No office rate
Use 44204 when the partial colectomy includes an anastomosis. Use 44206 when the surgeon creates an end colostomy and closes the distal segment.
On this page
CMS RVU26D · Effective 2026-10-01
44206 Partial colectomy Medicare reimbursement rates in Illinois
Reports laparoscopic removal of part of the colon when the surgeon creates an end colostomy and closes the remaining distal bowel segment. Compare 44206 office and facility rates across CMS payment localities in Illinois.
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 44206 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1688.16–$1893.17
4 of 4 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.
Where 44206 pays more and less in Illinois
Colorectal surgery
About 44206: Laparoscopic partial colectomy with end colostomy
Reports laparoscopic removal of part of the colon when the surgeon creates an end colostomy and closes the remaining distal bowel segment.
The surgeon removes a segment of colon using a laparoscopic approach, brings the proximal bowel through the abdominal wall as an end colostomy, and closes the distal bowel segment. This Hartmann-type operation is used when the surgeon does not restore intestinal continuity during the same procedure, such as in selected cases of complicated diverticular disease, obstruction, or perforation. It is typically performed by a general or colorectal surgeon in a hospital operating room.
Report 44206 when the operative documentation supports partial colon resection, laparoscopic technique, an end colostomy, and closure of the distal segment. Distinguish it from partial colectomy codes that include an anastomosis or a different reconstruction. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44206
- 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 RVU29.05 · 61%
- Practice expense (office) RVU12.31 · 26%
- Malpractice RVU6.56 · 14%
2.3K
Medicare services in 2024 · #2355 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.
44206 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
44205 includes removal of terminal ileum with ileocolic reconstruction; 44206 describes an end colostomy with closure of the distal bowel segment.
No office rate
44207 includes a coloproctostomy. Choose 44206 when there is no bowel anastomosis and the operation ends with an end colostomy and closed distal segment.
No office rate
44208 includes a coloproctostomy plus a colostomy. 44206 instead describes an end colostomy with closure of the distal segment.
Compare 44206 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$1893.17
East St. Louis →
Office / nonfacility
Unavailable
Facility
$1789.86
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$1688.16
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$1787.62
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44206 billing questions
How does 44206 differ from 44204?
44206 includes an end colostomy and closure of the distal bowel segment. 44204 describes partial colectomy with an anastomosis rather than this Hartmann-type reconstruction.
Can 44206 be reported when the surgeon reconnects the bowel?
No. When the surgeon creates a bowel anastomosis, select the code that matches the resection and reconstruction performed rather than 44206.
What operative details support 44206?
Document the laparoscopic approach, the colon segment removed, creation of the end colostomy, and closure of the distal bowel segment.
Can splenic flexure mobilization be reported with 44206?
When separately performed and supported by the operative report, laparoscopic splenic flexure mobilization may be reported with add-on code 44213.
Can modifier 50 be used with 44206?
Modifier 50 is inappropriate for this colectomy service; the code describes a single bowel resection and reconstruction.
How does the 90-day global period affect postoperative reporting?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Medicare applies its standard multiple-procedure reduction when other procedures are performed in the same session.
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.
5,36744203,,Lap resect s/intestine addl,A,,4.33,1.07,NA,1.07,,1.07,6.47,6.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36844204,,Laparo partial colectomy,A,,25.76,10.80,NA,10.80,,5.75,42.31,42.31,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36944205,,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