No office rate
Both include small-bowel biopsy, but 44377 is for an examination that includes the ileum; 44361 is used when the examination does not include it.
On this page
CMS RVU26D · Effective 2026-10-01
44377 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$260.94
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 44377: Small bowel enteroscopy with biopsy
Reports enteroscopy extending into the ileum when the endoscopist obtains small-bowel tissue samples to evaluate suspected mucosal disease or other abnormalities.
A gastroenterologist or other qualified endoscopist examines the small bowel beyond the second portion of the duodenum, including the ileum, and obtains one or more tissue samples through the endoscope. The service may help investigate suspected small-bowel inflammation, unexplained anemia, or an abnormality seen on imaging or prior testing. It is commonly performed in a hospital or ambulatory endoscopy setting.
Choose this code when the documented examination reaches the ileum and includes biopsy; the number of samples does not change the code. The report should support the extent of examination and tissue sampling. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 44377
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.28 · 68%
- Practice expense (office) RVU1.94 · 25%
- Malpractice RVU0.59 · 8%
576
Medicare services in 2024 · #3436 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.
44377 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
This is the related enteroscopy including the ileum without biopsy. Choose 44377 when tissue sampling is performed.
No office rate
This is diagnostic small-bowel enteroscopy without biopsy and does not include the ileum. It is not the choice when the ileum is examined and sampled.
$486.28
This describes colonoscopy with biopsy. Use 44377 for small-bowel enteroscopy including the ileum, not sampling performed during colonoscopy.
The same code, a different location
How does Modesto compare?
44377 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 · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Merced
California · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Napa
California · 44377
Office
Unavailable
Facility
$282.88
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44377
Office
Unavailable
Facility
$270.16
No comparable office rate is available.
Redding
California · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Rest Of California
California · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44377
Office
Unavailable
Facility
$267.36
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44377
Office
Unavailable
Facility
$268.63
No comparable office rate is available.
Salinas
California · 44377
Office
Unavailable
Facility
$267.49
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44377
Office
Unavailable
Facility
$269.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44377
Office
Unavailable
Facility
$293.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44377
Office
Unavailable
Facility
$292.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44377
Office
Unavailable
Facility
$299.76
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44377
Office
Unavailable
Facility
$297.02
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44377
Office
Unavailable
Facility
$263.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44377
Office
Unavailable
Facility
$269.35
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44377
Office
Unavailable
Facility
$267.41
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44377
Office
Unavailable
Facility
$271.78
No comparable office rate is available.
Stockton
California · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Vallejo
California · 44377
Office
Unavailable
Facility
$281.92
No comparable office rate is available.
Visalia
California · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Yuba City
California · 44377
Office
Unavailable
Facility
$260.94
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44377
Office
Unavailable
Facility
$284.15
No comparable office rate is available.
Miami
Florida · 44377
Office
Unavailable
Facility
$293.65
No comparable office rate is available.
Chicago
Illinois · 44377
Office
Unavailable
Facility
$287.94
No comparable office rate is available.
Manhattan
New York · 44377
Office
Unavailable
Facility
$294.19
No comparable office rate is available.
Alaska*
Alaska · 44377
Office
Unavailable
Facility
$344.40
No comparable office rate is available.
Alabama
Alabama · 44377
Office
Unavailable
Facility
$244.21
No comparable office rate is available.
Arkansas
Arkansas · 44377
Office
Unavailable
Facility
$242.17
No comparable office rate is available.
Arizona
Arizona · 44377
Office
Unavailable
Facility
$256.01
No comparable office rate is available.
Colorado
Colorado · 44377
Office
Unavailable
Facility
$262.81
No comparable office rate is available.
Connecticut
Connecticut · 44377
Office
Unavailable
Facility
$273.52
No comparable office rate is available.
Delaware
Delaware · 44377
Office
Unavailable
Facility
$258.97
No comparable office rate is available.
Fort Lauderdale
Florida · 44377
Office
Unavailable
Facility
$277.63
No comparable office rate is available.
Rest Of Florida
Florida · 44377
Office
Unavailable
Facility
$267.92
No comparable office rate is available.
Atlanta
Georgia · 44377
Office
Unavailable
Facility
$266.39
No comparable office rate is available.
Rest Of Georgia
Georgia · 44377
Office
Unavailable
Facility
$257.65
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44377
Office
Unavailable
Facility
$261.44
No comparable office rate is available.
Iowa
Iowa · 44377
Office
Unavailable
Facility
$243.47
No comparable office rate is available.
Idaho
Idaho · 44377
Office
Unavailable
Facility
$245.29
No comparable office rate is available.
East St. Louis
Illinois · 44377
Office
Unavailable
Facility
$275.66
No comparable office rate is available.
Rest Of Illinois
Illinois · 44377
Office
Unavailable
Facility
$266.32
No comparable office rate is available.
Suburban Chicago
Illinois · 44377
Office
Unavailable
Facility
$279.06
No comparable office rate is available.
Indiana
Indiana · 44377
Office
Unavailable
Facility
$246.00
No comparable office rate is available.
Kansas
Kansas · 44377
Office
Unavailable
Facility
$244.87
No comparable office rate is available.
Kentucky
Kentucky · 44377
Office
Unavailable
Facility
$251.99
No comparable office rate is available.
New Orleans
Louisiana · 44377
Office
Unavailable
Facility
$259.72
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44377
Office
Unavailable
Facility
$252.58
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44377
Office
Unavailable
Facility
$278.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44377
Office
Unavailable
Facility
$263.12
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44377
Office
Unavailable
Facility
$273.08
No comparable office rate is available.
Rest Of Maryland
Maryland · 44377
Office
Unavailable
Facility
$261.79
No comparable office rate is available.
Rest Of Maine
Maine · 44377
Office
Unavailable
Facility
$248.23
No comparable office rate is available.
Southern Maine
Maine · 44377
Office
Unavailable
Facility
$253.01
No comparable office rate is available.
Detroit
Michigan · 44377
Office
Unavailable
Facility
$272.11
No comparable office rate is available.
Rest Of Michigan
Michigan · 44377
Office
Unavailable
Facility
$257.77
No comparable office rate is available.
Minnesota
Minnesota · 44377
Office
Unavailable
Facility
$248.87
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44377
Office
Unavailable
Facility
$256.46
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44377
Office
Unavailable
Facility
$257.79
No comparable office rate is available.
Rest Of Missouri
Missouri · 44377
Office
Unavailable
Facility
$251.41
No comparable office rate is available.
Mississippi
Mississippi · 44377
Office
Unavailable
Facility
$246.71
No comparable office rate is available.
Montana**
Montana · 44377
Office
Unavailable
Facility
$260.82
No comparable office rate is available.
North Carolina
North Carolina · 44377
Office
Unavailable
Facility
$249.41
No comparable office rate is available.
North Dakota**
North Dakota · 44377
Office
Unavailable
Facility
$249.16
No comparable office rate is available.
Nebraska
Nebraska · 44377
Office
Unavailable
Facility
$243.61
No comparable office rate is available.
New Hampshire
New Hampshire · 44377
Office
Unavailable
Facility
$261.05
No comparable office rate is available.
Northern Nj
New Jersey · 44377
Office
Unavailable
Facility
$283.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44377
Office
Unavailable
Facility
$275.79
No comparable office rate is available.
New Mexico
New Mexico · 44377
Office
Unavailable
Facility
$259.44
No comparable office rate is available.
Nevada**
Nevada · 44377
Office
Unavailable
Facility
$257.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44377
Office
Unavailable
Facility
$301.28
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44377
Office
Unavailable
Facility
$279.09
No comparable office rate is available.
Queens
New York · 44377
Office
Unavailable
Facility
$292.65
No comparable office rate is available.
Rest Of New York
New York · 44377
Office
Unavailable
Facility
$251.77
No comparable office rate is available.
Ohio
Ohio · 44377
Office
Unavailable
Facility
$255.38
No comparable office rate is available.
Oklahoma
Oklahoma · 44377
Office
Unavailable
Facility
$249.53
No comparable office rate is available.
Portland
Oregon · 44377
Office
Unavailable
Facility
$265.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 44377
Office
Unavailable
Facility
$254.75
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44377
Office
Unavailable
Facility
$270.50
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44377
Office
Unavailable
Facility
$254.46
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44377
Office
Unavailable
Facility
$261.28
No comparable office rate is available.
Rhode Island
Rhode Island · 44377
Office
Unavailable
Facility
$264.22
No comparable office rate is available.
South Carolina
South Carolina · 44377
Office
Unavailable
Facility
$252.98
No comparable office rate is available.
South Dakota**
South Dakota · 44377
Office
Unavailable
Facility
$247.78
No comparable office rate is available.
Tennessee
Tennessee · 44377
Office
Unavailable
Facility
$245.84
No comparable office rate is available.
Austin
Texas · 44377
Office
Unavailable
Facility
$262.73
No comparable office rate is available.
Beaumont
Texas · 44377
Office
Unavailable
Facility
$253.63
No comparable office rate is available.
Brazoria
Texas · 44377
Office
Unavailable
Facility
$257.35
No comparable office rate is available.
Dallas
Texas · 44377
Office
Unavailable
Facility
$259.39
No comparable office rate is available.
Fort Worth
Texas · 44377
Office
Unavailable
Facility
$259.00
No comparable office rate is available.
Galveston
Texas · 44377
Office
Unavailable
Facility
$258.43
No comparable office rate is available.
Houston
Texas · 44377
Office
Unavailable
Facility
$269.23
No comparable office rate is available.
Rest Of Texas
Texas · 44377
Office
Unavailable
Facility
$255.64
No comparable office rate is available.
Utah
Utah · 44377
Office
Unavailable
Facility
$254.96
No comparable office rate is available.
Virginia
Virginia · 44377
Office
Unavailable
Facility
$253.97
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44377
Office
Unavailable
Facility
$261.28
No comparable office rate is available.
Vermont
Vermont · 44377
Office
Unavailable
Facility
$250.48
No comparable office rate is available.
Rest Of Washington
Washington · 44377
Office
Unavailable
Facility
$261.88
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44377
Office
Unavailable
Facility
$280.78
No comparable office rate is available.
Wisconsin
Wisconsin · 44377
Office
Unavailable
Facility
$244.50
No comparable office rate is available.
West Virginia
West Virginia · 44377
Office
Unavailable
Facility
$260.87
No comparable office rate is available.
Wyoming**
Wyoming · 44377
Office
Unavailable
Facility
$255.74
No comparable office rate is available.
See how rates vary across the country
44377 · 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 44377 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$287.03
$260.94 × 110% = $287.03
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 44377 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
5,400
- Code
- 44377
- Physician work
- 5.28
- Practice expense
- 1.94
- Malpractice
- 0.59
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.28 | × 1.017 | 5.3698 |
| Practice expense | 1.94 | × 1.096 | 2.1262 |
| Malpractice | 0.59 | × 0.536 | 0.3162 |
| Total RVUs | 7.8122 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$260.94
Open 44377 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.28 | 1.017 |
| Practice expense | 1.94 | 1.096 |
| Malpractice | 0.59 | 0.536 |
(5.28 × 1.017 + 1.94 × 1.096 + 0.59 × 0.536) × $33.4009 = $260.94
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
44377 · 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 | $260.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $260.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $260.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $260.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $286.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $286.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $286.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $286.41 | RVU25A |
44377 billing questions
How does this differ from 44361?
Use 44377 when the enteroscopy includes the ileum and biopsy. Code 44361 describes the related biopsy service when the examination does not include the ileum.
Does the number of biopsy samples change the code?
No. The code covers biopsy sampling whether the endoscopist obtains one sample or multiple samples.
Can a separate diagnostic enteroscopy code be reported for the same examination?
Do not report a second endoscopy code solely for the diagnostic examination that accompanies the biopsy. When related endoscopies are performed together, Medicare endoscopy family pricing applies.
Should modifier 50 be used for examination of both sides?
No. The anatomy and descriptor make bilateral adjustment inappropriate for this code.
What documentation supports reporting 44377?
Document that the enteroscope reached the ileum and that tissue was sampled. The note should distinguish this service from an examination that does not include the ileum.
When may an assistant be paid for this service?
Medicare assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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.
5,39744372,,Small bowel endoscopy,A,,4.19,1.61,NA,1.61,,0.55,6.35,6.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39844373,,Small bowel endoscopy,A,,3.31,1.36,NA,1.36,,0.43,5.10,5.10,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39944376,,Small bowel endoscopy,A,,5.02,1.88,NA,1.88,,0.54,7.44,7.44,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40044377,,Small bowel endoscopy/biopsy,A,,5.28,1.94,NA,1.94,,0.59,7.81,7.81,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40144378,,Small bowel endoscopy,A,,6.84,2.43,NA,2.43,,0.76,10.03,10.03,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40244379,,S bowel endoscope w/stent,A,,7.18,2.75,NA,2.75,,0.81,10.74,10.74,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40344380,,Small bowel endoscopy br/wa,A,,0.85,5.76,,0.65,,0.09,6.70,1.59,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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