No office rate
44360 describes diagnostic enteroscopy beyond the second portion of the duodenum without ileal examination. Choose 44366 when the procedure includes treatment to control bleeding.
On this page
CMS RVU26D · Effective 2026-10-01
44366 Enteroscopy hemostasis Medicare reimbursement rates in Alaska
Reports extended small-bowel endoscopy used to stop bleeding beyond the second portion of the duodenum when the examined segment does not include the ileum. Compare 44366 office and facility rates across CMS payment localities in Alaska.
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 44366 in Alaska?
Alaska 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
$277.26
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 44366: Small-bowel enteroscopy with hemostasis
Reports extended small-bowel endoscopy used to stop bleeding beyond the second portion of the duodenum when the examined segment does not include the ileum.
A gastroenterologist advances an enteroscope beyond the second portion of the duodenum to identify and treat a bleeding source in the small bowel, without examining the ileum. This service is used when bleeding is seen during enteroscopy, such as from a small-bowel vascular lesion or ulcer. Hemostasis may involve an endoscopic technique such as injection, thermal treatment, or mechanical clipping.
Report this code when the endoscopy includes active treatment to control bleeding, rather than diagnostic inspection alone, biopsy alone, or removal of a lesion as the primary service. The procedure note should support the extent examined, the bleeding site, and the hemostasis method. CMS assigns 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 inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 44366
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.19 · 67%
- Practice expense (office) RVU1.66 · 26%
- Malpractice RVU0.45 · 7%
5.2K
Medicare services in 2024 · #1845 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.
44366 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
44365 is for lesion removal using hot biopsy forceps or bipolar cautery. 44366 is for endoscopic control of bleeding.
No office rate
44376 is the diagnostic enteroscopy variant that includes the ileum. 44366 describes hemostasis during enteroscopy that does not include ileal examination.
Compare 44366 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$277.26
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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 44366 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
5,394
- Code
- 44366
- Physician work
- 4.19
- Practice expense
- 1.66
- Malpractice
- 0.45
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.19 | × 1.500 | 6.2850 |
| Practice expense | 1.66 | × 1.065 | 1.7679 |
| Malpractice | 0.45 | × 0.551 | 0.2480 |
| Total RVUs | 8.3008 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$277.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.19 | 1.5 |
| Practice expense | 1.66 | 1.065 |
| Malpractice | 0.45 | 0.551 |
(4.19 × 1.5 + 1.66 × 1.065 + 0.45 × 0.551) × $33.4009 = $277.26
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.
44366 billing questions
When should 44366 be reported instead of a diagnostic enteroscopy?
Use 44366 when the enteroscopy includes endoscopic treatment to control bleeding. Diagnostic inspection without hemostasis is represented by 44360 when the examined segment does not include the ileum.
How does 44366 differ from 44365?
44366 is for controlling bleeding. 44365 describes removal of a lesion using hot biopsy forceps or bipolar cautery, rather than hemostasis as the reported service.
Can a separate diagnostic enteroscopy be billed with 44366?
When related endoscopies are performed together, CMS endoscopy-family pricing applies. The documentation should show the services performed and the distinct clinical work supporting any additional reported endoscopy.
Can modifier 50 or an assistant-at-surgery claim be used?
No. CMS identifies bilateral adjustment as inappropriate for this code and does not pay an assistant at surgery for it.
What documentation supports reporting 44366?
Document the small-bowel segment reached, the bleeding source or site, and the endoscopic method used to control bleeding. The documented extent should not include the ileum for this code.
What is the global period for 44366?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
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.
5,39144363,,Small bowel endoscopy,A,,3.31,1.39,NA,1.39,,0.38,5.08,5.08,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39244364,,Small bowel endoscopy,A,,3.54,1.47,NA,1.47,,0.39,5.40,5.40,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39344365,,Small bowel endoscopy,A,,3.13,1.34,NA,1.34,,0.35,4.82,4.82,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39444366,,Small bowel endoscopy,A,,4.19,1.66,NA,1.66,,0.45,6.30,6.30,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39544369,,Small bowel endoscopy,A,,4.30,1.69,NA,1.69,,0.47,6.46,6.46,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39644370,,Small bowel endoscopy/stent,A,,4.57,1.99,NA,1.99,,0.49,7.05,7.05,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39744372,,Small bowel endoscopy,A,,4.19,1.61,NA,1.61,,0.55,6.35,6.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609