No office rate
44340 is for limited, skin-level revision. Choose 44345 when the operation involves a complicated revision with deeper resection or reconstruction.
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CMS RVU26D · Effective 2026-10-01
44340 Colostomy revision Medicare reimbursement rates in Iowa
Reports a limited revision of an existing colostomy, such as reshaping the stoma at the skin level without deep bowel reconstruction or hernia repair. Compare 44340 office and facility rates across CMS payment localities in Iowa.
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 44340 in Iowa?
Iowa 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
$546.53
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Colorectal surgery
About 44340: Simple colostomy revision
Reports a limited revision of an existing colostomy, such as reshaping the stoma at the skin level without deep bowel reconstruction or hernia repair.
A surgeon revises an existing colostomy with a limited, skin-level procedure, such as correcting a narrowed or poorly functioning stoma by revising its superficial opening. The work is confined to the stoma and does not involve deep bowel resection or reconstruction. This is typically performed by a colorectal or general surgeon in a hospital operating room or ambulatory surgical setting when local revision is needed to improve stoma function or fit with an ostomy appliance.
Report 44340 when the operative work supports a simple revision rather than a more extensive reconstruction or repair of a parastomal hernia. The operative note should identify the existing colostomy, the problem addressed, and the extent of revision. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44340
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.05 · 50%
- Practice expense (office) RVU7.12 · 39%
- Malpractice RVU2.01 · 11%
436
Medicare services in 2024 · #3664 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.
44340 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
44346 is the colostomy-revision code that includes repair of a parastomal hernia; 44340 describes a simple revision without that repair.
No office rate
44312 applies to simple revision of an ileostomy. Use 44340 when the existing stoma being revised is a colostomy.
No office rate
44320 describes creating a colostomy, while 44340 revises an existing colostomy.
Compare 44340 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
Iowa →
Office / nonfacility
Unavailable
Facility
$546.53
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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 44340 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
5,386
- Code
- 44340
- Physician work
- 9.05
- Practice expense
- 7.12
- Malpractice
- 2.01
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.05 | × 1.000 | 9.0500 |
| Practice expense | 7.12 | × 0.915 | 6.5148 |
| Malpractice | 2.01 | × 0.397 | 0.7980 |
| Total RVUs | 16.3628 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$546.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.05 | 1 |
| Practice expense | 7.12 | 0.915 |
| Malpractice | 2.01 | 0.397 |
(9.05 × 1 + 7.12 × 0.915 + 2.01 × 0.397) × $33.4009 = $546.53
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.
44340 billing questions
When should 44340 be selected instead of 44345?
Use 44340 for a simple, skin-level revision. Use 44345 when the documented work is a complicated revision involving deeper resection or reconstruction.
How does 44346 differ from 44340?
44346 includes revision of a colostomy with repair of a parastomal hernia. A limited skin-level revision without that hernia repair is the setting for 44340.
Can modifier 50 be appended for a colostomy revision?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor and anatomy.
Is assistant-at-surgery payment available for 44340?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when 44340 is performed with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
5,38344316,,Devise bowel pouch,A,,23.00,10.49,NA,10.49,,6.16,39.65,39.65,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38444320,,Colostomy,A,,19.41,9.68,NA,9.68,,4.50,33.59,33.59,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38544322,,Colostomy with biopsies,A,,12.99,12.99,NA,12.99,,3.46,29.44,29.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38644340,,Revision of colostomy,A,,9.05,7.12,NA,7.12,,2.01,18.18,18.18,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38744345,,Revision of colostomy,A,,16.79,9.00,NA,9.00,,3.75,29.54,29.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38844346,,Revision of colostomy,A,,19.14,9.58,NA,9.58,,4.22,32.94,32.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38944360,,Small bowel endoscopy,A,,2.43,1.13,NA,1.13,,0.26,3.82,3.82,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136