No office rate
Choose 44721 for arterial reconstruction and 44720 for venous reconstruction of the donor intestine; the operative report identifies the vessel connection.
On this page
CMS RVU26D · Effective 2026-10-01
44721 Donor intestine prep Medicare reimbursement rates in Indiana
Reports backbench reconstruction of a donor intestine’s arterial supply before transplantation, when the graft requires an arterial anastomosis. Compare 44721 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 44721 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
$309.07
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.
Transplant surgery
About 44721: Donor intestine arterial reconstruction
Reports backbench reconstruction of a donor intestine’s arterial supply before transplantation, when the graft requires an arterial anastomosis.
Before intestinal transplantation, the transplant surgeon works on the donor graft outside the recipient’s body to reconstruct its arterial supply. This may involve connecting donor arterial vessels or incorporating a vessel graft to create a usable blood supply for the intestine. The work takes place during graft preparation, typically in the operating room while the organ is preserved for transplantation; it is not the recipient implantation itself.
Select this code when the documented backbench work includes an arterial anastomosis of the donor intestine. The operative report should identify the arterial reconstruction performed and support the number of anastomoses reported. Distinguish this work from venous reconstruction and from general donor-intestine preparation. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces payment for the other procedures to 50%.
CMS billing rules for 44721
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU6.83 · 66%
- Practice expense (office) RVU1.66 · 16%
- Malpractice RVU1.82 · 18%
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.
44721 compared with similar codes
Office rates for Indiana, from the same CMS release.
44715
No office ratePrepare donor intestine
44715 describes general backbench preparation of donor intestine. Use 44721 when the documented work includes the specified arterial reconstruction.
44799
No office rateUnlisted px small intestine
44799 is for an unlisted small-intestine procedure when no specific code describes the work; 44721 applies to donor-intestine arterial reconstruction.
Compare 44721 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
$309.07
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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 44721 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,445
- Code
- 44721
- Physician work
- 6.83
- Practice expense
- 1.66
- Malpractice
- 1.82
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.83 | × 1.000 | 6.8300 |
| Practice expense | 1.66 | × 0.927 | 1.5388 |
| Malpractice | 1.82 | × 0.486 | 0.8845 |
| Total RVUs | 9.2533 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$309.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.83 | 1 |
| Practice expense | 1.66 | 0.927 |
| Malpractice | 1.82 | 0.486 |
(6.83 × 1 + 1.66 × 0.927 + 1.82 × 0.486) × $33.4009 = $309.07
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.
44721 billing questions
How does this differ from 44720?
44721 represents arterial reconstruction of the donor intestine; 44720 represents venous reconstruction. Use the operative details to identify which vessel connection was performed.
Is this code for the recipient’s implantation?
No. It describes arterial reconstruction of the donor intestine during backbench graft preparation, before the intestine is implanted in the recipient.
What documentation supports reporting this code?
The operative report should describe the donor graft’s arterial reconstruction, including the anastomosis performed and the vessels or graft material involved when documented.
How does the multiple-procedure reduction affect payment?
When other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces payment for the others to 50%.
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.
5,4424470F,,Icd counseling provided,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44344715,,Prepare donor intestine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44444720,,Prep donor intestine/venous,A,,4.88,1.18,NA,1.18,,1.31,7.37,7.37,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44544721,,Prep donor intestine/artery,A,,6.83,1.66,NA,1.66,,1.82,10.31,10.31,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44644799,,Unlisted px small intestine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44744800,,Excision of bowel pouch,A,,11.75,7.49,NA,7.49,,2.91,22.15,22.15,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4484480F,,Pt rcvng ace/arb b-blockertx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,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