No office rate
This code concerns a lesion arising in the mesentery. Code 44800 concerns removal of a Meckel diverticulum, which is a pouch of the small bowel.
On this page
CMS RVU26D · Effective 2026-10-01
44820 Mesenteric excision Medicare reimbursement rates in Arkansas
Reports surgical removal of a lesion arising in the mesentery, such as a mesenteric cyst or tumor, rather than a lesion of the bowel itself. Compare 44820 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 44820 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
$716.26
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.
Gastrointestinal surgery
About 44820: Mesenteric lesion excision
Reports surgical removal of a lesion arising in the mesentery, such as a mesenteric cyst or tumor, rather than a lesion of the bowel itself.
This service involves surgically removing a lesion located in the mesentery, the tissue that supports and carries vessels to the intestines. Typical targets include a mesenteric cyst or tumor. A general or colorectal surgeon may perform the operation during abdominal surgery in a hospital or other surgical facility. The operative report should identify the lesion’s mesenteric location and describe its removal, including any related bowel work.
Select this code when the removed lesion arises in the mesentery; a lesion of a bowel pouch or the bowel wall points to a different service. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 for this anatomy. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44820
- 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 RVU13.39 · 55%
- Practice expense (office) RVU7.23 · 30%
- Malpractice RVU3.58 · 15%
59
Medicare services in 2024 · #5257 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.
44820 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Code 44820 removes a mesenteric lesion; code 44850 concerns repair of the mesentery rather than lesion excision.
No office rate
Code 44120 reports removal of a segment of small intestine. Use 44820 for the mesenteric lesion itself, and document any bowel resection separately.
Compare 44820 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
$716.26
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 44820 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
5,450
- Code
- 44820
- Physician work
- 13.39
- Practice expense
- 7.23
- Malpractice
- 3.58
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.39 | × 1.000 | 13.3900 |
| Practice expense | 7.23 | × 0.859 | 6.2106 |
| Malpractice | 3.58 | × 0.515 | 1.8437 |
| Total RVUs | 21.4443 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$716.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.39 | 1 |
| Practice expense | 7.23 | 0.859 |
| Malpractice | 3.58 | 0.515 |
(13.39 × 1 + 7.23 × 0.859 + 3.58 × 0.515) × $33.4009 = $716.26
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.
44820 billing questions
How is this distinguished from excision of a bowel pouch?
Use this code when the lesion arises in the mesentery. A Meckel diverticulum is a bowel pouch, so its excision is a different service.
Does this code include removal of bowel?
The target here is a mesenteric lesion. If the operation also removes a segment of bowel, the operative report should describe that work separately for coding review.
Should modifier 50 be appended for a lesion on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. 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 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.
5,44744800,,Excision of bowel pouch,A,,11.75,7.49,NA,7.49,,2.91,22.15,22.15,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4484480F,,Pt rcvng ace/arb b-blockertx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4494481F,,Pt rcvng ace/arb blker <3mos,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45044820,,Excision of mesentery lesion,A,,13.39,7.23,NA,7.23,,3.58,24.20,24.20,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45144850,,Repair of mesentery,A,,11.81,6.52,NA,6.52,,2.91,21.24,21.24,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45244899,,Unlisted px meckel's dvrtclm,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45344900,,I&d appendix abscess open,A,,12.26,6.74,NA,6.74,,3.27,22.27,22.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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