No office rate
Use 44620 for enterostomy closure without bowel resection and anastomosis. 44626 involves resection and anastomosis and includes parastomal hernia repair.
On this page
CMS RVU26D · Effective 2026-10-01
44626 Enterostomy closure Medicare reimbursement rates in Indiana
Reports closure of a surgically created small- or large-bowel opening with bowel resection and reconnection, including repair of a parastomal hernia. Compare 44626 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 44626 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
$1324.67
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.
Intestinal surgery
About 44626: Enterostomy closure with bowel resection and hernia repair
Reports closure of a surgically created small- or large-bowel opening with bowel resection and reconnection, including repair of a parastomal hernia.
This operation closes a surgically created enterostomy, such as an ileostomy or colostomy, by removing bowel at the stoma and reconnecting the remaining ends. The service also includes repair of the parastomal hernia. A surgeon typically performs it in a hospital operating room when the patient is ready for intestinal continuity to be restored and the stoma site has a hernia requiring repair.
Report 44626 when the closure includes both bowel resection with anastomosis and parastomal hernia repair; operative documentation should support each part of that service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44626
- 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 RVU27.20 · 62%
- Practice expense (office) RVU10.18 · 23%
- Malpractice RVU6.22 · 14%
3.1K
Medicare services in 2024 · #2142 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.
44626 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Use 44625 when enterostomy closure includes bowel resection and anastomosis but not parastomal hernia repair. 44626 includes the hernia repair as well.
No office rate
44640 is for repair of an intestinal-to-skin fistula. 44626 closes a surgically created enterostomy and includes resection, anastomosis, and parastomal hernia repair.
Compare 44626 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1324.67
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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 44626 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,433
- Code
- 44626
- Physician work
- 27.20
- Practice expense
- 10.18
- Malpractice
- 6.22
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.20 | × 1.000 | 27.2000 |
| Practice expense | 10.18 | × 0.927 | 9.4369 |
| Malpractice | 6.22 | × 0.486 | 3.0229 |
| Total RVUs | 39.6598 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1324.67
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 27.2 | 1 |
| Practice expense | 10.18 | 0.927 |
| Malpractice | 6.22 | 0.486 |
(27.2 × 1 + 10.18 × 0.927 + 6.22 × 0.486) × $33.4009 = $1324.67
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.
44626 billing questions
How does 44626 differ from 44625?
Both involve enterostomy closure with bowel resection and anastomosis. 44626 also includes repair of a parastomal hernia.
When is 44620 used instead?
44620 describes enterostomy closure without bowel resection and anastomosis. Use 44626 when resection and reconnection are performed and a parastomal hernia is repaired.
Can the parastomal hernia repair be reported separately?
The hernia repair is included in 44626. The operative report should document the hernia repair along with the bowel resection, anastomosis, and stoma closure.
Does 44626 have a global period?
Yes. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for two stomas?
No. Modifier 50 is inappropriate for this code under the CMS bilateral rule.
May 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.
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.
5,43044615,,Intestinal stricturoplasty,A,,17.71,7.94,NA,7.94,,4.14,29.79,29.79,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43144620,,Repair bowel opening,A,,14.07,6.96,NA,6.96,,3.04,24.07,24.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43244625,,Repair bowel opening,A,,16.85,7.62,NA,7.62,,3.48,27.95,27.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43344626,,Repair bowel opening,A,,27.20,10.18,NA,10.18,,6.22,43.60,43.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43444640,,Repair bowel-skin fistula,A,,23.60,9.41,NA,9.41,,5.43,38.44,38.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43544650,,Repair bowel fistula,A,,24.49,9.63,NA,9.63,,5.50,39.62,39.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43644660,,Repair bowel-bladder fistula,A,,23.31,8.75,NA,8.75,,4.36,36.42,36.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915