No office rate
44120 describes small-bowel resection with anastomosis. Choose 44125 when the surgeon creates an enterostomy instead.
On this page
CMS RVU26D · Effective 2026-10-01
44125 Small-bowel resection Medicare reimbursement rates in Georgia
Reports small-intestine resection when the surgeon creates an enterostomy rather than restoring bowel continuity with an anastomosis. Compare 44125 office and facility rates across CMS payment localities in Georgia.
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 44125 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1096.56–$1135.68
2 of 2 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.
Small-bowel surgery
About 44125: Small-bowel resection with enterostomy
Reports small-intestine resection when the surgeon creates an enterostomy rather than restoring bowel continuity with an anastomosis.
This service involves removing a segment of small intestine and creating an enterostomy, bringing bowel to the abdominal wall to form a stoma. General surgeons commonly perform it in an operating room, including situations such as bowel injury, ischemia, obstruction, or contamination when the operative plan calls for diversion instead of an intestinal anastomosis. The operative report should establish that small bowel was resected and an enterostomy was created.
Select this code when the documented procedure includes both the resection and enterostomy; a resection with anastomosis is 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% reduction. Modifier 50 is not appropriate for this bowel procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44125
- 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 RVU19.53 · 59%
- Practice expense (office) RVU8.63 · 26%
- Malpractice RVU4.70 · 14%
856
Medicare services in 2024 · #3088 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.
44125 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
44130 describes an intestinal anastomosis, with or without a cutaneous enterostomy; 44125 involves resection of small bowel with an enterostomy.
No office rate
44126 is for resection addressing congenital small-bowel atresia or stenosis without tapering, rather than the enterostomy procedure represented by 44125.
No office rate
44127 addresses congenital small-bowel atresia or stenosis with tapering. The congenital condition and tapering technique distinguish it from 44125.
Compare 44125 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$1135.68
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$1096.56
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44125 billing questions
How is this different from 44120?
Use 44125 when the small-bowel resection is accompanied by creation of an enterostomy. Code 44120 describes a resection with anastomosis to restore bowel continuity.
Is the enterostomy reported separately?
The enterostomy is part of the service represented by 44125. The operative note should document both the bowel resection and the stoma creation.
What documentation supports choosing this code?
Document the small-bowel segment removed and the creation of the enterostomy. The operative report should make clear that the procedure resulted in a stoma rather than an anastomosis.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this code.
How does the 90-day global period affect postoperative visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical episode.
Should modifier 50 be used?
No. Modifier 50 is not appropriate for this small-bowel resection and enterostomy procedure.
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.
5,33444111,,Excision of bowel lesion(s),A,,16.11,7.57,NA,7.57,,3.43,27.11,27.11,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33544120,,Removal of small intestine,A,,20.30,8.62,NA,8.62,,5.10,34.02,34.02,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33644121,,Removal of small intestine,A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33744125,,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