No office rate
Both codes address enterostomy closure. Choose 44625 when the surgeon resects bowel and creates an anastomosis; choose 44620 when closure does not include those steps.
On this page
CMS RVU26D · Effective 2026-10-01
44625 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$903.33
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 44625: Enterostomy closure with noncolorectal anastomosis
Report this code when a surgeon closes an ileostomy or colostomy by resecting bowel and reconnecting it without a colorectal anastomosis.
This operation reverses an enterostomy by removing the bowel segment at the stoma and reconnecting the remaining intestine. A typical example is an ileostomy takedown in which the surgeon resects the stoma-bearing segment and joins two small-bowel ends. A surgeon performs the procedure in an operating room, usually in a hospital setting. The resulting connection may involve small bowel or colon, but it is not a connection between colon and rectum.
Select this code when the operative report documents both bowel resection and a noncolorectal anastomosis as part of the stoma closure. The resection and reconnection are included in this service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When separately reportable procedures occur in the same session, Medicare pays the highest-valued procedure in full and others at 50%. Do not use modifier 50. An assistant surgeon may be paid; co-surgeons require supporting documentation, and CMS does not permit team-surgery billing.
CMS billing rules for 44625
- 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 RVU16.85 · 60%
- Practice expense (office) RVU7.62 · 27%
- Malpractice RVU3.48 · 12%
5K
Medicare services in 2024 · #1870 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.
44625 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Both involve resection during enterostomy closure. Use 44626 if the surgeon joins colon to rectum; use 44625 for a noncolorectal anastomosis.
No office rate
Code 44120 describes a small-bowel resection and anastomosis outside an enterostomy closure. When those steps accomplish an ileostomy takedown, 44625 describes the combined operation.
The same code, a different location
How does Wyoming** compare?
44625 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 44625
Office
Unavailable
Facility
$851.29
No comparable office rate is available.
Arkansas
Arkansas · 44625
Office
Unavailable
Facility
$841.29
No comparable office rate is available.
Arizona
Arizona · 44625
Office
Unavailable
Facility
$908.93
No comparable office rate is available.
Bakersfield
California · 44625
Office
Unavailable
Facility
$923.23
No comparable office rate is available.
Chico
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
El Centro
California · 44625
Office
Unavailable
Facility
$914.20
No comparable office rate is available.
Fresno
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Hanford-Corcoran
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Madera
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Merced
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Modesto
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Napa
California · 44625
Office
Unavailable
Facility
$992.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 44625
Office
Unavailable
Facility
$951.81
No comparable office rate is available.
Redding
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Rest Of California
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 44625
Office
Unavailable
Facility
$951.03
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 44625
Office
Unavailable
Facility
$941.37
No comparable office rate is available.
Salinas
California · 44625
Office
Unavailable
Facility
$937.54
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 44625
Office
Unavailable
Facility
$947.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 44625
Office
Unavailable
Facility
$1028.49
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 44625
Office
Unavailable
Facility
$1024.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 44625
Office
Unavailable
Facility
$1054.03
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 44625
Office
Unavailable
Facility
$1037.87
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 44625
Office
Unavailable
Facility
$924.57
No comparable office rate is available.
Santa Cruz-Watsonville
California · 44625
Office
Unavailable
Facility
$946.16
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 44625
Office
Unavailable
Facility
$937.63
No comparable office rate is available.
Santa Rosa-Petaluma
California · 44625
Office
Unavailable
Facility
$954.54
No comparable office rate is available.
Stockton
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Vallejo
California · 44625
Office
Unavailable
Facility
$987.06
No comparable office rate is available.
Visalia
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Yuba City
California · 44625
Office
Unavailable
Facility
$913.62
No comparable office rate is available.
Colorado
Colorado · 44625
Office
Unavailable
Facility
$931.14
No comparable office rate is available.
Connecticut
Connecticut · 44625
Office
Unavailable
Facility
$988.82
No comparable office rate is available.
Delaware
Delaware · 44625
Office
Unavailable
Facility
$921.58
No comparable office rate is available.
Fort Lauderdale
Florida · 44625
Office
Unavailable
Facility
$1030.78
No comparable office rate is available.
Rest Of Florida
Florida · 44625
Office
Unavailable
Facility
$980.82
No comparable office rate is available.
Atlanta
Georgia · 44625
Office
Unavailable
Facility
$962.68
No comparable office rate is available.
Rest Of Georgia
Georgia · 44625
Office
Unavailable
Facility
$928.38
No comparable office rate is available.
Hawaii, Guam
Hawaii · 44625
Office
Unavailable
Facility
$919.49
No comparable office rate is available.
Iowa
Iowa · 44625
Office
Unavailable
Facility
$841.83
No comparable office rate is available.
Idaho
Idaho · 44625
Office
Unavailable
Facility
$851.94
No comparable office rate is available.
East St. Louis
Illinois · 44625
Office
Unavailable
Facility
$1031.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 44625
Office
Unavailable
Facility
$976.85
No comparable office rate is available.
Suburban Chicago
Illinois · 44625
Office
Unavailable
Facility
$1034.10
No comparable office rate is available.
Indiana
Indiana · 44625
Office
Unavailable
Facility
$855.23
No comparable office rate is available.
Kansas
Kansas · 44625
Office
Unavailable
Facility
$851.47
No comparable office rate is available.
Kentucky
Kentucky · 44625
Office
Unavailable
Facility
$895.42
No comparable office rate is available.
New Orleans
Louisiana · 44625
Office
Unavailable
Facility
$934.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 44625
Office
Unavailable
Facility
$899.40
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 44625
Office
Unavailable
Facility
$993.22
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 44625
Office
Unavailable
Facility
$932.45
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 44625
Office
Unavailable
Facility
$988.69
No comparable office rate is available.
Rest Of Maryland
Maryland · 44625
Office
Unavailable
Facility
$932.71
No comparable office rate is available.
Rest Of Maine
Maine · 44625
Office
Unavailable
Facility
$869.26
No comparable office rate is available.
Southern Maine
Maine · 44625
Office
Unavailable
Facility
$888.37
No comparable office rate is available.
Detroit
Michigan · 44625
Office
Unavailable
Facility
$1004.38
No comparable office rate is available.
Rest Of Michigan
Michigan · 44625
Office
Unavailable
Facility
$926.41
No comparable office rate is available.
Minnesota
Minnesota · 44625
Office
Unavailable
Facility
$859.11
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 44625
Office
Unavailable
Facility
$915.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 44625
Office
Unavailable
Facility
$921.57
No comparable office rate is available.
Rest Of Missouri
Missouri · 44625
Office
Unavailable
Facility
$895.41
No comparable office rate is available.
Mississippi
Mississippi · 44625
Office
Unavailable
Facility
$867.84
No comparable office rate is available.
Montana**
Montana · 44625
Office
Unavailable
Facility
$933.32
No comparable office rate is available.
North Carolina
North Carolina · 44625
Office
Unavailable
Facility
$874.54
No comparable office rate is available.
North Dakota**
North Dakota · 44625
Office
Unavailable
Facility
$864.51
No comparable office rate is available.
Nebraska
Nebraska · 44625
Office
Unavailable
Facility
$841.66
No comparable office rate is available.
New Hampshire
New Hampshire · 44625
Office
Unavailable
Facility
$929.46
No comparable office rate is available.
Northern Nj
New Jersey · 44625
Office
Unavailable
Facility
$1017.64
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 44625
Office
Unavailable
Facility
$990.76
No comparable office rate is available.
New Mexico
New Mexico · 44625
Office
Unavailable
Facility
$935.79
No comparable office rate is available.
Nevada**
Nevada · 44625
Office
Unavailable
Facility
$914.40
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 44625
Office
Unavailable
Facility
$1117.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 44625
Office
Unavailable
Facility
$1007.47
No comparable office rate is available.
Queens
New York · 44625
Office
Unavailable
Facility
$1067.27
No comparable office rate is available.
Rest Of New York
New York · 44625
Office
Unavailable
Facility
$886.31
No comparable office rate is available.
Ohio
Ohio · 44625
Office
Unavailable
Facility
$912.34
No comparable office rate is available.
Oklahoma
Oklahoma · 44625
Office
Unavailable
Facility
$880.40
No comparable office rate is available.
Portland
Oregon · 44625
Office
Unavailable
Facility
$941.05
No comparable office rate is available.
Rest Of Oregon
Oregon · 44625
Office
Unavailable
Facility
$898.02
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 44625
Office
Unavailable
Facility
$976.55
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 44625
Office
Unavailable
Facility
$906.29
No comparable office rate is available.
Puerto Rico
Puerto Rico · 44625
Office
Unavailable
Facility
$934.61
No comparable office rate is available.
Rhode Island
Rhode Island · 44625
Office
Unavailable
Facility
$940.09
No comparable office rate is available.
South Carolina
South Carolina · 44625
Office
Unavailable
Facility
$896.78
No comparable office rate is available.
South Dakota**
South Dakota · 44625
Office
Unavailable
Facility
$856.38
No comparable office rate is available.
Tennessee
Tennessee · 44625
Office
Unavailable
Facility
$856.58
No comparable office rate is available.
Austin
Texas · 44625
Office
Unavailable
Facility
$936.19
No comparable office rate is available.
Beaumont
Texas · 44625
Office
Unavailable
Facility
$902.40
No comparable office rate is available.
Brazoria
Texas · 44625
Office
Unavailable
Facility
$910.20
No comparable office rate is available.
Dallas
Texas · 44625
Office
Unavailable
Facility
$921.10
No comparable office rate is available.
Fort Worth
Texas · 44625
Office
Unavailable
Facility
$920.06
No comparable office rate is available.
Galveston
Texas · 44625
Office
Unavailable
Facility
$916.28
No comparable office rate is available.
Houston
Texas · 44625
Office
Unavailable
Facility
$979.98
No comparable office rate is available.
Rest Of Texas
Texas · 44625
Office
Unavailable
Facility
$909.30
No comparable office rate is available.
Utah
Utah · 44625
Office
Unavailable
Facility
$906.43
No comparable office rate is available.
Virginia
Virginia · 44625
Office
Unavailable
Facility
$895.06
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 44625
Office
Unavailable
Facility
$934.61
No comparable office rate is available.
Vermont
Vermont · 44625
Office
Unavailable
Facility
$873.59
No comparable office rate is available.
Rest Of Washington
Washington · 44625
Office
Unavailable
Facility
$926.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 44625
Office
Unavailable
Facility
$998.20
No comparable office rate is available.
Wisconsin
Wisconsin · 44625
Office
Unavailable
Facility
$842.43
No comparable office rate is available.
West Virginia
West Virginia · 44625
Office
Unavailable
Facility
$950.31
No comparable office rate is available.
See how rates vary across the country
44625 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 44625 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$993.66
$903.33 × 110% = $993.66
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 44625 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,432
- Code
- 44625
- Physician work
- 16.85
- Practice expense
- 7.62
- Malpractice
- 3.48
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.85 | × 1.000 | 16.8500 |
| Practice expense | 7.62 | × 1.000 | 7.6200 |
| Malpractice | 3.48 | × 0.740 | 2.5752 |
| Total RVUs | 27.0452 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$903.33
Open 44625 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.85 | 1 |
| Practice expense | 7.62 | 1 |
| Malpractice | 3.48 | 0.74 |
(16.85 × 1 + 7.62 × 1 + 3.48 × 0.74) × $33.4009 = $903.33
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
44625 · 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 | $903.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $903.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $903.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $903.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $950.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $950.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $950.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $950.99 | RVU25A |
44625 billing questions
How does this differ from 44620?
Use 44625 when closing the enterostomy requires bowel resection and anastomosis. Code 44620 describes closure without that resection-and-anastomosis component.
When should 44626 be considered instead?
Choose 44626 when the resection and stoma closure result in a colorectal anastomosis. The operative report should identify the segments joined.
Can the bowel resection and anastomosis be billed separately?
Not when they are the resection and reconnection performed to close the enterostomy; those steps are part of 44625.
What documentation supports 44625?
The operative report should identify the stoma taken down, the bowel removed, and the two bowel segments joined. Those details establish both the resection and the noncolorectal anastomosis.
Can modifier 50 or team-surgery billing be used?
Do not append modifier 50 to this intestinal operation. CMS does not permit team-surgery billing, although an assistant surgeon may be paid and co-surgeons may be paid with supporting documentation.
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.
5,42944605,,Repair of bowel lesion,A,,21.53,9.18,NA,9.18,,5.75,36.46,36.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43044615,,Intestinal stricturoplasty,A,,17.71,7.94,NA,7.94,,4.14,29.79,29.79,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43144620,,Repair bowel opening,A,,14.07,6.96,NA,6.96,,3.04,24.07,24.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43244625,,Repair bowel opening,A,,16.85,7.62,NA,7.62,,3.48,27.95,27.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43344626,,Repair bowel opening,A,,27.20,10.18,NA,10.18,,6.22,43.60,43.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43444640,,Repair bowel-skin fistula,A,,23.60,9.41,NA,9.41,,5.43,38.44,38.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43544650,,Repair bowel fistula,A,,24.49,9.63,NA,9.63,,5.50,39.62,39.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,