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CMS RVU26D · Effective 2026-10-01

44110 Intestinal excision Medicare reimbursement rates in Indiana

Open excision of one intestinal lesion through an enterotomy is reported when the surgeon removes the lesion without segmental bowel resection. Compare 44110 office and facility rates across CMS payment localities in Indiana.

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 44110 in Indiana?

Indiana 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

$725.62

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 44110 in your payment locality →

Intestinal surgery

About 44110: Open intestinal lesion excision

Open excision of one intestinal lesion through an enterotomy is reported when the surgeon removes the lesion without segmental bowel resection.

The surgeon opens the bowel through an enterotomy, removes one discrete lesion, and closes the bowel. This open operation may be used for a focal lesion, such as a polyp or localized tumor, that requires surgical excision. It describes removal of the lesion itself rather than removal of a bowel segment.

Report this code when the operative record supports excision of a single lesion. Documentation should identify the bowel site, lesion, and excision performed, and distinguish removal from biopsy or segmental resection. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 44110

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 RVU13.69 · 57%
  • Practice expense (office) RVU7.00 · 29%
  • Malpractice RVU3.18 · 13%

559

Medicare services in 2024 · #3459 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.

44110 compared with similar codes

Office rates for Indiana, from the same CMS release.

44111

Bowel lesion excision

Multiple lesions

No office rate

Choose 44110 for one excised intestinal lesion and 44111 when the surgeon excises multiple lesions.

44100

Bowel biopsy

Percutaneous needle sampling

No office rate

44100 represents intestinal tissue sampling for biopsy; 44110 represents removal of a single lesion.

44120

Small-bowel resection

Single resection with anastomosis

No office rate

44120 describes small-intestine segmental resection with anastomosis. Use 44110 when the surgeon excises the lesion without removing a bowel segment.

44140

Partial colectomy

With anastomosis

No office rate

44140 describes partial colon removal. It is distinct from focal intestinal lesion excision through an enterotomy.

Compare 44110 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

Office and facility base rates · shared scale starting at $0

  • Indiana →

    Office / nonfacility

    Unavailable

    Facility

    $725.62

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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 44110 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

5,333

Code
44110
Physician work
13.69
Practice expense
7.00
Malpractice
3.18

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 44110 in Indiana
ComponentRVULocality factorAdjusted
Physician work13.69× 1.00013.6900
Practice expense7.00× 0.9276.4890
Malpractice3.18× 0.4861.5455
Total RVUs21.7245
Conversion factor× 33.4009

Facility rate, Indiana$725.62

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work13.691
Practice expense70.927
Malpractice3.180.486

(13.69 × 1 + 7 × 0.927 + 3.18 × 0.486) × $33.4009 = $725.62

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.

44110 billing questions

How does 44110 differ from 44111?

44110 is for excision of a single intestinal lesion. Use 44111 when the surgeon excises multiple lesions.

When is excision reported instead of an intestinal biopsy?

Report 44110 when the surgeon removes the lesion, rather than sampling tissue for diagnosis. A biopsy code such as 44100 describes sampling, not lesion excision.

Does 44110 include removal of a bowel segment?

No. It describes lesion excision through an enterotomy; when the surgeon removes a bowel segment, consider the applicable resection code, such as 44120 for small-intestine resection.

Should modifier 50 be appended for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. The operative report should document the lesion excised and its bowel site.

What surgical-assistance rules apply?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is 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.

RVUs for 44110PPRRVU2026_Oct_nonQPP.csv, line 5,333 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet