alaska*
Alaska · 44205
Office
Unavailable
Facility
$1548.95
No comparable office rate is available.
Alabama
Alabama · 44205
Office
Unavailable
Facility
$1116.98
No comparable office rate is available.
Arkansas
Arkansas · 44205
Office
Unavailable
Facility
$1103.74
No comparable office rate is available.
Arizona
Arizona · 44205
Office
Unavailable
Facility
$1193.27
No comparable office rate is available.
Colorado
Colorado · 44205
Office
Unavailable
Facility
$1220.57
No comparable office rate is available.
Connecticut
Connecticut · 44205
Office
Unavailable
Facility
$1299.19
No comparable office rate is available.
Delaware
Delaware · 44205
Office
Unavailable
Facility
$1209.93
No comparable office rate is available.
Fort Lauderdale
Florida · 44205
Office
Unavailable
Facility
$1359.30
No comparable office rate is available.
Rest Of Florida
Florida · 44205
Office
Unavailable
Facility
$1292.42
No comparable office rate is available.
Atlanta
Georgia · 44205
Office
Unavailable
Facility
$1265.58
No comparable office rate is available.
Rest Of Georgia
Georgia · 44205
Office
Unavailable
Facility
$1222.35
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44205
Office
Unavailable
Facility
$1202.63
No comparable office rate is available.
Iowa
Iowa · 44205
Office
Unavailable
Facility
$1102.76
No comparable office rate is available.
Idaho
Idaho · 44205
Office
Unavailable
Facility
$1116.49
No comparable office rate is available.
East St. Louis
Illinois · 44205
Office
Unavailable
Facility
$1362.52
No comparable office rate is available.
Rest Of Illinois
Illinois · 44205
Office
Unavailable
Facility
$1288.28
No comparable office rate is available.
Suburban Chicago
Illinois · 44205
Office
Unavailable
Facility
$1363.25
No comparable office rate is available.
Indiana
Indiana · 44205
Office
Unavailable
Facility
$1120.80
No comparable office rate is available.
Kansas
Kansas · 44205
Office
Unavailable
Facility
$1116.34
No comparable office rate is available.
Kentucky
Kentucky · 44205
Office
Unavailable
Facility
$1177.17
No comparable office rate is available.
New Orleans
Louisiana · 44205
Office
Unavailable
Facility
$1229.04
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44205
Office
Unavailable
Facility
$1182.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44205
Office
Unavailable
Facility
$1301.11
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44205
Office
Unavailable
Facility
$1222.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44205
Office
Unavailable
Facility
$1299.23
No comparable office rate is available.
Rest Of Maryland
Maryland · 44205
Office
Unavailable
Facility
$1224.36
No comparable office rate is available.
Rest Of Maine
Maine · 44205
Office
Unavailable
Facility
$1140.28
No comparable office rate is available.
Southern Maine
Maine · 44205
Office
Unavailable
Facility
$1164.36
No comparable office rate is available.
Detroit
Michigan · 44205
Office
Unavailable
Facility
$1324.51
No comparable office rate is available.
Rest Of Michigan
Michigan · 44205
Office
Unavailable
Facility
$1218.99
No comparable office rate is available.
Minnesota
Minnesota · 44205
Office
Unavailable
Facility
$1123.00
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44205
Office
Unavailable
Facility
$1203.02
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44205
Office
Unavailable
Facility
$1211.16
No comparable office rate is available.
Rest Of Missouri
Missouri · 44205
Office
Unavailable
Facility
$1177.98
No comparable office rate is available.
Mississippi
Mississippi · 44205
Office
Unavailable
Facility
$1140.14
No comparable office rate is available.
Montana**
Montana · 44205
Office
Unavailable
Facility
$1225.83
No comparable office rate is available.
North Carolina
North Carolina · 44205
Office
Unavailable
Facility
$1147.14
No comparable office rate is available.
North Dakota**
North Dakota · 44205
Office
Unavailable
Facility
$1131.31
No comparable office rate is available.
Nebraska
Nebraska · 44205
Office
Unavailable
Facility
$1102.28
No comparable office rate is available.
New Hampshire
New Hampshire · 44205
Office
Unavailable
Facility
$1219.27
No comparable office rate is available.
Northern Nj
New Jersey · 44205
Office
Unavailable
Facility
$1335.13
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44205
Office
Unavailable
Facility
$1300.88
No comparable office rate is available.
New Mexico
New Mexico · 44205
Office
Unavailable
Facility
$1231.76
No comparable office rate is available.
Nevada**
Nevada · 44205
Office
Unavailable
Facility
$1199.80
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44205
Office
Unavailable
Facility
$1471.10
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44205
Office
Unavailable
Facility
$1323.62
No comparable office rate is available.
Queens
New York · 44205
Office
Unavailable
Facility
$1402.61
No comparable office rate is available.
Rest Of New York
New York · 44205
Office
Unavailable
Facility
$1162.78
No comparable office rate is available.
Ohio
Ohio · 44205
Office
Unavailable
Facility
$1199.67
No comparable office rate is available.
Oklahoma
Oklahoma · 44205
Office
Unavailable
Facility
$1156.41
No comparable office rate is available.
Portland
Oregon · 44205
Office
Unavailable
Facility
$1232.64
No comparable office rate is available.
Rest Of Oregon
Oregon · 44205
Office
Unavailable
Facility
$1177.45
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44205
Office
Unavailable
Facility
$1283.49
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44205
Office
Unavailable
Facility
$1191.21
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44205
Office
Unavailable
Facility
$1227.26
No comparable office rate is available.
Rhode Island
Rhode Island · 44205
Office
Unavailable
Facility
$1233.63
No comparable office rate is available.
South Carolina
South Carolina · 44205
Office
Unavailable
Facility
$1177.96
No comparable office rate is available.
South Dakota**
South Dakota · 44205
Office
Unavailable
Facility
$1120.14
No comparable office rate is available.
Tennessee
Tennessee · 44205
Office
Unavailable
Facility
$1123.20
No comparable office rate is available.
Austin
Texas · 44205
Office
Unavailable
Facility
$1227.94
No comparable office rate is available.
Beaumont
Texas · 44205
Office
Unavailable
Facility
$1186.10
No comparable office rate is available.
Brazoria
Texas · 44205
Office
Unavailable
Facility
$1194.13
No comparable office rate is available.
Dallas
Texas · 44205
Office
Unavailable
Facility
$1208.93
No comparable office rate is available.
Fort Worth
Texas · 44205
Office
Unavailable
Facility
$1207.81
No comparable office rate is available.
Galveston
Texas · 44205
Office
Unavailable
Facility
$1202.43
No comparable office rate is available.
Houston
Texas · 44205
Office
Unavailable
Facility
$1289.93
No comparable office rate is available.
Rest Of Texas
Texas · 44205
Office
Unavailable
Facility
$1194.39
No comparable office rate is available.
Utah
Utah · 44205
Office
Unavailable
Facility
$1190.72
No comparable office rate is available.
Virginia
Virginia · 44205
Office
Unavailable
Facility
$1173.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44205
Office
Unavailable
Facility
$1227.26
No comparable office rate is available.
Vermont
Vermont · 44205
Office
Unavailable
Facility
$1144.09
No comparable office rate is available.
Rest Of Washington
Washington · 44205
Office
Unavailable
Facility
$1214.61
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44205
Office
Unavailable
Facility
$1306.71
No comparable office rate is available.
Wisconsin
Wisconsin · 44205
Office
Unavailable
Facility
$1102.27
No comparable office rate is available.
West Virginia
West Virginia · 44205
Office
Unavailable
Facility
$1253.17
No comparable office rate is available.
Wyoming**
Wyoming · 44205
Office
Unavailable
Facility
$1184.64
No comparable office rate is available.
See how rates vary across the country
44205 · 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 44205 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1314.94
$1195.40 × 110% = $1314.94
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 44205 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,369
- Code
- 44205
- Physician work
- 22.38
- Practice expense
- 9.55
- Malpractice
- 4.78
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.38 | × 1.017 | 22.7605 |
| Practice expense | 9.55 | × 1.096 | 10.4668 |
| Malpractice | 4.78 | × 0.536 | 2.5621 |
| Total RVUs | 35.7893 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1195.40
Open 44205 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.38 | 1.017 |
| Practice expense | 9.55 | 1.096 |
| Malpractice | 4.78 | 0.536 |
(22.38 × 1.017 + 9.55 × 1.096 + 4.78 × 0.536) × $33.4009 = $1195.40
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
44205 · 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 | $1195.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $1195.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $1195.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $1195.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $1272.05 | RVU25D |
| 2025-07-01 | Not available in this setting | $1272.05 | RVU25C |
| 2025-04-01 | Not available in this setting | $1272.05 | RVU25B |
| 2025-01-01 | Not available in this setting | $1272.05 | RVU25A |
44205 billing questions
How is this distinguished from 44204?
Use 44205 when the resection includes terminal ileum and the reconstruction joins small bowel to colon. A partial colectomy with a different anastomosis may fit 44204 instead.
Is the ileocolic connection separately reported?
The connection is part of the resection service described by this code; it is not a separate service solely because the surgeon documents the anastomosis.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used to indicate bilateral surgery.
What supports reporting 44205?
The operative report should document the laparoscopic approach, removal of terminal ileum along with colon, and the ileocolic reconstruction.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. An assistant may be paid; co-surgeons require supporting documentation.
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.
5,36644202,,Lap enterectomy,A,,22.81,10.19,NA,10.19,,5.59,38.59,38.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36744203,,Lap resect s/intestine addl,A,,4.33,1.07,NA,1.07,,1.07,6.47,6.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36844204,,Laparo partial colectomy,A,,25.76,10.80,NA,10.80,,5.75,42.31,42.31,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36944205,,Lap colectomy part w/ileum,A,,22.38,9.55,NA,9.55,,4.78,36.71,36.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37044206,,Lap part colectomy w/stoma,A,,29.05,12.31,NA,12.31,,6.56,47.92,47.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37144207,,L colectomy/coloproctostomy,A,,31.12,11.90,NA,11.90,,6.36,49.38,49.38,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37244208,,L colectomy/coloproctostomy,A,,33.14,14.10,NA,14.10,,6.71,53.95,53.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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