No office rate
Both describe partial colectomy with a low pelvic anastomosis. The operative details, including whether a colostomy is performed, distinguish the appropriate code.
On this page
CMS RVU26D · Effective 2026-10-01
44147 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1827.55
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.
Colon surgery
About 44147: Partial colectomy with low pelvic anastomosis
Reports removal of part of the colon with a low pelvic connection to the rectum, including a colostomy when performed as part of the operation.
The surgeon removes a segment of colon and joins the remaining colon to the rectum low in the pelvis. The operation may include a colostomy. It is typically performed by a colorectal or general surgeon in a hospital operating room for conditions such as colorectal cancer or complicated diverticular disease when the planned resection and reconstruction require this low pelvic connection.
Report the code when the operative report supports partial colon removal and the low pelvic anastomosis; document the resection and reconstruction performed, including any colostomy. This major surgery has a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44147
- 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 RVU32.85 · 62%
- Practice expense (office) RVU12.46 · 24%
- Malpractice RVU7.35 · 14%
118
Medicare services in 2024 · #4754 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.
44147 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
44143 describes an end colostomy with closure of the distal segment. This code involves a low pelvic anastomosis instead.
No office rate
44140 describes partial colectomy with an anastomosis without the low pelvic reconstruction feature specified here.
The same code, a different location
How does Vallejo compare?
44147 across payment areas
Same release and payment basis · bars start at $0
Vallejo · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
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 · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Merced
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Modesto
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Napa
California · 44147
Office
Unavailable
Facility
$1839.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44147
Office
Unavailable
Facility
$1772.81
No comparable office rate is available.
Redding
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Rest Of California
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44147
Office
Unavailable
Facility
$1782.51
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44147
Office
Unavailable
Facility
$1752.32
No comparable office rate is available.
Salinas
California · 44147
Office
Unavailable
Facility
$1745.17
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44147
Office
Unavailable
Facility
$1760.94
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44147
Office
Unavailable
Facility
$1900.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44147
Office
Unavailable
Facility
$1892.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44147
Office
Unavailable
Facility
$1949.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44147
Office
Unavailable
Facility
$1915.50
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44147
Office
Unavailable
Facility
$1721.48
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44147
Office
Unavailable
Facility
$1757.50
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44147
Office
Unavailable
Facility
$1744.79
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44147
Office
Unavailable
Facility
$1772.79
No comparable office rate is available.
Stockton
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Visalia
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Yuba City
California · 44147
Office
Unavailable
Facility
$1703.59
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 44147
Office
Unavailable
Facility
$1919.96
No comparable office rate is available.
Miami
Florida · 44147
Office
Unavailable
Facility
$2151.32
No comparable office rate is available.
Chicago
Illinois · 44147
Office
Unavailable
Facility
$2086.57
No comparable office rate is available.
Manhattan
New York · 44147
Office
Unavailable
Facility
$2040.39
No comparable office rate is available.
Alaska*
Alaska · 44147
Office
Unavailable
Facility
$2224.32
No comparable office rate is available.
Alabama
Alabama · 44147
Office
Unavailable
Facility
$1600.32
No comparable office rate is available.
Arkansas
Arkansas · 44147
Office
Unavailable
Facility
$1581.14
No comparable office rate is available.
Arizona
Arizona · 44147
Office
Unavailable
Facility
$1710.64
No comparable office rate is available.
Colorado
Colorado · 44147
Office
Unavailable
Facility
$1744.93
No comparable office rate is available.
Connecticut
Connecticut · 44147
Office
Unavailable
Facility
$1864.44
No comparable office rate is available.
Delaware
Delaware · 44147
Office
Unavailable
Facility
$1734.59
No comparable office rate is available.
Fort Lauderdale
Florida · 44147
Office
Unavailable
Facility
$1962.66
No comparable office rate is available.
Rest Of Florida
Florida · 44147
Office
Unavailable
Facility
$1864.06
No comparable office rate is available.
Atlanta
Georgia · 44147
Office
Unavailable
Facility
$1818.19
No comparable office rate is available.
Rest Of Georgia
Georgia · 44147
Office
Unavailable
Facility
$1761.08
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44147
Office
Unavailable
Facility
$1712.55
No comparable office rate is available.
Iowa
Iowa · 44147
Office
Unavailable
Facility
$1575.48
No comparable office rate is available.
Idaho
Idaho · 44147
Office
Unavailable
Facility
$1596.22
No comparable office rate is available.
East St. Louis
Illinois · 44147
Office
Unavailable
Facility
$1974.53
No comparable office rate is available.
Rest Of Illinois
Illinois · 44147
Office
Unavailable
Facility
$1860.90
No comparable office rate is available.
Suburban Chicago
Illinois · 44147
Office
Unavailable
Facility
$1967.33
No comparable office rate is available.
Indiana
Indiana · 44147
Office
Unavailable
Facility
$1602.33
No comparable office rate is available.
Kansas
Kansas · 44147
Office
Unavailable
Facility
$1597.17
No comparable office rate is available.
Kentucky
Kentucky · 44147
Office
Unavailable
Facility
$1691.83
No comparable office rate is available.
New Orleans
Louisiana · 44147
Office
Unavailable
Facility
$1767.72
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44147
Office
Unavailable
Facility
$1700.72
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44147
Office
Unavailable
Facility
$1857.61
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44147
Office
Unavailable
Facility
$1748.67
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44147
Office
Unavailable
Facility
$1865.01
No comparable office rate is available.
Rest Of Maryland
Maryland · 44147
Office
Unavailable
Facility
$1754.73
No comparable office rate is available.
Rest Of Maine
Maine · 44147
Office
Unavailable
Facility
$1632.80
No comparable office rate is available.
Southern Maine
Maine · 44147
Office
Unavailable
Facility
$1664.56
No comparable office rate is available.
Detroit
Michigan · 44147
Office
Unavailable
Facility
$1912.74
No comparable office rate is available.
Rest Of Michigan
Michigan · 44147
Office
Unavailable
Facility
$1754.35
No comparable office rate is available.
Minnesota
Minnesota · 44147
Office
Unavailable
Facility
$1598.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44147
Office
Unavailable
Facility
$1727.86
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44147
Office
Unavailable
Facility
$1739.41
No comparable office rate is available.
Rest Of Missouri
Missouri · 44147
Office
Unavailable
Facility
$1695.08
No comparable office rate is available.
Mississippi
Mississippi · 44147
Office
Unavailable
Facility
$1636.97
No comparable office rate is available.
Montana**
Montana · 44147
Office
Unavailable
Facility
$1758.40
No comparable office rate is available.
North Carolina
North Carolina · 44147
Office
Unavailable
Facility
$1642.38
No comparable office rate is available.
North Dakota**
North Dakota · 44147
Office
Unavailable
Facility
$1613.07
No comparable office rate is available.
Nebraska
Nebraska · 44147
Office
Unavailable
Facility
$1574.15
No comparable office rate is available.
New Hampshire
New Hampshire · 44147
Office
Unavailable
Facility
$1745.27
No comparable office rate is available.
Northern Nj
New Jersey · 44147
Office
Unavailable
Facility
$1911.30
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44147
Office
Unavailable
Facility
$1864.88
No comparable office rate is available.
New Mexico
New Mexico · 44147
Office
Unavailable
Facility
$1773.69
No comparable office rate is available.
Nevada**
Nevada · 44147
Office
Unavailable
Facility
$1718.31
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44147
Office
Unavailable
Facility
$2118.16
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44147
Office
Unavailable
Facility
$1899.36
No comparable office rate is available.
Queens
New York · 44147
Office
Unavailable
Facility
$2013.37
No comparable office rate is available.
Rest Of New York
New York · 44147
Office
Unavailable
Facility
$1665.17
No comparable office rate is available.
Ohio
Ohio · 44147
Office
Unavailable
Facility
$1724.65
No comparable office rate is available.
Oklahoma
Oklahoma · 44147
Office
Unavailable
Facility
$1659.61
No comparable office rate is available.
Portland
Oregon · 44147
Office
Unavailable
Facility
$1759.80
No comparable office rate is available.
Rest Of Oregon
Oregon · 44147
Office
Unavailable
Facility
$1684.31
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44147
Office
Unavailable
Facility
$1843.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44147
Office
Unavailable
Facility
$1711.26
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44147
Office
Unavailable
Facility
$1759.79
No comparable office rate is available.
Rhode Island
Rhode Island · 44147
Office
Unavailable
Facility
$1766.96
No comparable office rate is available.
South Carolina
South Carolina · 44147
Office
Unavailable
Facility
$1690.44
No comparable office rate is available.
South Dakota**
South Dakota · 44147
Office
Unavailable
Facility
$1595.88
No comparable office rate is available.
Tennessee
Tennessee · 44147
Office
Unavailable
Facility
$1607.35
No comparable office rate is available.
Austin
Texas · 44147
Office
Unavailable
Facility
$1757.24
No comparable office rate is available.
Beaumont
Texas · 44147
Office
Unavailable
Facility
$1704.01
No comparable office rate is available.
Brazoria
Texas · 44147
Office
Unavailable
Facility
$1709.91
No comparable office rate is available.
Dallas
Texas · 44147
Office
Unavailable
Facility
$1732.24
No comparable office rate is available.
Fort Worth
Texas · 44147
Office
Unavailable
Facility
$1731.27
No comparable office rate is available.
Galveston
Texas · 44147
Office
Unavailable
Facility
$1722.53
No comparable office rate is available.
Houston
Texas · 44147
Office
Unavailable
Facility
$1857.06
No comparable office rate is available.
Rest Of Texas
Texas · 44147
Office
Unavailable
Facility
$1713.85
No comparable office rate is available.
Utah
Utah · 44147
Office
Unavailable
Facility
$1708.88
No comparable office rate is available.
Virginia
Virginia · 44147
Office
Unavailable
Facility
$1679.64
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44147
Office
Unavailable
Facility
$1759.79
No comparable office rate is available.
Vermont
Vermont · 44147
Office
Unavailable
Facility
$1633.45
No comparable office rate is available.
Rest Of Washington
Washington · 44147
Office
Unavailable
Facility
$1736.54
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44147
Office
Unavailable
Facility
$1863.30
No comparable office rate is available.
Wisconsin
Wisconsin · 44147
Office
Unavailable
Facility
$1571.53
No comparable office rate is available.
West Virginia
West Virginia · 44147
Office
Unavailable
Facility
$1810.18
No comparable office rate is available.
Wyoming**
Wyoming · 44147
Office
Unavailable
Facility
$1695.06
No comparable office rate is available.
See how rates vary across the country
44147 · 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 / territory | 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 |
Where does this rate apply?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 44147 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2010.31
$1827.55 × 110% = $2010.31
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.
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 44147 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
5,354
- Code
- 44147
- Physician work
- 32.85
- Practice expense
- 12.46
- Malpractice
- 7.35
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.85 | × 1.063 | 34.9196 |
| Practice expense | 12.46 | × 1.318 | 16.4223 |
| Malpractice | 7.35 | × 0.459 | 3.3737 |
| Total RVUs | 54.7155 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$1827.55
Open 44147 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.85 | 1.063 |
| Practice expense | 12.46 | 1.318 |
| Malpractice | 7.35 | 0.459 |
(32.85 × 1.063 + 12.46 × 1.318 + 7.35 × 0.459) × $33.4009 = $1827.55
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
44147 · 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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1827.55 | RVU26D |
| 2026-07-01 | Not available in this setting | $1827.55 | RVU26C |
| 2026-04-01 | Not available in this setting | $1827.55 | RVU26B |
| 2026-01-01 | Not available in this setting | $1827.55 | RVU26A |
| 2025-10-01 | Not available in this setting | $1974.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $1974.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $1974.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $1974.55 | RVU25A |
44147 billing questions
How does this differ from 44145?
Both involve a low pelvic anastomosis after partial colectomy. Choose 44147 when the operative service also includes the colostomy specified for this code; 44145 describes the low pelvic anastomosis without that colostomy.
Is mobilization of the splenic flexure included?
When separately performed and documented, splenic-flexure mobilization may be reported with 44139. The operative report should support the additional mobilization.
What documentation supports reporting 44147?
Document the portion of colon removed, the low pelvic anastomosis to the rectum, and whether a colostomy was performed as part of the operation.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and related postoperative care during the 90-day global period are included in the surgical service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
5,35144144,,Partial removal of colon,A,,29.16,12.76,NA,12.76,,7.02,48.94,48.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35244145,,Partial removal of colon,A,,27.87,11.33,NA,11.33,,6.17,45.37,45.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35344146,,Partial removal of colon,A,,34.42,15.82,NA,15.82,,7.90,58.14,58.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35444147,,Partial removal of colon,A,,32.85,12.46,NA,12.46,,7.35,52.66,52.66,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35544150,,Removal of colon,A,,29.43,15.59,NA,15.59,,6.79,51.81,51.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35644151,,Removal of colon/ileostomy,A,,34.05,17.03,NA,17.03,,9.13,60.21,60.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35744155,,Removal of colon/ileostomy,A,,33.56,16.46,NA,16.46,,7.47,57.49,57.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536