No office rate
Both describe laparoscopic partial colectomy with a low pelvic anastomosis. Choose 44208 when a colostomy is also created; choose 44207 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
44208 Colectomy Medicare reimbursement rates in Hawaii
Reports laparoscopic removal of part of the colon with a low pelvic connection to the rectum and creation of a colostomy. Compare 44208 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 44208 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
$1772.14
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 44208: Laparoscopic partial colectomy with low anastomosis and colostomy
Reports laparoscopic removal of part of the colon with a low pelvic connection to the rectum and creation of a colostomy.
This service covers laparoscopic removal of a portion of the colon, reconnection of the remaining colon to the rectum with a low pelvic anastomosis, and creation of a colostomy. Colorectal surgeons typically perform it for disease requiring resection when the operative plan includes both the low connection and a colostomy. The operative report should establish the laparoscopic approach and describe the resection, anastomosis, and stoma created.
Select this code when all three elements are documented; a low anastomosis alone does not distinguish it from the related colectomy code without colostomy. The colostomy creation is included in this combined service. Medicare assigns a 90-day global period, including 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 44208
- 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 RVU33.14 · 61%
- Practice expense (office) RVU14.10 · 26%
- Malpractice RVU6.71 · 12%
2K
Medicare services in 2024 · #2448 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.
44208 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
44206 describes an end colostomy with closure of the distal bowel segment, not a low pelvic anastomosis with colostomy.
No office rate
44204 is laparoscopic partial colectomy with anastomosis without the low pelvic connection and colostomy combination specified for 44208.
No office rate
44213 is an add-on for laparoscopic splenic flexure mobilization performed with partial colectomy; it does not replace the colectomy code.
Compare 44208 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
$1772.14
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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 44208 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,372
- Code
- 44208
- Physician work
- 33.14
- Practice expense
- 14.10
- Malpractice
- 6.71
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.14 | × 1.000 | 33.1400 |
| Practice expense | 14.10 | × 1.137 | 16.0317 |
| Malpractice | 6.71 | × 0.579 | 3.8851 |
| Total RVUs | 53.0568 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1772.14
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.14 | 1 |
| Practice expense | 14.1 | 1.137 |
| Malpractice | 6.71 | 0.579 |
(33.14 × 1 + 14.1 × 1.137 + 6.71 × 0.579) × $33.4009 = $1772.14
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.
44208 billing questions
How does this differ from 44207?
Both involve a partial colectomy with a low pelvic anastomosis. Use 44208 when the operation also creates a colostomy; use 44207 when it does not.
Is the colostomy reported separately?
The colostomy is part of this combined service. The operative report should document its creation along with the resection and low pelvic anastomosis.
Can modifier 50 be used?
No. The anatomy and service described make a bilateral adjustment and modifier 50 inappropriate.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,36944205,,Lap colectomy part w/ileum,A,,22.38,9.55,NA,9.55,,4.78,36.71,36.71,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37044206,,Lap part colectomy w/stoma,A,,29.05,12.31,NA,12.31,,6.56,47.92,47.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37144207,,L colectomy/coloproctostomy,A,,31.12,11.90,NA,11.90,,6.36,49.38,49.38,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37244208,,L colectomy/coloproctostomy,A,,33.14,14.10,NA,14.10,,6.71,53.95,53.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37344210,,Laparo total proctocolectomy,A,,29.34,13.86,NA,13.86,,5.53,48.73,48.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37444211,,Lap colectomy w/proctectomy,A,,36.15,16.36,NA,16.36,,5.19,57.70,57.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37544212,,Laparo total proctocolectomy,A,,33.72,16.01,NA,16.01,,6.02,55.75,55.75,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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