No office rate
44340 is for limited, skin-level revision. Choose 44345 when the operation involves a complicated revision with deeper resection or reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
44340 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$604.05
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 44340: Simple colostomy revision
Reports a limited revision of an existing colostomy, such as reshaping the stoma at the skin level without deep bowel reconstruction or hernia repair.
A surgeon revises an existing colostomy with a limited, skin-level procedure, such as correcting a narrowed or poorly functioning stoma by revising its superficial opening. The work is confined to the stoma and does not involve deep bowel resection or reconstruction. This is typically performed by a colorectal or general surgeon in a hospital operating room or ambulatory surgical setting when local revision is needed to improve stoma function or fit with an ostomy appliance.
Report 44340 when the operative work supports a simple revision rather than a more extensive reconstruction or repair of a parastomal hernia. The operative note should identify the existing colostomy, the problem addressed, and the extent of revision. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 inappropriate; assistant-at-surgery payment is statutorily restricted, co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44340
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.05 · 50%
- Practice expense (office) RVU7.12 · 39%
- Malpractice RVU2.01 · 11%
436
Medicare services in 2024 · #3664 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.
44340 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
44346 is the colostomy-revision code that includes repair of a parastomal hernia; 44340 describes a simple revision without that repair.
No office rate
44312 applies to simple revision of an ileostomy. Use 44340 when the existing stoma being revised is a colostomy.
No office rate
44320 describes creating a colostomy, while 44340 revises an existing colostomy.
The same code, a different location
How does Modesto compare?
44340 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 · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Merced
California · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Napa
California · 44340
Office
Unavailable
Facility
$668.87
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44340
Office
Unavailable
Facility
$633.66
No comparable office rate is available.
Redding
California · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Rest Of California
California · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44340
Office
Unavailable
Facility
$625.63
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44340
Office
Unavailable
Facility
$625.72
No comparable office rate is available.
Salinas
California · 44340
Office
Unavailable
Facility
$623.26
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44340
Office
Unavailable
Facility
$632.16
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44340
Office
Unavailable
Facility
$697.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44340
Office
Unavailable
Facility
$694.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44340
Office
Unavailable
Facility
$714.44
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44340
Office
Unavailable
Facility
$705.11
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44340
Office
Unavailable
Facility
$614.27
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44340
Office
Unavailable
Facility
$633.56
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44340
Office
Unavailable
Facility
$624.02
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44340
Office
Unavailable
Facility
$639.37
No comparable office rate is available.
Stockton
California · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Vallejo
California · 44340
Office
Unavailable
Facility
$665.58
No comparable office rate is available.
Visalia
California · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Yuba City
California · 44340
Office
Unavailable
Facility
$604.05
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44340
Office
Unavailable
Facility
$673.47
No comparable office rate is available.
Miami
Florida · 44340
Office
Unavailable
Facility
$719.63
No comparable office rate is available.
Chicago
Illinois · 44340
Office
Unavailable
Facility
$697.47
No comparable office rate is available.
Manhattan
New York · 44340
Office
Unavailable
Facility
$704.44
No comparable office rate is available.
Alaska*
Alaska · 44340
Office
Unavailable
Facility
$743.68
No comparable office rate is available.
Alabama
Alabama · 44340
Office
Unavailable
Facility
$548.36
No comparable office rate is available.
Arkansas
Arkansas · 44340
Office
Unavailable
Facility
$541.14
No comparable office rate is available.
Arizona
Arizona · 44340
Office
Unavailable
Facility
$590.19
No comparable office rate is available.
Colorado
Colorado · 44340
Office
Unavailable
Facility
$611.37
No comparable office rate is available.
Connecticut
Connecticut · 44340
Office
Unavailable
Facility
$645.68
No comparable office rate is available.
Delaware
Delaware · 44340
Office
Unavailable
Facility
$599.11
No comparable office rate is available.
Fort Lauderdale
Florida · 44340
Office
Unavailable
Facility
$664.57
No comparable office rate is available.
Rest Of Florida
Florida · 44340
Office
Unavailable
Facility
$630.53
No comparable office rate is available.
Atlanta
Georgia · 44340
Office
Unavailable
Facility
$625.43
No comparable office rate is available.
Rest Of Georgia
Georgia · 44340
Office
Unavailable
Facility
$594.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44340
Office
Unavailable
Facility
$611.54
No comparable office rate is available.
Iowa
Iowa · 44340
Office
Unavailable
Facility
$546.53
No comparable office rate is available.
Idaho
Idaho · 44340
Office
Unavailable
Facility
$552.82
No comparable office rate is available.
East St. Louis
Illinois · 44340
Office
Unavailable
Facility
$656.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 44340
Office
Unavailable
Facility
$624.34
No comparable office rate is available.
Suburban Chicago
Illinois · 44340
Office
Unavailable
Facility
$667.59
No comparable office rate is available.
Indiana
Indiana · 44340
Office
Unavailable
Facility
$555.36
No comparable office rate is available.
Kansas
Kansas · 44340
Office
Unavailable
Facility
$551.10
No comparable office rate is available.
Kentucky
Kentucky · 44340
Office
Unavailable
Facility
$575.12
No comparable office rate is available.
New Orleans
Louisiana · 44340
Office
Unavailable
Facility
$602.33
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44340
Office
Unavailable
Facility
$577.06
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44340
Office
Unavailable
Facility
$658.37
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44340
Office
Unavailable
Facility
$611.04
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44340
Office
Unavailable
Facility
$645.34
No comparable office rate is available.
Rest Of Maryland
Maryland · 44340
Office
Unavailable
Facility
$607.60
No comparable office rate is available.
Rest Of Maine
Maine · 44340
Office
Unavailable
Facility
$562.83
No comparable office rate is available.
Southern Maine
Maine · 44340
Office
Unavailable
Facility
$580.31
No comparable office rate is available.
Detroit
Michigan · 44340
Office
Unavailable
Facility
$644.96
No comparable office rate is available.
Rest Of Michigan
Michigan · 44340
Office
Unavailable
Facility
$595.20
No comparable office rate is available.
Minnesota
Minnesota · 44340
Office
Unavailable
Facility
$566.86
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44340
Office
Unavailable
Facility
$591.18
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44340
Office
Unavailable
Facility
$595.95
No comparable office rate is available.
Rest Of Missouri
Missouri · 44340
Office
Unavailable
Facility
$572.66
No comparable office rate is available.
Mississippi
Mississippi · 44340
Office
Unavailable
Facility
$556.65
No comparable office rate is available.
Montana**
Montana · 44340
Office
Unavailable
Facility
$607.09
No comparable office rate is available.
North Carolina
North Carolina · 44340
Office
Unavailable
Facility
$567.06
No comparable office rate is available.
North Dakota**
North Dakota · 44340
Office
Unavailable
Facility
$567.35
No comparable office rate is available.
Nebraska
Nebraska · 44340
Office
Unavailable
Facility
$547.16
No comparable office rate is available.
New Hampshire
New Hampshire · 44340
Office
Unavailable
Facility
$608.59
No comparable office rate is available.
Northern Nj
New Jersey · 44340
Office
Unavailable
Facility
$668.89
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44340
Office
Unavailable
Facility
$647.71
No comparable office rate is available.
New Mexico
New Mexico · 44340
Office
Unavailable
Facility
$600.98
No comparable office rate is available.
Nevada**
Nevada · 44340
Office
Unavailable
Facility
$596.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44340
Office
Unavailable
Facility
$729.06
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44340
Office
Unavailable
Facility
$657.52
No comparable office rate is available.
Queens
New York · 44340
Office
Unavailable
Facility
$699.53
No comparable office rate is available.
Rest Of New York
New York · 44340
Office
Unavailable
Facility
$575.40
No comparable office rate is available.
Ohio
Ohio · 44340
Office
Unavailable
Facility
$587.08
No comparable office rate is available.
Oklahoma
Oklahoma · 44340
Office
Unavailable
Facility
$566.81
No comparable office rate is available.
Portland
Oregon · 44340
Office
Unavailable
Facility
$621.28
No comparable office rate is available.
Rest Of Oregon
Oregon · 44340
Office
Unavailable
Facility
$586.34
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44340
Office
Unavailable
Facility
$635.38
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44340
Office
Unavailable
Facility
$584.04
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44340
Office
Unavailable
Facility
$608.84
No comparable office rate is available.
Rhode Island
Rhode Island · 44340
Office
Unavailable
Facility
$613.57
No comparable office rate is available.
South Carolina
South Carolina · 44340
Office
Unavailable
Facility
$579.08
No comparable office rate is available.
South Dakota**
South Dakota · 44340
Office
Unavailable
Facility
$562.65
No comparable office rate is available.
Tennessee
Tennessee · 44340
Office
Unavailable
Facility
$554.50
No comparable office rate is available.
Austin
Texas · 44340
Office
Unavailable
Facility
$613.97
No comparable office rate is available.
Beaumont
Texas · 44340
Office
Unavailable
Facility
$581.06
No comparable office rate is available.
Brazoria
Texas · 44340
Office
Unavailable
Facility
$592.74
No comparable office rate is available.
Dallas
Texas · 44340
Office
Unavailable
Facility
$599.46
No comparable office rate is available.
Fort Worth
Texas · 44340
Office
Unavailable
Facility
$597.96
No comparable office rate is available.
Galveston
Texas · 44340
Office
Unavailable
Facility
$596.43
No comparable office rate is available.
Houston
Texas · 44340
Office
Unavailable
Facility
$633.22
No comparable office rate is available.
Rest Of Texas
Texas · 44340
Office
Unavailable
Facility
$588.59
No comparable office rate is available.
Utah
Utah · 44340
Office
Unavailable
Facility
$586.11
No comparable office rate is available.
Virginia
Virginia · 44340
Office
Unavailable
Facility
$583.45
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44340
Office
Unavailable
Facility
$608.84
No comparable office rate is available.
Vermont
Vermont · 44340
Office
Unavailable
Facility
$571.69
No comparable office rate is available.
Rest Of Washington
Washington · 44340
Office
Unavailable
Facility
$607.72
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44340
Office
Unavailable
Facility
$664.04
No comparable office rate is available.
Wisconsin
Wisconsin · 44340
Office
Unavailable
Facility
$550.78
No comparable office rate is available.
West Virginia
West Virginia · 44340
Office
Unavailable
Facility
$605.01
No comparable office rate is available.
Wyoming**
Wyoming · 44340
Office
Unavailable
Facility
$589.77
No comparable office rate is available.
See how rates vary across the country
44340 · 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 44340 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$664.45
$604.05 × 110% = $664.45
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 44340 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,386
- Code
- 44340
- Physician work
- 9.05
- Practice expense
- 7.12
- Malpractice
- 2.01
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.05 | × 1.017 | 9.2038 |
| Practice expense | 7.12 | × 1.096 | 7.8035 |
| Malpractice | 2.01 | × 0.536 | 1.0774 |
| Total RVUs | 18.0847 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$604.05
Open 44340 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.05 | 1.017 |
| Practice expense | 7.12 | 1.096 |
| Malpractice | 2.01 | 0.536 |
(9.05 × 1.017 + 7.12 × 1.096 + 2.01 × 0.536) × $33.4009 = $604.05
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
44340 · 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 | $604.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $604.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $604.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $604.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $614.07 | RVU25D |
| 2025-07-01 | Not available in this setting | $614.07 | RVU25C |
| 2025-04-01 | Not available in this setting | $614.07 | RVU25B |
| 2025-01-01 | Not available in this setting | $614.07 | RVU25A |
44340 billing questions
When should 44340 be selected instead of 44345?
Use 44340 for a simple, skin-level revision. Use 44345 when the documented work is a complicated revision involving deeper resection or reconstruction.
How does 44346 differ from 44340?
44346 includes revision of a colostomy with repair of a parastomal hernia. A limited skin-level revision without that hernia repair is the setting for 44340.
Can modifier 50 be appended for a colostomy revision?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor and anatomy.
Is assistant-at-surgery payment available for 44340?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when 44340 is performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
5,38344316,,Devise bowel pouch,A,,23.00,10.49,NA,10.49,,6.16,39.65,39.65,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38444320,,Colostomy,A,,19.41,9.68,NA,9.68,,4.50,33.59,33.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38544322,,Colostomy with biopsies,A,,12.99,12.99,NA,12.99,,3.46,29.44,29.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38644340,,Revision of colostomy,A,,9.05,7.12,NA,7.12,,2.01,18.18,18.18,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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