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CMS RVU26D · Effective 2026-10-01

44680 in Redding

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$972.35

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.

Intestinal surgery

About 44680: Surgical revision of intestine

Reports operative revision of intestinal anatomy, such as correction of blind-loop anatomy after prior surgery, rather than routine repair or stoma closure.

A surgeon uses this service to revise previously altered intestinal anatomy, including a blind-loop configuration after earlier intestinal surgery. The work may involve changing an intestinal connection or bypass to address the problem created by the prior anatomy. It is generally performed in an operating room, often in a hospital or other facility setting. The operative report should identify the prior reconstruction, the clinical problem prompting revision, the bowel segments and connections addressed, and the corrective work performed.

Select this code for the revision itself, not simply because bowel is resected or an anastomosis is created during another operation. Distinguish it from a focused stricturoplasty or closure of an enterostomy by the documented operative objective. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 44680

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
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU17.51 · 58%
  • Practice expense (office) RVU8.02 · 27%
  • Malpractice RVU4.69 · 16%

95

Medicare services in 2024 · #4923 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.

44680 compared with similar codes

Office rates for Redding, from the same CMS release.

44120

Small-bowel resection

Single resection with anastomosis

No office rate

44120 describes small-intestine resection with anastomosis. Choose 44680 when the operative purpose is revision of prior intestinal anatomy, not simply removal and reconnection of bowel.

44615

Intestinal stricturoplasty

Each small-bowel stricture

No office rate

44615 is for intestinal stricturoplasty. A focal narrowing treated by widening the segment points to that procedure; 44680 concerns revision of intestinal anatomy.

44620

Stoma closure

Without resection and anastomosis

No office rate

44620 is for enterostomy closure. Use an enterostomy-closure code when closing the stoma is the documented objective, rather than revising altered intestinal anatomy.

The same code, a different location

How does Redding compare?

44680 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    Unavailable

  2. Bakersfield

    Unavailable

    No comparable rate is available in this setting.

  3. Chico

    Unavailable

    No comparable rate is available in this setting.

  4. El Centro

    Unavailable

    No comparable rate is available in this setting.

  5. Fresno

    Unavailable

    No comparable rate is available in this setting.

  6. Hanford-Corcoran

    Unavailable

    No comparable rate is available in this setting.

  7. 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 · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Merced

    California · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Modesto

    California · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Napa

    California · 44680

    Office

    Unavailable

    Facility

    $1054.33

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 44680

    Office

    Unavailable

    Facility

    $1015.45

    No comparable office rate is available.

  • Rest Of California

    California · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 44680

    Office

    Unavailable

    Facility

    $1022.59

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 44680

    Office

    Unavailable

    Facility

    $1001.41

    No comparable office rate is available.

  • Salinas

    California · 44680

    Office

    Unavailable

    Facility

    $997.41

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 44680

    Office

    Unavailable

    Facility

    $1007.68

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 44680

    Office

    Unavailable

    Facility

    $1090.02

    No comparable office rate is available.

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

    California · 44680

    Office

    Unavailable

    Facility

    $1084.69

    No comparable office rate is available.

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

    California · 44680

    Office

    Unavailable

    Facility

    $1119.42

    No comparable office rate is available.

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

    California · 44680

    Office

    Unavailable

    Facility

    $1097.65

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 44680

    Office

    Unavailable

    Facility

    $983.87

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 44680

    Office

    Unavailable

    Facility

    $1006.56

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 44680

    Office

    Unavailable

    Facility

    $997.53

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 44680

    Office

    Unavailable

    Facility

    $1015.31

    No comparable office rate is available.

  • Stockton

    California · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Vallejo

    California · 44680

    Office

    Unavailable

    Facility

    $1046.66

    No comparable office rate is available.

  • Visalia

    California · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Yuba City

    California · 44680

    Office

    Unavailable

    Facility

    $972.35

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 44680

    Office

    Unavailable

    Facility

    $1106.34

    No comparable office rate is available.

  • Miami

    Florida · 44680

    Office

    Unavailable

    Facility

    $1259.88

    No comparable office rate is available.

  • Chicago

    Illinois · 44680

    Office

    Unavailable

    Facility

    $1217.67

    No comparable office rate is available.

  • Manhattan

    New York · 44680

    Office

    Unavailable

    Facility

    $1182.00

    No comparable office rate is available.

  • Alaska*

    Alaska · 44680

    Office

    Unavailable

    Facility

    $1248.88

    No comparable office rate is available.

  • Alabama

    Alabama · 44680

    Office

    Unavailable

    Facility

    $907.90

    No comparable office rate is available.

  • Arkansas

    Arkansas · 44680

    Office

    Unavailable

    Facility

    $895.63

    No comparable office rate is available.

  • Arizona

    Arizona · 44680

    Office

    Unavailable

    Facility

    $978.51

    No comparable office rate is available.

  • Colorado

    Colorado · 44680

    Office

    Unavailable

    Facility

    $999.23

    No comparable office rate is available.

  • Connecticut

    Connecticut · 44680

    Office

    Unavailable

    Facility

    $1074.60

    No comparable office rate is available.

  • Delaware

    Delaware · 44680

    Office

    Unavailable

    Facility

    $993.26

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 44680

    Office

    Unavailable

    Facility

    $1139.43

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 44680

    Office

    Unavailable

    Facility

    $1076.38

    No comparable office rate is available.

  • Atlanta

    Georgia · 44680

    Office

    Unavailable

    Facility

    $1046.90

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 44680

    Office

    Unavailable

    Facility

    $1010.52

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 44680

    Office

    Unavailable

    Facility

    $980.12

    No comparable office rate is available.

  • Iowa

    Iowa · 44680

    Office

    Unavailable

    Facility

    $892.15

    No comparable office rate is available.

  • Idaho

    Idaho · 44680

    Office

    Unavailable

    Facility

    $905.39

    No comparable office rate is available.

  • East St. Louis

    Illinois · 44680

    Office

    Unavailable

    Facility

    $1146.79

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 44680

    Office

    Unavailable

    Facility

    $1074.26

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 44680

    Office

    Unavailable

    Facility

    $1141.64

    No comparable office rate is available.

  • Indiana

    Indiana · 44680

    Office

    Unavailable

    Facility

    $909.30

    No comparable office rate is available.

  • Kansas

    Kansas · 44680

    Office

    Unavailable

    Facility

    $905.96

    No comparable office rate is available.

  • Kentucky

    Kentucky · 44680

    Office

    Unavailable

    Facility

    $966.33

    No comparable office rate is available.

  • New Orleans

    Louisiana · 44680

    Office

    Unavailable

    Facility

    $1014.87

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 44680

    Office

    Unavailable

    Facility

    $971.99

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 44680

    Office

    Unavailable

    Facility

    $1068.09

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 44680

    Office

    Unavailable

    Facility

    $1001.13

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 44680

    Office

    Unavailable

    Facility

    $1075.41

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 44680

    Office

    Unavailable

    Facility

    $1005.59

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 44680

    Office

    Unavailable

    Facility

    $928.73

    No comparable office rate is available.

  • Southern Maine

    Maine · 44680

    Office

    Unavailable

    Facility

    $949.16

    No comparable office rate is available.

  • Detroit

    Michigan · 44680

    Office

    Unavailable

    Facility

    $1107.46

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 44680

    Office

    Unavailable

    Facility

    $1006.28

    No comparable office rate is available.

  • Minnesota

    Minnesota · 44680

    Office

    Unavailable

    Facility

    $906.86

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 44680

    Office

    Unavailable

    Facility

    $989.43

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 44680

    Office

    Unavailable

    Facility

    $996.83

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 44680

    Office

    Unavailable

    Facility

    $968.34

    No comparable office rate is available.

  • Mississippi

    Mississippi · 44680

    Office

    Unavailable

    Facility

    $931.25

    No comparable office rate is available.

  • Montana**

    Montana · 44680

    Office

    Unavailable

    Facility

    $1009.06

    No comparable office rate is available.

  • North Carolina

    North Carolina · 44680

    Office

    Unavailable

    Facility

    $934.88

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 44680

    Office

    Unavailable

    Facility

    $916.32

    No comparable office rate is available.

  • Nebraska

    Nebraska · 44680

    Office

    Unavailable

    Facility

    $891.31

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 44680

    Office

    Unavailable

    Facility

    $1000.78

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 44680

    Office

    Unavailable

    Facility

    $1099.73

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 44680

    Office

    Unavailable

    Facility

    $1072.61

    No comparable office rate is available.

  • New Mexico

    New Mexico · 44680

    Office

    Unavailable

    Facility

    $1018.63

    No comparable office rate is available.

  • Nevada**

    Nevada · 44680

    Office

    Unavailable

    Facility

    $983.48

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 44680

    Office

    Unavailable

    Facility

    $1231.68

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 44680

    Office

    Unavailable

    Facility

    $1094.04

    No comparable office rate is available.

  • Queens

    New York · 44680

    Office

    Unavailable

    Facility

    $1164.80

    No comparable office rate is available.

  • Rest Of New York

    New York · 44680

    Office

    Unavailable

    Facility

    $949.46

    No comparable office rate is available.

  • Ohio

    Ohio · 44680

    Office

    Unavailable

    Facility

    $987.32

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 44680

    Office

    Unavailable

    Facility

    $945.78

    No comparable office rate is available.

  • Portland

    Oregon · 44680

    Office

    Unavailable

    Facility

    $1008.36

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 44680

    Office

    Unavailable

    Facility

    $961.78

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 44680

    Office

    Unavailable

    Facility

    $1061.12

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 44680

    Office

    Unavailable

    Facility

    $978.79

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 44680

    Office

    Unavailable

    Facility

    $1009.97

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 44680

    Office

    Unavailable

    Facility

    $1012.41

    No comparable office rate is available.

  • South Carolina

    South Carolina · 44680

    Office

    Unavailable

    Facility

    $965.52

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 44680

    Office

    Unavailable

    Facility

    $905.36

    No comparable office rate is available.

  • Tennessee

    Tennessee · 44680

    Office

    Unavailable

    Facility

    $912.47

    No comparable office rate is available.

  • Austin

    Texas · 44680

    Office

    Unavailable

    Facility

    $1008.22

    No comparable office rate is available.

  • Beaumont

    Texas · 44680

    Office

    Unavailable

    Facility

    $974.14

    No comparable office rate is available.

  • Brazoria

    Texas · 44680

    Office

    Unavailable

    Facility

    $977.18

    No comparable office rate is available.

  • Dallas

    Texas · 44680

    Office

    Unavailable

    Facility

    $991.32

    No comparable office rate is available.

  • Fort Worth

    Texas · 44680

    Office

    Unavailable

    Facility

    $990.68

    No comparable office rate is available.

  • Galveston

    Texas · 44680

    Office

    Unavailable

    Facility

    $985.24

    No comparable office rate is available.

  • Houston

    Texas · 44680

    Office

    Unavailable

    Facility

    $1071.08

    No comparable office rate is available.

  • Rest Of Texas

    Texas · 44680

    Office

    Unavailable

    Facility

    $980.52

    No comparable office rate is available.

  • Utah

    Utah · 44680

    Office

    Unavailable

    Facility

    $977.32

    No comparable office rate is available.

  • Virginia

    Virginia · 44680

    Office

    Unavailable

    Facility

    $958.77

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 44680

    Office

    Unavailable

    Facility

    $1009.97

    No comparable office rate is available.

  • Vermont

    Vermont · 44680

    Office

    Unavailable

    Facility

    $929.31

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 44680

    Office

    Unavailable

    Facility

    $993.74

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 44680

    Office

    Unavailable

    Facility

    $1070.76

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 44680

    Office

    Unavailable

    Facility

    $889.72

    No comparable office rate is available.

  • West Virginia

    West Virginia · 44680

    Office

    Unavailable

    Facility

    $1041.80

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 44680

    Office

    Unavailable

    Facility

    $968.65

    No comparable office rate is available.

See how rates vary across the country

44680 · 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 / territoryRate 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

Explore 44680 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 44680 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1069.59

$972.35 × 110% = $1069.59

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 44680 in Redding.

PPRRVU2026_Oct_nonQPP.csv

5,438

Code
44680
Physician work
17.51
Practice expense
8.02
Malpractice
4.69

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 44680 in Redding
ComponentRVULocality factorAdjusted
Physician work17.51× 1.01717.8077
Practice expense8.02× 1.0968.7899
Malpractice4.69× 0.5362.5138
Total RVUs29.1114
Conversion factor× 33.4009

Facility rate, Redding$972.35

Open 44680 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work17.511.017
Practice expense8.021.096
Malpractice4.690.536

(17.51 × 1.017 + 8.02 × 1.096 + 4.69 × 0.536) × $33.4009 = $972.35

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

44680 · 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

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
2026-10-01Not available in this setting$972.35RVU26D
2026-07-01Not available in this setting$972.35RVU26C
2026-04-01Not available in this setting$972.35RVU26B
2026-01-01Not available in this setting$972.35RVU26A
2025-10-01Not available in this setting$1024.53RVU25D
2025-07-01Not available in this setting$1024.53RVU25C
2025-04-01Not available in this setting$1024.53RVU25B
2025-01-01Not available in this setting$1024.53RVU25A

44680 billing questions

How does 44680 differ from small-intestine resection code 44120?

Use 44680 when the operative objective is revision of previously altered intestinal anatomy. Use 44120 when the documented service is a small-intestine resection with anastomosis, rather than a broader intestinal revision.

Is 44680 the right code for a focal intestinal stricture?

Not when the documented operation is a stricturoplasty to widen a narrowed segment; compare 44615. Choose based on the actual corrective procedure, not just the diagnosis.

Can bowel resection or anastomosis work be reported separately?

Do not automatically add separate codes for resection or anastomosis work that is part of the intestinal revision. The operative report must support any distinct, separately reportable service.

Does 44680 have a 90-day global period?

Yes. The global period includes the day-before preoperative visit and related postoperative care for 90 days.

Can modifier 50 be used for this intestinal revision?

No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.

When are assistant or co-surgeon claims supported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.

RVUs for 44680PPRRVU2026_Oct_nonQPP.csv, line 5,438 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)