No office rate
Both codes address enterostomy closure. Choose 44625 when the surgeon resects bowel and creates an anastomosis; choose 44620 when closure does not include those steps.
On this page
CMS RVU26D · Effective 2026-10-01
44625 Ostomy reversal Medicare reimbursement rates in Kansas
Report this code when a surgeon closes an ileostomy or colostomy by resecting bowel and reconnecting it without a colorectal anastomosis. Compare 44625 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 44625 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
$851.47
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 44625: Enterostomy closure with noncolorectal anastomosis
Report this code when a surgeon closes an ileostomy or colostomy by resecting bowel and reconnecting it without a colorectal anastomosis.
This operation reverses an enterostomy by removing the bowel segment at the stoma and reconnecting the remaining intestine. A typical example is an ileostomy takedown in which the surgeon resects the stoma-bearing segment and joins two small-bowel ends. A surgeon performs the procedure in an operating room, usually in a hospital setting. The resulting connection may involve small bowel or colon, but it is not a connection between colon and rectum.
Select this code when the operative report documents both bowel resection and a noncolorectal anastomosis as part of the stoma closure. The resection and reconnection are included in this service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When separately reportable procedures occur in the same session, Medicare pays the highest-valued procedure in full and others at 50%. Do not use modifier 50. An assistant surgeon may be paid; co-surgeons require supporting documentation, and CMS does not permit team-surgery billing.
CMS billing rules for 44625
- 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 RVU16.85 · 60%
- Practice expense (office) RVU7.62 · 27%
- Malpractice RVU3.48 · 12%
5K
Medicare services in 2024 · #1870 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.
44625 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Both involve resection during enterostomy closure. Use 44626 if the surgeon joins colon to rectum; use 44625 for a noncolorectal anastomosis.
No office rate
Code 44120 describes a small-bowel resection and anastomosis outside an enterostomy closure. When those steps accomplish an ileostomy takedown, 44625 describes the combined operation.
Compare 44625 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
$851.47
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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 44625 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,432
- Code
- 44625
- Physician work
- 16.85
- Practice expense
- 7.62
- Malpractice
- 3.48
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.85 | × 1.000 | 16.8500 |
| Practice expense | 7.62 | × 0.904 | 6.8885 |
| Malpractice | 3.48 | × 0.504 | 1.7539 |
| Total RVUs | 25.4924 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$851.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.85 | 1 |
| Practice expense | 7.62 | 0.904 |
| Malpractice | 3.48 | 0.504 |
(16.85 × 1 + 7.62 × 0.904 + 3.48 × 0.504) × $33.4009 = $851.47
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.
44625 billing questions
How does this differ from 44620?
Use 44625 when closing the enterostomy requires bowel resection and anastomosis. Code 44620 describes closure without that resection-and-anastomosis component.
When should 44626 be considered instead?
Choose 44626 when the resection and stoma closure result in a colorectal anastomosis. The operative report should identify the segments joined.
Can the bowel resection and anastomosis be billed separately?
Not when they are the resection and reconnection performed to close the enterostomy; those steps are part of 44625.
What documentation supports 44625?
The operative report should identify the stoma taken down, the bowel removed, and the two bowel segments joined. Those details establish both the resection and the noncolorectal anastomosis.
Can modifier 50 or team-surgery billing be used?
Do not append modifier 50 to this intestinal operation. CMS does not permit team-surgery billing, although an assistant surgeon may be paid and co-surgeons may be paid with 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.
5,42944605,,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
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
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