No office rate
44150 includes total colectomy with ileostomy or ileoproctostomy without proctectomy. Choose 44155 when the rectum is also removed and an ileostomy is created.
On this page
CMS RVU26D · Effective 2026-10-01
44155 Colectomy Medicare reimbursement rates in Hawaii
Reports open removal of the colon and rectum with creation of an ileostomy, commonly for extensive colorectal disease when intestinal continuity is not restored. Compare 44155 office and facility rates across CMS payment localities in Hawaii.
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 44155 in Hawaii?
Hawaii 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
$1890.50
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.
Colorectal surgery
About 44155: Total colectomy with proctectomy and ileostomy
Reports open removal of the colon and rectum with creation of an ileostomy, commonly for extensive colorectal disease when intestinal continuity is not restored.
This code describes an abdominal operation removing the colon and rectum and creating an ileostomy, rather than connecting the remaining small bowel to the anus. Colorectal or general surgeons may perform it in a hospital for conditions such as severe ulcerative colitis, familial adenomatous polyposis, or colorectal disease requiring removal of both organs. The ileostomy provides the route for intestinal waste after the resection.
Report the code when the operative record supports total colectomy, proctectomy, and ileostomy creation as part of the same operation. Documentation should identify the organs removed and the reconstruction performed; an ileoanal anastomosis or pouch points to a different code. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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. Team surgery is not permitted.
CMS billing rules for 44155
- 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 RVU33.56 · 58%
- Practice expense (office) RVU16.46 · 29%
- Malpractice RVU7.47 · 13%
262
Medicare services in 2024 · #4099 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.
44155 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
44151 is total colectomy without proctectomy with a continent ileostomy. 44155 includes proctectomy and describes an ileostomy rather than a continent reservoir.
No office rate
44156 includes an ileoanal anastomosis after total colectomy and proctectomy. 44155 describes ileostomy creation instead of ileoanal continuity.
No office rate
44157 includes ileoanal reconstruction with a J-pouch. 44155 is the choice when the operation creates an ileostomy rather than that pouch reconstruction.
Compare 44155 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
Unavailable
Facility
$1890.50
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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 44155 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,357
- Code
- 44155
- Physician work
- 33.56
- Practice expense
- 16.46
- Malpractice
- 7.47
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.56 | × 1.000 | 33.5600 |
| Practice expense | 16.46 | × 1.137 | 18.7150 |
| Malpractice | 7.47 | × 0.579 | 4.3251 |
| Total RVUs | 56.6002 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1890.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.56 | 1 |
| Practice expense | 16.46 | 1.137 |
| Malpractice | 7.47 | 0.579 |
(33.56 × 1 + 16.46 × 1.137 + 7.47 × 0.579) × $33.4009 = $1890.50
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.
44155 billing questions
How is this different from 44150?
44150 describes total abdominal colectomy without proctectomy. Use 44155 when the operation also removes the rectum and creates an ileostomy.
When would 44151 be the better choice?
44151 describes total colectomy without proctectomy with a continent ileostomy. This code describes proctectomy with ileostomy creation, not a continent reservoir.
Can an ileoanal anastomosis be reported with 44155?
No. An ileoanal reconstruction is a distinguishing feature of codes such as 44156 through 44158; 44155 describes an ileostomy.
What supports reporting 44155?
The operative report should document removal of the colon and rectum and creation of an ileostomy. It should distinguish this reconstruction from an ileoanal anastomosis or pouch.
How do the global period and assistant rules affect billing?
The 90-day global includes the day-before preoperative visit and related postoperative care. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
Should modifier 50 be used?
No. Modifier 50 is inappropriate for this operation; report the procedure based on the documented resection and reconstruction.
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.
5,35444147,,Partial removal of colon,A,,32.85,12.46,NA,12.46,,7.35,52.66,52.66,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35544150,,Removal of colon,A,,29.43,15.59,NA,15.59,,6.79,51.81,51.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35644151,,Removal of colon/ileostomy,A,,34.05,17.03,NA,17.03,,9.13,60.21,60.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35744155,,Removal of colon/ileostomy,A,,33.56,16.46,NA,16.46,,7.47,57.49,57.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35844156,,Removal of colon/ileostomy,A,,36.48,18.03,NA,18.03,,9.79,64.30,64.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35944157,,Colectomy w/ileoanal anast,A,,34.81,17.01,NA,17.01,,9.32,61.14,61.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36044158,,Colectomy w/neo-rectum pouch,A,,35.78,17.25,NA,17.25,,9.58,62.61,62.61,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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