CPT code 44680: Intestinal revision2026 Medicare rate & RVUs in Alabama
Reports operative revision of intestinal anatomy, such as correction of blind-loop anatomy after prior surgery, rather than routine repair or stoma closure.
CMS doesn’t publish an office rate for 44680 in Alabama.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 44680 covers
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.
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 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $907.90 |
How the 44680 rate is calculated
Each of 44680’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 · 44680
RVUs × geographic indexes × conversion factor
Work17.51
17.51 RVUs× 1.000 GPCI
Practice expense8.02
8.02 RVUs× 1.000 GPCI
Malpractice4.69
4.69 RVUs× 1.000 GPCI
Adjusted RVUs
30.2200
Conversion factor
$33.4009
Medicare rate
$1,009.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44680
44680 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44680
Intestinal revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44680
Intestinal revision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44680 without 51 · national facility
$1,009.38
Intestinal revision
44680-51 · Second procedure: 50%
$504.69
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%).
44680 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 44120Small-bowel resection
- 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.
- 44615Intestinal stricturoplasty
- 44615 is for intestinal stricturoplasty. A focal narrowing treated by widening the segment points to that procedure; 44680 concerns revision of intestinal anatomy.
- 44620Stoma closure
- 44620 is for enterostomy closure. Use an enterostomy-closure code when closing the stoma is the documented objective, rather than revising altered intestinal anatomy.
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 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
Fee sheets
Put 44680 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →