Billing code 44950: AppendectomyMedicare rate & RVUs in Redding

Reports open surgical removal of the appendix, typically as the primary operation for acute appendicitis without the complications assigned to a separate code.

CMS RVU26DEffective Oct 1, 2026One payment locality740 Medicare services in 2024

In Redding, Medicare pays $587.59 for 44950 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$587.59Hospital or facility

Check a contract rate as a % of Medicare · 44950 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 44950 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 44950 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 44950 covers

This code describes open removal of the appendix, commonly performed by a general surgeon in a hospital operating room for acute appendicitis. The surgeon reaches the appendix through an abdominal incision rather than using a laparoscopic approach. Emergency cases often follow evaluation for right lower quadrant pain and imaging or examination findings consistent with appendicitis.

Select the code based on the operative approach and documented disease findings. The operative report should support removal of the appendix by open approach; rupture with an abscess or generalized peritonitis points to 44960, while laparoscopic removal points to 44970. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not append modifier 50 for this single-organ operation. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 44950

Across 109 of 109 payment localities, the facility rate for 44950 runs from $537.97 in Wisconsin to $750.34 in Alaska*. Redding pays $587.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

44950 in Redding vs other payment areas
  1. Redding · this page$587.59
  2. Bakersfield · California$594.64+$7.05
  3. Chico · California$587.59
  4. El Centro · California$588.03+$0.44
  5. Fresno · California$587.59
  6. Hanford-Corcoran · California$587.59

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

Every other payment area

44950 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia—$587.59
MercedCalifornia—$587.59
ModestoCalifornia—$587.59
NapaCalifornia—$639.44
Oxnard-Thousand Oaks-VenturaCalifornia—$613.85
Rest Of CaliforniaCalifornia—$587.59
Riverside-San Bernardino-OntarioCalifornia—$615.57
Sacramento-Roseville-FolsomCalifornia—$605.74

44950 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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44950 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 44950 in every payment locality

How the 44950 rate is calculated

Each of 44950’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 · 44950

RVUs × geographic indexes × conversion factor

Work10.34

10.34 RVUs× 1.000 GPCI

Practice expense5.18

5.18 RVUs× 1.000 GPCI

Malpractice2.61

2.61 RVUs× 1.000 GPCI

Adjusted RVUs

18.1300

Conversion factor

$33.4009

Medicare rate

$605.56

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

5,454

Code
44950
Physician work
10.34
Practice expense
5.18
Malpractice
2.61

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 44950 in Redding
ComponentRVULocality factorAdjusted
Physician work10.34× 1.01710.5158
Practice expense5.18× 1.0965.6773
Malpractice2.61× 0.5361.3990
Total RVUs17.5920
Conversion factor× 33.4009

Facility rate, Redding$587.59

Facility: (10.34 × 1.017 + 5.18 × 1.096 + 2.61 × 0.536) × $33.4009 = $587.59

Open 44950 in the RVU calculator

Payment rules and modifiers for 44950

44950 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 44950

Appendectomy

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 · 44950

Appendectomy

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

44950 without 51 · national facility

$605.56

Appendectomy

44950-51 · Second procedure: 50%

$302.78

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 44950 has changed in Redding

44950 · 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$587.59RVU26D
2026-07-01Not available in this setting$587.59RVU26C
2026-04-01Not available in this setting$587.59RVU26B
2026-01-01Not available in this setting$587.59RVU26A
2025-10-01Not available in this setting$615.19RVU25D
2025-07-01Not available in this setting$615.19RVU25C
2025-04-01Not available in this setting$615.19RVU25B
2025-01-01Not available in this setting$615.19RVU25A
2024-10-01Not available in this setting$628.74RVU24D
2022-07-01Not available in this setting$651.33RVU22C
2021-04-01Not available in this setting$651.93RVU21B
2021-01-01Not available in this setting$651.93RVU21A
2020-10-01Not available in this setting$661.82RVU20D
2020-07-01Not available in this setting$661.82RVU20C
2020-04-01Not available in this setting$661.82RVU20B
2020-01-01Not available in this setting$661.82RVU20A
2019-10-01Not available in this setting$654.68RVU19D
2019-07-01Not available in this setting$654.68RVU19C
2019-04-01Not available in this setting$654.68RVU19B
2019-01-01Not available in this setting$654.68RVU19A
2018-10-01Not available in this setting$652.61RVU18D
2018-07-01Not available in this setting$652.61RVU18C
2018-04-01Not available in this setting$652.61RVU18B
2018-01-01Not available in this setting$652.61RVU18AR1
2017-10-01Not available in this setting$657.38RVU17D
2017-07-01Not available in this setting$657.38RVU17C
2017-04-01Not available in this setting$657.38RVU17B
2017-01-01Not available in this setting$657.38RVU17A
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 44950 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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44950 billing questions

How does 44950 differ from 44960?

Use 44950 for open appendectomy when the operative findings do not meet the 44960 circumstance. Code 44960 is for a ruptured appendix with abscess or generalized peritonitis.

When should 44970 be reported instead?

Report 44970 when the appendix is removed laparoscopically. Code 44950 describes the open approach.

Is 44955 an add-on to 44950?

44955 describes appendectomy performed for an indicated purpose during another major procedure and is reported in addition to that primary procedure. It is not an add-on to 44950.

What documentation supports 44950?

The operative report should establish that the appendix was removed through an open approach and describe the relevant operative findings. Document rupture, abscess, or generalized peritonitis when present to support code selection.

Can modifier 50 be used for 44950?

No. The appendix is a single organ, so modifier 50 is not appropriate.

How is related postoperative care handled?

The 90-day global includes the day-before preoperative visit and 90 days of related 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 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 44950PPRRVU2026_Oct_nonQPP.csv, line 5,454 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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