Billing code 44110: Intestinal excisionMedicare rate & RVUs in Georgia
Open excision of one intestinal lesion through an enterotomy is reported when the surgeon removes the lesion without segmental bowel resection.
CMS doesn’t publish an office rate for 44110 in Georgia.
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 44110 covers
The surgeon opens the bowel through an enterotomy, removes one discrete lesion, and closes the bowel. This open operation may be used for a focal lesion, such as a polyp or localized tumor, that requires surgical excision. It describes removal of the lesion itself rather than removal of a bowel segment.
Report this code when the operative record supports excision of a single lesion. Documentation should identify the bowel site, lesion, and excision performed, and distinguish removal from biopsy or segmental resection. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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.
Where 44110 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $823.74 |
| Rest Of Georgia | Unavailable | $792.42 |
How the 44110 rate is calculated
Each of 44110’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 · 44110
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.69Practice expense 7.00Malpractice 3.18
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44110
44110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44110
Intestinal excision
| 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 · 44110
Intestinal excision
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
44110 without 51 · national facility
$797.28
Intestinal excision
44110-51 · Second procedure: 50%
$398.64
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%).
44110 compared with similar codes
Compare codes
44110 vs 44111 vs 44100 vs 44120 vs 44140: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44111Bowel lesion excision
- Choose 44110 for one excised intestinal lesion and 44111 when the surgeon excises multiple lesions.
- 44100Bowel biopsy
- 44100 represents intestinal tissue sampling for biopsy; 44110 represents removal of a single lesion.
- 44120Small-bowel resection
- 44120 describes small-intestine segmental resection with anastomosis. Use 44110 when the surgeon excises the lesion without removing a bowel segment.
- 44140Partial colectomy
- 44140 describes partial colon removal. It is distinct from focal intestinal lesion excision through an enterotomy.
44110 billing questions
How does 44110 differ from 44111?
44110 is for excision of a single intestinal lesion. Use 44111 when the surgeon excises multiple lesions.
When is excision reported instead of an intestinal biopsy?
Report 44110 when the surgeon removes the lesion, rather than sampling tissue for diagnosis. A biopsy code such as 44100 describes sampling, not lesion excision.
Does 44110 include removal of a bowel segment?
No. It describes lesion excision through an enterotomy; when the surgeon removes a bowel segment, consider the applicable resection code, such as 44120 for small-intestine resection.
Should modifier 50 be appended for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. The operative report should document the lesion excised and its bowel site.
What surgical-assistance rules apply?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while 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
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