No office rate
44340 is for a simple colostomy revision. Choose 44345 when the documented revision requires bowel resection and anastomosis.
On this page
CMS RVU26D · Effective 2026-10-01
44345 Colostomy revision Medicare reimbursement rates in Florida
Reports operative revision of an existing colostomy when the repair is complicated and requires bowel resection with anastomosis. Compare 44345 office and facility rates across CMS payment localities in Florida.
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 44345 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1036.44–$1190.50
3 of 3 localities have a supported rate.
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.
Where 44345 pays more and less in Florida
Colorectal surgery
About 44345: Complicated colostomy revision with resection
Reports operative revision of an existing colostomy when the repair is complicated and requires bowel resection with anastomosis.
A colorectal or general surgeon uses this code for a complicated revision of an existing colostomy that requires removing a segment of bowel and reconnecting the bowel. The operation addresses a stoma problem that cannot be managed with a simple revision; the operative report should make the extent of the repair clear. These procedures are generally performed in a surgical facility.
Select this service based on the work performed, not just the presence of a colostomy problem. Document the indication, the bowel resected, and the anastomosis; a simple revision or repair of a paracolostomy hernia points to a different code. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44345
- 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 RVU16.79 · 57%
- Practice expense (office) RVU9.00 · 30%
- Malpractice RVU3.75 · 13%
665
Medicare services in 2024 · #3313 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.
44345 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
44346 includes repair of a paracolostomy hernia. 44345 is for complicated colostomy revision with bowel resection and anastomosis.
No office rate
44314 is for complicated revision of an ileostomy. 44345 applies to the corresponding complicated revision of a colostomy.
Compare 44345 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1091.78
Miami →
Office / nonfacility
Unavailable
Facility
$1190.50
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1036.44
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44345 billing questions
How is 44345 distinguished from 44340?
Use 44345 when the complicated revision includes bowel resection and anastomosis. A simple colostomy revision, such as one limited to the stoma, is represented by 44340.
When is 44346 a better fit?
44346 describes colostomy revision with repair of a paracolostomy hernia. Use 44345 when the documented operation instead involves complicated revision with bowel resection and anastomosis.
What operative details support 44345?
The report should identify the existing colostomy, the reason for revision, the bowel segment removed, and the anastomosis performed. Those details distinguish this operation from a simple revision.
How does the 90-day global affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Routine related follow-up during that period is part of the surgical package.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
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.
5,38444320,,Colostomy,A,,19.41,9.68,NA,9.68,,4.50,33.59,33.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38544322,,Colostomy with biopsies,A,,12.99,12.99,NA,12.99,,3.46,29.44,29.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38644340,,Revision of colostomy,A,,9.05,7.12,NA,7.12,,2.01,18.18,18.18,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38744345,,Revision of colostomy,A,,16.79,9.00,NA,9.00,,3.75,29.54,29.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38844346,,Revision of colostomy,A,,19.14,9.58,NA,9.58,,4.22,32.94,32.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38944360,,Small bowel endoscopy,A,,2.43,1.13,NA,1.13,,0.26,3.82,3.82,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,39044361,,Small bowel endoscopy/biopsy,A,,2.70,1.22,NA,1.22,,0.29,4.21,4.21,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00