No office rate
Both codes describe suture repair of colon perforations; 44604 is for one perforation, while 44605 is for multiple perforations.
On this page
CMS RVU26D · Effective 2026-10-01
44604 Colon repair Medicare reimbursement rates in Kansas
Reports suture repair of one perforation in the colon, such as a defect from injury, rupture, ulcer, or diverticulum. Compare 44604 office and facility rates across CMS payment localities in Kansas.
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 44604 in Kansas?
Kansas 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
$880.81
1 of 1 localities have a supported rate.
Payment area: Kansas
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 44604: Single-perforation colon suture repair
Reports suture repair of one perforation in the colon, such as a defect from injury, rupture, ulcer, or diverticulum.
This code describes surgical suture repair of a single perforation in the large intestine. Typical situations include a colon injury or rupture, or a perforation associated with an ulcer or diverticulum. General and colorectal surgeons commonly perform the repair in an operating room, including during emergency abdominal surgery. The repair closes the colon defect rather than treating a stoma or fistula.
Select this code when the operative report identifies one perforation in the colon and documents its location, cause, and repair. Multiple perforations and small-intestine defects are coded differently. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44604
- 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 · 61%
- Practice expense (office) RVU7.20 · 25%
- Malpractice RVU4.27 · 15%
983
Medicare services in 2024 · #2983 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.
44604 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
44602 is for a single perforation in the small intestine. Choose 44604 when the repaired perforation is in the colon.
No office rate
44603 describes repair of multiple small-intestine perforations; 44604 describes repair of one colon perforation.
Compare 44604 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
Kansas →
Office / nonfacility
Unavailable
Facility
$880.81
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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 44604 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,428
- Code
- 44604
- Physician work
- 17.71
- Practice expense
- 7.20
- Malpractice
- 4.27
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.71 | × 1.000 | 17.7100 |
| Practice expense | 7.20 | × 0.904 | 6.5088 |
| Malpractice | 4.27 | × 0.504 | 2.1521 |
| Total RVUs | 26.3709 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$880.81
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.71 | 1 |
| Practice expense | 7.2 | 0.904 |
| Malpractice | 4.27 | 0.504 |
(17.71 × 1 + 7.2 × 0.904 + 4.27 × 0.504) × $33.4009 = $880.81
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.
44604 billing questions
When should 44604 be chosen over 44605?
Use 44604 for repair of one colon perforation. For multiple colon perforations repaired in the same operative setting, consider 44605.
Can 44604 be used for a small-intestine perforation?
No. This code is for the colon; small-intestine suture repairs are reported with the corresponding small-intestine codes.
What operative documentation supports 44604?
Document that the defect is in the colon, that there is a single perforation, and the cause and repair performed.
How does the multiple-procedure reduction affect 44604?
When other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation.
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.
5,4254450F,,Self-care ed provided to pt,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
5,42644602,,Suture small intestine,A,,24.10,8.53,NA,8.53,,6.00,38.63,38.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42744603,,Suture small intestine,A,,27.46,10.32,NA,10.32,,6.66,44.44,44.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42844604,,Suture large intestine,A,,17.71,7.20,NA,7.20,,4.27,29.18,29.18,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42944605,,Repair of bowel lesion,A,,21.53,9.18,NA,9.18,,5.75,36.46,36.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43044615,,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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958