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.

CMS RVU26DEffective Oct 1, 2026One payment locality7.1K Medicare services in 2024

In Redding, Medicare pays $985.94 for 44005 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$985.94Hospital or facility

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.

We’ll open 44005 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 44005 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

44005 in Redding vs other payment areas
  1. Redding · this page$985.94
  2. Bakersfield · California$998.21+$12.27
  3. Chico · California$985.94
  4. El Centro · California$986.70+$0.76
  5. Fresno · California$985.94
  6. Hanford-Corcoran · California$985.94

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

44005 in every other Medicare payment locality
Payment localityOfficeFacility
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

44005 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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44005 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 44005 in every payment locality

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
Facility calculation for 44005 in Redding
ComponentRVULocality factorAdjusted
Physician work18.00× 1.01718.3060
Practice expense8.01× 1.0968.7790
Malpractice4.54× 0.5362.4334
Total RVUs29.5184
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

Open 44005 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

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.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$985.94RVU26D
2026-07-01Not available in this setting$985.94RVU26C
2026-04-01Not available in this setting$985.94RVU26B
2026-01-01Not available in this setting$985.94RVU26A
2025-10-01Not available in this setting$1,039.44RVU25D
2025-07-01Not available in this setting$1,039.44RVU25C
2025-04-01Not available in this setting$1,039.44RVU25B
2025-01-01Not available in this setting$1,039.44RVU25A
2024-10-01Not available in this setting$1,062.07RVU24D
2022-07-01Not available in this setting$1,103.79RVU22C
2021-04-01Not available in this setting$1,104.24RVU21B
2021-01-01Not available in this setting$1,104.24RVU21A
2020-10-01Not available in this setting$1,124.11RVU20D
2020-07-01Not available in this setting$1,124.11RVU20C
2020-04-01Not available in this setting$1,124.11RVU20B
2020-01-01Not available in this setting$1,124.11RVU20A
2019-10-01Not available in this setting$1,114.59RVU19D
2019-07-01Not available in this setting$1,114.59RVU19C
2019-04-01Not available in this setting$1,114.59RVU19B
2019-01-01Not available in this setting$1,114.59RVU19A
2018-10-01Not available in this setting$1,112.57RVU18D
2018-07-01Not available in this setting$1,112.57RVU18C
2018-04-01Not available in this setting$1,112.57RVU18B
2018-01-01Not available in this setting$1,112.57RVU18AR1
2017-10-01Not available in this setting$1,120.57RVU17D
2017-07-01Not available in this setting$1,120.57RVU17C
2017-04-01Not available in this setting$1,120.57RVU17B
2017-01-01Not available in this setting$1,120.57RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 44005 for an earlier date of service

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.

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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
RVUs for 44005PPRRVU2026_Oct_nonQPP.csv, line 5,323 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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