Billing code 44005: Bowel adhesiolysisMedicare rate & RVUs in Redding
Open adhesiolysis frees bowel from adhesions causing tethering or obstruction when the surgeon performs the work as a distinct abdominal procedure.
In Redding, Medicare pays $985.94 for 44005 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 44005 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 44005 covers
The surgeon reaches the abdominal cavity through an incision and carefully divides adhesions that tether or obstruct the bowel. General surgeons commonly perform this in a hospital operating room when adhesions are the focus of treatment, such as in a patient with adhesive small-bowel obstruction. This code represents open surgery; laparoscopic freeing of bowel adhesions is reported with a different code.
Report 44005 when the adhesiolysis is a distinct procedure, rather than routine release of adhesions needed to expose or complete another abdominal operation. The operative note should describe the adhesions, the bowel involved, and the work performed to free it. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this unpaired bowel procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
How Redding compares for 44005
Across 109 of 109 payment localities, the facility rate for 44005 runs from $904.23 in Wisconsin to $1,270.31 in Alaska*. Redding pays $985.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$985.94
- Bakersfield · California$998.21+$12.27
- Chico · California$985.94
- El Centro · California$986.70+$0.76
- Fresno · California$985.94
- Hanford-Corcoran · California$985.94
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$1,043.06+$57.12
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | — | $985.94 |
| MercedCalifornia | — | $985.94 |
| ModestoCalifornia | — | $985.94 |
| NapaCalifornia | — | $1,068.75 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $1,028.76 |
| Rest Of CaliforniaCalifornia | — | $985.94 |
| Riverside-San Bernardino-OntarioCalifornia | — | $1,034.61 |
| Sacramento-Roseville-FolsomCalifornia | — | $1,015.29 |
| SalinasCalifornia | — | $1,011.21 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $1,021.42 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $1,105.17 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $1,100.01 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $1,134.42 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $1,113.35 |
| San Luis Obispo-Paso RoblesCalifornia | — | $997.45 |
| Santa Cruz-WatsonvilleCalifornia | — | $1,020.18 |
| Santa Maria-Santa BarbaraCalifornia | — | $1,011.28 |
| Santa Rosa-PetalumaCalifornia | — | $1,029.07 |
| StocktonCalifornia | — | $985.94 |
| VallejoCalifornia | — | $1,061.31 |
| VisaliaCalifornia | — | $985.94 |
| Yuba CityCalifornia | — | $985.94 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $1,117.62 |
| MiamiFlorida | — | $1,263.22 |
| ChicagoIllinois | — | $1,222.32 |
| ManhattanNew York | — | $1,191.08 |
| Alaska*Alaska | — | $1,270.31 |
| AlabamaAlabama | — | $921.14 |
| ArkansasArkansas | — | $909.13 |
| ArizonaArizona | — | $990.27 |
| ColoradoColorado | — | $1,011.53 |
| ConnecticutConnecticut | — | $1,084.87 |
| DelawareDelaware | — | $1,004.88 |
| Fort LauderdaleFlorida | — | $1,146.40 |
| Rest Of FloridaFlorida | — | $1,084.90 |
| AtlantaGeorgia | — | $1,056.96 |
| Rest Of GeorgiaGeorgia | — | $1,020.62 |
| Hawaii, GuamHawaii | — | $993.21 |
| IowaIowa | — | $906.22 |
| IdahoIdaho | — | $919.08 |
| East St. LouisIllinois | — | $1,152.76 |
| Rest Of IllinoisIllinois | — | $1,082.49 |
| Suburban ChicagoIllinois | — | $1,148.90 |
| IndianaIndiana | — | $922.92 |
| KansasKansas | — | $919.50 |
| KentuckyKentucky | — | $977.81 |
| New OrleansLouisiana | — | $1,025.24 |
| Rest Of LouisianaLouisiana | — | $983.26 |
| Metropolitan BostonMassachusetts | — | $1,080.27 |
| Rest Of MassachusettsMassachusetts | — | $1,013.41 |
| Baltimore/Surr. CntysMaryland | — | $1,085.49 |
| Rest Of MarylandMaryland | — | $1,017.19 |
| Rest Of MaineMaine | — | $941.67 |
| Southern MaineMaine | — | $962.03 |
| DetroitMichigan | — | $1,115.06 |
| Rest Of MichiganMichigan | — | $1,016.68 |
| MinnesotaMinnesota | — | $921.40 |
| Metropolitan Kansas CityMissouri | — | $1,000.59 |
| Metropolitan St. LouisMissouri | — | $1,007.86 |
| Rest Of MissouriMissouri | — | $979.53 |
| MississippiMississippi | — | $943.63 |
| Montana**Montana | — | $1,020.09 |
| North CarolinaNorth Carolina | — | $947.73 |
| North Dakota**North Dakota | — | $930.32 |
| NebraskaNebraska | — | $905.48 |
| New HampshireNew Hampshire | — | $1,012.41 |
| Northern NjNew Jersey | — | $1,111.39 |
| Rest Of New JerseyNew Jersey | — | $1,083.77 |
| New MexicoNew Mexico | — | $1,028.67 |
| Nevada**Nevada | — | $995.34 |
| Nyc Suburbs/Long IslandNew York | — | $1,239.40 |
| Poughkpsie/N Nyc SuburbsNew York | — | $1,104.71 |
| QueensNew York | — | $1,174.59 |
| Rest Of New YorkNew York | — | $961.98 |
| OhioOhio | — | $998.33 |
| OklahomaOklahoma | — | $957.95 |
| PortlandOregon | — | $1,020.89 |
| Rest Of OregonOregon | — | $974.29 |
| Metropolitan PhiladelphiaPennsylvania | — | $1,071.46 |
| Rest Of PennsylvaniaPennsylvania | — | $990.12 |
| Puerto RicoPuerto Rico | — | $1,021.07 |
| Rhode IslandRhode Island | — | $1,024.27 |
| South CarolinaSouth Carolina | — | $977.32 |
| South Dakota**South Dakota | — | $919.71 |
| TennesseeTennessee | — | $925.84 |
| AustinTexas | — | $1,019.83 |
| BeaumontTexas | — | $985.55 |
| BrazoriaTexas | — | $989.44 |
| DallasTexas | — | $1,003.21 |
| Fort WorthTexas | — | $1,002.50 |
| GalvestonTexas | — | $997.25 |
| HoustonTexas | — | $1,080.35 |
| Rest Of TexasTexas | — | $992.04 |
| UtahUtah | — | $988.88 |
| VirginiaVirginia | — | $971.27 |
| Virgin IslandsUnited States Virgin Islands | — | $1,021.07 |
| VermontVermont | — | $942.81 |
| Rest Of WashingtonWashington | — | $1,006.15 |
| Seattle (King Cnty)Washington | — | $1,083.44 |
| WisconsinWisconsin | — | $904.23 |
| West VirginiaWest Virginia | — | $1,050.71 |
| Wyoming**Wyoming | — | $980.97 |
44005 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
How the 44005 rate is calculated
Each of 44005’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 44005
RVUs × geographic indexes × conversion factor
Work18.00
18.00 RVUs× 1.000 GPCI
Practice expense8.01
8.01 RVUs× 1.000 GPCI
Malpractice4.54
4.54 RVUs× 1.000 GPCI
Adjusted RVUs
30.5500
Conversion factor
$33.4009
Medicare rate
$1,020.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,323
- Code
- 44005
- Physician work
- 18.00
- Practice expense
- 8.01
- Malpractice
- 4.54
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.00 | × 1.017 | 18.3060 |
| Practice expense | 8.01 | × 1.096 | 8.7790 |
| Malpractice | 4.54 | × 0.536 | 2.4334 |
| Total RVUs | 29.5184 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$985.94
Facility: (18 × 1.017 + 8.01 × 1.096 + 4.54 × 0.536) × $33.4009 = $985.94
Payment rules and modifiers for 44005
44005 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44005
Bowel adhesiolysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44005
Bowel adhesiolysis
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44005 without 51 · national facility
$1,020.40
Bowel adhesiolysis
44005-51 · Second procedure: 50%
$510.20
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 44005 has changed in Redding
44005 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $985.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $985.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $985.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $985.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,039.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,039.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,039.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,039.44 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,062.07 | RVU24D |
| 2022-07-01 | Not available in this setting | $1,103.79 | RVU22C |
| 2021-04-01 | Not available in this setting | $1,104.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,104.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,124.11 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,124.11 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,124.11 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,124.11 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,114.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,114.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,114.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,114.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,112.57 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,112.57 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,112.57 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,112.57 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,120.57 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,120.57 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,120.57 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,120.57 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
44005 billing questions
How does 44005 differ from 44180?
44005 is the open approach to freeing bowel adhesions. 44180 describes laparoscopic enterolysis.
Can modifier 50 be used for adhesions on both sides of the abdomen?
No. The procedure is not a paired-side service, so modifier 50 is not appropriate.
Is postoperative care included in 44005?
Yes. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What happens when 44005 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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