$1,204.39
Both describe ileoscopy through a stoma. Choose 44380 for diagnostic inspection with brushing or washing; choose 44381 when tissue biopsy is performed.
On this page
CMS RVU26D · Effective 2026-10-01
44380 Ileoscopy Medicare reimbursement rates in Guam
Reports diagnostic endoscopic inspection of the ileum through an ileostomy, including specimen collection by brushing or washing when performed. Compare 44380 office and facility rates across CMS payment localities in Guam.
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 44380 in Guam?
Guam 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
$248.88
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$54.82
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 endoscopy
About 44380: Diagnostic ileoscopy through an ileostomy
Reports diagnostic endoscopic inspection of the ileum through an ileostomy, including specimen collection by brushing or washing when performed.
Code 44380 reports diagnostic inspection of the ileum by passing an endoscope through an existing ileostomy. Gastroenterologists and colorectal surgeons may use it to evaluate symptoms such as bleeding or pain, or suspected ileal inflammation, in a patient with a stoma. Collection of cells or fluid by brushing or washing may be part of the examination. This code is not for an examination that includes tissue biopsy or a therapeutic maneuver, and it is distinct from examination of an ileal pouch or colonoscopy through a stoma.
Document the stoma route, the ileal examination, the clinical indication, and any brushing or washing performed. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 44380
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.85 · 13%
- Practice expense (office) RVU5.76 · 86%
- Malpractice RVU0.09 · 1%
1.6K
Medicare services in 2024 · #2642 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.
44380 compared with similar codes
Office rates for Guam, from the same CMS release.
$270.23
Code 44385 describes endoscopy of an ileal pouch. Code 44380 examines the ileum through a stoma.
$382.41
Code 44388 is for colonoscopy through a stoma. Use 44380 when the endoscopic examination is of the ileum.
No office rate
Code 44377 describes small-bowel enteroscopy with biopsy. Code 44380 is ileoscopy performed through a stoma and does not include tissue biopsy.
Compare 44380 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
Hawaii, Guam →
Office / nonfacility
$248.88
Facility
$54.82
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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 44380 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,403
- Code
- 44380
- Physician work
- 0.85
- Practice expense
- 5.76
- Malpractice
- 0.09
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.85 | × 1.000 | 0.8500 |
| Practice expense | 5.76 | × 1.137 | 6.5491 |
| Malpractice | 0.09 | × 0.579 | 0.0521 |
| Total RVUs | 7.4512 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$248.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.85 | 1 |
| Practice expense | 5.76 | 1.137 |
| Malpractice | 0.09 | 0.579 |
(0.85 × 1 + 5.76 × 1.137 + 0.09 × 0.579) × $33.4009 = $248.88
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.85 | 1 |
| Practice expense | 0.65 | 1.137 |
| Malpractice | 0.09 | 0.579 |
(0.85 × 1 + 0.65 × 1.137 + 0.09 × 0.579) × $33.4009 = $54.82
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.
44380 billing questions
When should 44380 be reported instead of 44381?
Use 44380 for diagnostic ileoscopy through a stoma when no tissue biopsy is performed. When the examination includes biopsy, use 44381.
Are brushing and washing included?
Yes. Collection of specimens by brushing or washing is included when performed during the diagnostic examination.
Does this code describe an examination of an ileal pouch?
No. Code 44380 is for ileoscopy through a stoma; ileal pouch endoscopy is represented by a different code family, including 44385 and 44386.
Should modifier 50 be appended for a bilateral examination?
No. The anatomy and descriptor make modifier 50 inappropriate for this service.
How does Medicare handle other procedures performed in the same session?
Medicare pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others. The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant, co-surgeon, or surgical team be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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.
5,40044377,,Small bowel endoscopy/biopsy,A,,5.28,1.94,NA,1.94,,0.59,7.81,7.81,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40144378,,Small bowel endoscopy,A,,6.84,2.43,NA,2.43,,0.76,10.03,10.03,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40244379,,S bowel endoscope w/stent,A,,7.18,2.75,NA,2.75,,0.81,10.74,10.74,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40344380,,Small bowel endoscopy br/wa,A,,0.85,5.76,,0.65,,0.09,6.70,1.59,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40444381,,Small bowel endoscopy br/wa,A,,1.35,30.44,,0.80,,0.17,31.96,2.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40544382,,Small bowel endoscopy,A,,1.14,8.75,,0.76,,0.13,10.02,2.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40644384,,Small bowel endoscopy,A,,2.78,0.90,NA,0.90,,0.36,4.04,4.04,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014