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CMS RVU26D · Effective 2026-10-01

44388 in Modesto

Office / nonfacility

$373.01

Base rate per service

Facility setting

$139.82

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.

Colonoscopy

About 44388: Diagnostic colonoscopy through a stoma

Reports diagnostic examination of the colon using a scope passed through a stoma, when no separately coded therapeutic intervention defines the service.

A gastroenterologist or colorectal surgeon passes a colonoscope through a colostomy stoma to examine the colon. This approach is used when the patient’s anatomy or the clinical plan calls for examination through the stoma rather than through the anus. The service may be performed in an office or a facility. The report should identify the stoma access, the portion of colon examined, findings, and any sampling or treatment performed.

Select this diagnostic code when the examination is performed without a separately coded therapeutic intervention. If the endoscopist biopsies tissue, removes a foreign body or lesion, or treats bleeding, use the code describing that work instead. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 53 is separately priced in CMS data for a discontinued procedure. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Medicare does not pay assistant-at-surgery services for this code; co-surgeon and team-surgery services are not permitted.

CMS billing rules for 44388

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.65 · 25%
  • Practice expense (office) RVU7.53 · 71%
  • Malpractice RVU0.41 · 4%

4K

Medicare services in 2024 · #1994 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.

44388 compared with similar codes

Office rates for Modesto, from the same CMS release.

44389

Colonoscopy

Through stoma, with biopsy

$486.28

Choose 44389 when tissue is biopsied during colonoscopy through a stoma. This code describes the diagnostic examination without that biopsy service.

44392

Stoma colonoscopy

Hot biopsy forceps removal

$453.59

Choose 44392 for lesion removal through the stoma using forceps or cautery; this code is for diagnostic examination without that therapeutic removal.

44394

Stomal colonoscopy

Snare lesion removal

$510.17

Choose 44394 when a lesion is removed through the stoma with a snare. This code describes the diagnostic examination without snare removal.

44385

Pouch endoscopy

Without tissue biopsy

$262.43

44385 is for endoscopic examination of a bowel pouch. This code is for examination of the colon through a stoma.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 44388 is $374.19—$1.18 higher than the $373.01 rate in Modesto. Both use the same code, release and participation basis.

44388 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $373.01

  2. Bakersfield

    $374.19

    $1.18 higher than Modesto

  3. Chico

    $373.01

    The same base rate than Modesto

  4. El Centro

    $373.08

    $0.07 higher than Modesto

  5. Fresno

    $373.01

    The same base rate than Modesto

  6. Hanford-Corcoran

    $373.01

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $398.77

    $25.76 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 44388 ranges from $311.61 in Arkansas to $468.26 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Merced

    California · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Napa

    California · 44388

    Office

    $432.53

    Facility

    $152.11

    $59.52 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 44388

    Office

    $396.81

    Facility

    $145.32

    $23.80 higher than Modesto for the office setting.

  • Redding

    California · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 44388

    Office

    $377.44

    Facility

    $144.25

    $4.43 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 44388

    Office

    $391.54

    Facility

    $144.10

    $18.53 higher than Modesto for the office setting.

  • Salinas

    California · 44388

    Office

    $390.10

    Facility

    $143.50

    $17.09 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 44388

    Office

    $399.39

    Facility

    $144.93

    $26.38 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 44388

    Office

    $457.83

    Facility

    $157.84

    $84.82 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 44388

    Office

    $457.37

    Facility

    $157.37

    $84.36 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 44388

    Office

    $468.26

    Facility

    $161.46

    $95.25 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 44388

    Office

    $466.36

    Facility

    $159.56

    $93.35 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 44388

    Office

    $383.83

    Facility

    $141.49

    $10.82 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 44388

    Office

    $403.29

    Facility

    $144.79

    $30.28 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 44388

    Office

    $391.59

    Facility

    $143.51

    $18.58 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 44388

    Office

    $407.36

    Facility

    $146.09

    $34.35 higher than Modesto for the office setting.

  • Stockton

    California · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 44388

    Office

    $431.86

    Facility

    $151.44

    $58.85 higher than Modesto for the office setting.

  • Visalia

    California · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 44388

    Office

    $373.01

    Facility

    $139.82

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 44388

    Office

    $404.81

    Facility

    $154.18

    $31.80 higher than Modesto for the office setting.

  • Miami

    Florida · 44388

    Office

    $384.97

    Facility

    $163.48

    $11.96 higher than Modesto for the office setting.

  • Chicago

    Illinois · 44388

    Office

    $373.33

    Facility

    $159.50

    $0.32 higher than Modesto for the office setting.

  • Manhattan

    New York · 44388

    Office

    $408.15

    Facility

    $160.92

    $35.14 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 44388

    Office

    $408.17

    Facility

    $181.58

    $35.16 higher than Modesto for the office setting.

  • Alabama

    Alabama · 44388

    Office

    $316.33

    Facility

    $130.17

    $56.68 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 44388

    Office

    $311.61

    Facility

    $128.85

    $61.40 lower than Modesto for the office setting.

  • Arizona

    Arizona · 44388

    Office

    $343.95

    Facility

    $137.78

    $29.06 lower than Modesto for the office setting.

  • Colorado

    Colorado · 44388

    Office

    $367.88

    Facility

    $141.49

    $5.13 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 44388

    Office

    $377.73

    Facility

    $148.58

    $4.72 higher than Modesto for the office setting.

  • Delaware

    Delaware · 44388

    Office

    $349.76

    Facility

    $139.55

    $23.25 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 44388

    Office

    $368.05

    Facility

    $152.52

    $4.96 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 44388

    Office

    $349.54

    Facility

    $146.14

    $23.47 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 44388

    Office

    $360.76

    Facility

    $144.59

    $12.25 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 44388

    Office

    $329.18

    Facility

    $139.40

    $43.83 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 44388

    Office

    $382.41

    Facility

    $140.49

    $9.40 higher than Modesto for the office setting.

  • Iowa

    Iowa · 44388

    Office

    $324.08

    Facility

    $129.40

    $48.93 lower than Modesto for the office setting.

  • Idaho

    Idaho · 44388

    Office

    $326.38

    Facility

    $130.64

    $46.63 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 44388

    Office

    $347.48

    Facility

    $151.74

    $25.53 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 44388

    Office

    $339.54

    Facility

    $145.29

    $33.47 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 44388

    Office

    $371.70

    Facility

    $153.19

    $1.31 lower than Modesto for the office setting.

  • Indiana

    Indiana · 44388

    Office

    $328.32

    Facility

    $131.08

    $44.69 lower than Modesto for the office setting.

  • Kansas

    Kansas · 44388

    Office

    $322.78

    Facility

    $130.44

    $50.23 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 44388

    Office

    $324.63

    Facility

    $135.49

    $48.38 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 44388

    Office

    $340.74

    Facility

    $140.53

    $32.27 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 44388

    Office

    $324.22

    Facility

    $135.92

    $48.79 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 44388

    Office

    $404.63

    Facility

    $150.59

    $31.62 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 44388

    Office

    $365.68

    Facility

    $141.64

    $7.33 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 44388

    Office

    $376.74

    Facility

    $148.44

    $3.73 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 44388

    Office

    $356.50

    Facility

    $141.18

    $16.51 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 44388

    Office

    $328.42

    Facility

    $132.68

    $44.59 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 44388

    Office

    $346.40

    Facility

    $135.55

    $26.61 lower than Modesto for the office setting.

  • Detroit

    Michigan · 44388

    Office

    $354.31

    Facility

    $148.99

    $18.70 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 44388

    Office

    $333.60

    Facility

    $139.35

    $39.41 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 44388

    Office

    $351.37

    Facility

    $132.43

    $21.64 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 44388

    Office

    $338.06

    Facility

    $138.27

    $34.95 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 44388

    Office

    $341.67

    Facility

    $139.12

    $31.34 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 44388

    Office

    $318.65

    Facility

    $135.25

    $54.36 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 44388

    Office

    $315.18

    Facility

    $131.99

    $57.83 lower than Modesto for the office setting.

  • Montana**

    Montana · 44388

    Office

    $353.69

    Facility

    $140.92

    $19.32 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 44388

    Office

    $331.92

    Facility

    $133.41

    $41.09 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 44388

    Office

    $345.58

    Facility

    $132.82

    $27.43 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 44388

    Office

    $325.83

    Facility

    $129.45

    $47.18 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 44388

    Office

    $362.32

    Facility

    $140.83

    $10.69 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 44388

    Office

    $400.46

    Facility

    $153.66

    $27.45 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 44388

    Office

    $381.72

    Facility

    $149.39

    $8.71 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 44388

    Office

    $335.59

    Facility

    $140.49

    $37.42 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 44388

    Office

    $351.68

    Facility

    $138.70

    $21.33 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 44388

    Office

    $418.65

    Facility

    $165.68

    $45.64 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 44388

    Office

    $384.47

    Facility

    $151.49

    $11.46 higher than Modesto for the office setting.

  • Queens

    New York · 44388

    Office

    $411.21

    Facility

    $159.72

    $38.20 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 44388

    Office

    $337.07

    Facility

    $134.95

    $35.94 lower than Modesto for the office setting.

  • Ohio

    Ohio · 44388

    Office

    $331.94

    Facility

    $137.69

    $41.07 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 44388

    Office

    $323.75

    Facility

    $133.75

    $49.26 lower than Modesto for the office setting.

  • Portland

    Oregon · 44388

    Office

    $379.54

    Facility

    $143.16

    $6.53 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 44388

    Office

    $348.64

    Facility

    $136.73

    $24.37 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 44388

    Office

    $368.26

    Facility

    $146.78

    $4.75 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 44388

    Office

    $332.34

    Facility

    $137.02

    $40.67 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 44388

    Office

    $356.28

    Facility

    $141.17

    $16.73 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 44388

    Office

    $362.22

    Facility

    $142.43

    $10.79 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 44388

    Office

    $332.55

    Facility

    $135.95

    $40.46 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 44388

    Office

    $344.62

    Facility

    $131.86

    $28.39 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 44388

    Office

    $324.49

    Facility

    $131.09

    $48.52 lower than Modesto for the office setting.

  • Austin

    Texas · 44388

    Office

    $366.92

    Facility

    $141.81

    $6.09 lower than Modesto for the office setting.

  • Beaumont

    Texas · 44388

    Office

    $330.11

    Facility

    $136.49

    $42.90 lower than Modesto for the office setting.

  • Brazoria

    Texas · 44388

    Office

    $349.15

    Facility

    $138.30

    $23.86 lower than Modesto for the office setting.

  • Dallas

    Texas · 44388

    Office

    $351.56

    Facility

    $139.65

    $21.45 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 44388

    Office

    $349.22

    Facility

    $139.44

    $23.79 lower than Modesto for the office setting.

  • Galveston

    Texas · 44388

    Office

    $350.31

    Facility

    $139.03

    $22.70 lower than Modesto for the office setting.

  • Houston

    Texas · 44388

    Office

    $357.81

    Facility

    $146.54

    $15.20 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 44388

    Office

    $339.56

    Facility

    $137.65

    $33.45 lower than Modesto for the office setting.

  • Utah

    Utah · 44388

    Office

    $337.23

    Facility

    $137.23

    $35.78 lower than Modesto for the office setting.

  • Virginia

    Virginia · 44388

    Office

    $345.41

    Facility

    $136.27

    $27.60 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 44388

    Office

    $356.28

    Facility

    $141.17

    $16.73 lower than Modesto for the office setting.

  • Vermont

    Vermont · 44388

    Office

    $344.44

    Facility

    $133.80

    $28.57 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 44388

    Office

    $364.92

    Facility

    $140.88

    $8.09 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 44388

    Office

    $412.73

    Facility

    $151.67

    $39.72 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 44388

    Office

    $333.68

    Facility

    $129.85

    $39.33 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 44388

    Office

    $326.67

    Facility

    $141.78

    $46.34 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 44388

    Office

    $350.15

    Facility

    $137.39

    $22.86 lower than Modesto for the office setting.

See how rates vary across the country

44388 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$311.61

$420.64

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$408.171
AL$316.331
AR$311.611
AZ$343.951
CA$373.01–$468.2629
CO$367.881
CT$377.731
DC$404.811
DE$349.761
FL$349.54–$384.973
GA$329.18–$360.762
GU$382.411
HI$382.411
IA$324.081
ID$326.381
IL$339.54–$373.334
IN$328.321
KS$322.781
KY$324.631
LA$324.22–$340.742
MA$365.68–$404.632
MD$356.50–$404.813
ME$328.42–$346.402
MI$333.60–$354.312
MN$351.371
MO$318.65–$341.673
MS$315.181
MT$353.691
NC$331.921
ND$345.581
NE$325.831
NH$362.321
NJ$381.72–$400.462
NM$335.591
NV$351.681
NY$337.07–$418.655
OH$331.941
OK$323.751
OR$348.64–$379.542
PA$332.34–$368.262
PR$356.281
RI$362.221
SC$332.551
SD$344.621
TN$324.491
TX$330.11–$366.928
UT$337.231
VA$345.41–$404.812
VI$356.281
VT$344.441
WA$364.92–$412.732
WI$333.681
WV$326.671
WY$350.151

Explore 44388 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 44388 in Modesto, the physician’s office rate is $373.01 and the facility-setting rate is $139.82: a difference of $233.19.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 44388 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$410.31

$373.01 × 110% = $410.31

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.

Compare your contract offer →

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 44388 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

5,409

Code
44388
Physician work
2.65
Practice expense
7.53
Malpractice
0.41

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 44388 in Modesto
ComponentRVULocality factorAdjusted
Physician work2.65× 1.0172.6950
Practice expense7.53× 1.0968.2529
Malpractice0.41× 0.5360.2198
Total RVUs11.1677
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$373.01

Open 44388 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.651.017
Practice expense7.531.096
Malpractice0.410.536

(2.65 × 1.017 + 7.53 × 1.096 + 0.41 × 0.536) × $33.4009 = $373.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.651.017
Practice expense1.161.096
Malpractice0.410.536

(2.65 × 1.017 + 1.16 × 1.096 + 0.41 × 0.536) × $33.4009 = $139.82

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

44388 · Office / nonfacility

$373.01

Effective 2026-10-01

The base rate is $53.45 higher than on 2025-10-01, moving from $319.56 to $373.01 (16.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $319.56changed to$373.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.72 changed to 2.65
    • Practice expense RVU 6.30 changed to 7.53
    • Malpractice RVU 0.42 changed to 0.41
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $319.56

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$373.01$139.82RVU26D
2026-07-01$373.01$139.82RVU26C
2026-04-01$373.01$139.82RVU26B
2026-01-01$373.01$139.82RVU26A
2025-10-01$319.56$150.21RVU25D
2025-07-01$319.56$150.21RVU25C
2025-04-01$319.56$150.21RVU25B
2025-01-01$319.56$150.21RVU25A

44388 billing questions

When should the diagnostic code be replaced by a therapeutic code?

Use a code for the intervention when the endoscopist biopsies tissue, removes a foreign body or lesion, or treats bleeding through the stoma. The diagnostic examination is not separately reported as the defining service for that therapeutic work.

How is this different from colonoscopy through the anus?

This code describes scope access through a stoma. A colonoscopy performed through the anus is coded from the applicable non-stoma colonoscopy family.

Does this code cover examination of an ileal pouch?

No. Pouch endoscopy is reported with the pouch-specific code family, such as 44385, rather than this colonoscopy-through-stoma code.

How should modifier 53 be handled?

CMS lists modifier 53 as separately priced for this code. It identifies a discontinued procedure; the record should explain why the examination was stopped.

What happens when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure reduction. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

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.

RVUs for 44388PPRRVU2026_Oct_nonQPP.csv, line 5,409 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet