No office rate
44127 describes the primary congenital-atresia operation with intestinal tapering; 44128 is used for a qualifying additional resection during that treatment.
On this page
CMS RVU26D · Effective 2026-10-01
44128 Small bowel resection Medicare reimbursement rates in Arkansas
Reports an additional small-bowel resection during operative treatment of congenital atresia, alongside the applicable primary atresia procedure. Compare 44128 office and facility rates across CMS payment localities in Arkansas.
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 44128 in Arkansas?
Arkansas 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
$194.71
1 of 1 localities have a supported rate.
Payment area: Arkansas
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.
Small intestine surgery
About 44128: Additional congenital atresia resection
Reports an additional small-bowel resection during operative treatment of congenital atresia, alongside the applicable primary atresia procedure.
Code 44128 identifies an additional small-bowel resection during surgery for congenital atresia. The operation is generally performed by a pediatric or general surgeon in a hospital operating room, often in an infant or child whose atresia requires more than one resection. The operative report should distinguish the additional resection from the primary atresia procedure and describe the bowel segments treated and the reason for each resection.
Report 44128 only with its primary procedure, generally 44127 for congenital atresia repair involving intestinal tapering. It represents an additional qualifying resection, not simply extra operative time or tapering work. CMS classifies it as an add-on code: payment is made within the primary procedure’s global period. Documentation should identify the primary procedure and clearly support the additional resection performed.
CMS billing rules for 44128
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.33 · 66%
- Practice expense (office) RVU1.05 · 16%
- Malpractice RVU1.16 · 18%
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.
44128 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
44126 is the primary congenital-atresia resection without intestinal tapering. 44128 is an add-on for an additional resection, not the primary procedure.
No office rate
44120 describes a standard small-bowel resection with anastomosis, rather than the congenital-atresia add-on represented by 44128.
Compare 44128 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$194.71
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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 44128 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
5,340
- Code
- 44128
- Physician work
- 4.33
- Practice expense
- 1.05
- Malpractice
- 1.16
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.33 | × 1.000 | 4.3300 |
| Practice expense | 1.05 | × 0.859 | 0.9020 |
| Malpractice | 1.16 | × 0.515 | 0.5974 |
| Total RVUs | 5.8293 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$194.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.33 | 1 |
| Practice expense | 1.05 | 0.859 |
| Malpractice | 1.16 | 0.515 |
(4.33 × 1 + 1.05 × 0.859 + 1.16 × 0.515) × $33.4009 = $194.71
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.
44128 billing questions
Which primary code is typically paired with 44128?
It is generally reported with 44127 when an additional resection is performed in congenital atresia surgery involving intestinal tapering.
How does 44128 differ from 44127?
44127 describes the primary congenital-atresia resection with tapering; 44128 reports a qualifying additional resection in that operative treatment.
Can 44128 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
What should the operative report document?
Document the primary atresia procedure and identify the additional bowel resection, including the segment treated and its relationship to the congenital atresia.
How does CMS treat payment for this add-on?
CMS places payment for 44128 within the primary procedure’s global period.
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.
5,33744125,,Removal of small intestine,A,,19.53,8.63,NA,8.63,,4.70,32.86,32.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33844126,,Enterectomy w/o taper cong,A,,41.17,16.20,NA,16.20,,11.05,68.42,68.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33944127,,Enterectomy w/taper cong,A,,48.07,17.73,NA,17.73,,12.87,78.67,78.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34044128,,Enterectomy cong add-on,A,,4.33,1.05,NA,1.05,,1.16,6.54,6.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34144130,,Bowel to bowel fusion,A,,21.56,9.95,NA,9.95,,5.34,36.85,36.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34244132,,Enterectomy cadaver donor,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34344133,,Enterectomy live donor,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541