No office rate
44361 is the small-bowel enteroscopy option when biopsy is performed. Choose 44379 when the documented therapeutic intervention is endoscopic stent placement.
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CMS RVU26D · Effective 2026-10-01
44379 Small bowel enteroscopy Medicare reimbursement rates in Alabama
Deep small-bowel enteroscopy with endoscopic stent placement is reported when the endoscopist treats a small-intestinal narrowing or obstruction through the endoscope. Compare 44379 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 44379 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$335.50
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gastrointestinal endoscopy
About 44379: Small bowel enteroscopy with stent placement
Deep small-bowel enteroscopy with endoscopic stent placement is reported when the endoscopist treats a small-intestinal narrowing or obstruction through the endoscope.
An endoscopist advances an enteroscope beyond the second portion of the duodenum to examine the small intestine and place an endoscopic stent. The service may be performed by a gastroenterologist or another appropriately trained endoscopist in a hospital or ambulatory endoscopy setting to open a narrowed segment or relieve an obstruction. Predilation performed to facilitate stent placement is included in the service.
Choose this code when the documented intervention is endoscopic stent placement, rather than diagnostic examination or tissue sampling alone. The procedure report should support the extent of enteroscopy, the treated site and reason for stenting, and placement of the stent. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is not appropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 44379
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.18 · 67%
- Practice expense (office) RVU2.75 · 26%
- Malpractice RVU0.81 · 8%
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.
44379 compared with similar codes
Office rates for Alabama, from the same CMS release.
$316.33
44388 describes colonoscopy performed through a stoma. This code is for enteroscopy into the small intestine with endoscopic stent placement.
$217.65
44385 is endoscopy of a bowel pouch. This code concerns small-intestinal enteroscopy with stent placement, not examination of a pouch.
Compare 44379 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$335.50
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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 44379 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
5,402
- Code
- 44379
- Physician work
- 7.18
- Practice expense
- 2.75
- Malpractice
- 0.81
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.18 | × 1.000 | 7.1800 |
| Practice expense | 2.75 | × 0.875 | 2.4063 |
| Malpractice | 0.81 | × 0.566 | 0.4585 |
| Total RVUs | 10.0447 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$335.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.18 | 1 |
| Practice expense | 2.75 | 0.875 |
| Malpractice | 0.81 | 0.566 |
(7.18 × 1 + 2.75 × 0.875 + 0.81 × 0.566) × $33.4009 = $335.50
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.
44379 billing questions
When should this code be selected instead of a small-bowel biopsy code?
Use this code when the endoscopic service includes stent placement. A biopsy code such as 44361 describes a different intervention and does not substitute for documented stenting.
Is predilation separately reported with the stent placement?
Predilation to facilitate placement is included in this service.
What documentation supports reporting this code?
The procedure report should identify the enteroscope's extent, the small-bowel site and clinical reason for treatment, and the endoscopic stent placement.
How are related endoscopies handled when performed during the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in the 0-day global period.
Can modifier 50 be used, or can co-surgeons be reported?
Modifier 50 is not appropriate for this service. Co-surgeons are not permitted; assistant-at-surgery payment requires documentation of medical necessity.
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.
5,39944376,,Small bowel endoscopy,A,,5.02,1.88,NA,1.88,,0.54,7.44,7.44,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40044377,,Small bowel endoscopy/biopsy,A,,5.28,1.94,NA,1.94,,0.59,7.81,7.81,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40144378,,Small bowel endoscopy,A,,6.84,2.43,NA,2.43,,0.76,10.03,10.03,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40244379,,S bowel endoscope w/stent,A,,7.18,2.75,NA,2.75,,0.81,10.74,10.74,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40344380,,Small bowel endoscopy br/wa,A,,0.85,5.76,,0.65,,0.09,6.70,1.59,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40444381,,Small bowel endoscopy br/wa,A,,1.35,30.44,,0.80,,0.17,31.96,2.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40544382,,Small bowel endoscopy,A,,1.14,8.75,,0.76,,0.13,10.02,2.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515