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CMS RVU26D · Effective 2026-10-01

44615 Intestinal stricturoplasty Medicare reimbursement rates in Indiana

Reports surgery that widens a narrowed small-intestine segment while preserving bowel, typically for a symptomatic stricture such as one caused by Crohn disease. Compare 44615 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 44615 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

$904.58

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 44615 in your payment locality →

Intestinal surgery

About 44615: Small intestine stricture widening

Reports surgery that widens a narrowed small-intestine segment while preserving bowel, typically for a symptomatic stricture such as one caused by Crohn disease.

A surgeon opens and reshapes a narrowed segment of small intestine to improve passage through it while preserving the affected bowel rather than removing it. This bowel-sparing approach is commonly used for small-intestinal strictures, including those associated with Crohn disease, and is performed in an operating room. The code is reported for each stricture treated by stricturoplasty.

The operative report should identify the small-intestinal site, the stricture treated, and the procedure used to widen it. A 90-day global period includes 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this intestinal operation. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 44615

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 RVU17.71 · 59%
  • Practice expense (office) RVU7.94 · 27%
  • Malpractice RVU4.14 · 14%

173

Medicare services in 2024 · #4457 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.

44615 compared with similar codes

Office rates for Indiana, from the same CMS release.

44120

Small-bowel resection

Single resection with anastomosis

No office rate

Stricturoplasty widens and preserves the narrowed segment. Code 44120 is used when the surgeon removes a small-intestinal segment and reconnects the bowel.

44602

Small-bowel repair

Single injury perforation

No office rate

Code 44602 describes repair of a small-intestinal injury by suturing; 44615 treats a narrowed segment by widening it.

44620

Stoma closure

Without resection and anastomosis

No office rate

Code 44620 concerns closure of an intestinal opening or stoma, not treatment of a small-intestinal stricture.

Compare 44615 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

    $904.58

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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 44615 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

5,430

Code
44615
Physician work
17.71
Practice expense
7.94
Malpractice
4.14

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 44615 in Indiana
ComponentRVULocality factorAdjusted
Physician work17.71× 1.00017.7100
Practice expense7.94× 0.9277.3604
Malpractice4.14× 0.4862.0120
Total RVUs27.0824
Conversion factor× 33.4009

Facility rate, Indiana$904.58

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
Work17.711
Practice expense7.940.927
Malpractice4.140.486

(17.71 × 1 + 7.94 × 0.927 + 4.14 × 0.486) × $33.4009 = $904.58

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.

44615 billing questions

How is stricturoplasty different from small-bowel resection?

Report stricturoplasty when the surgeon widens the narrowed segment and preserves it. When the diseased segment is removed and the bowel is reconnected, consider the applicable resection code, such as 44120.

Is the code reported once for the operation or for each stricture?

The code is reported for each small-intestinal stricture treated by stricturoplasty. The operative report should distinguish the treated strictures and the work performed on each.

Can stricturoplasty be reported with a small-bowel resection?

They may be reported in the same session when the surgeon performs stricturoplasty on one segment and resects a separate segment. Document the distinct sites and procedures; the multiple-procedure reduction applies to procedures performed in the same session.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Should modifier 50 be used for stricturoplasties on more than one site?

No. Modifier 50 is not appropriate for this intestinal procedure; report the service for each treated stricture instead.

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 44615PPRRVU2026_Oct_nonQPP.csv, line 5,430 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet