No office rate
Choose 44300 when the open bowel-to-skin access includes a tube. Choose 44310 for a non-tube ileostomy or jejunostomy.
On this page
CMS RVU26D · Effective 2026-10-01
44300 Enterostomy tube Medicare reimbursement rates in Kentucky
Open placement of a bowel-to-skin tube for enteral feeding or decompression, reported when a surgeon creates enteric access through an operative approach. Compare 44300 office and facility rates across CMS payment localities in Kentucky.
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 44300 in Kentucky?
Kentucky 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
$760.55
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Digestive surgery
About 44300: Open enterostomy tube placement
Open placement of a bowel-to-skin tube for enteral feeding or decompression, reported when a surgeon creates enteric access through an operative approach.
A surgeon creates an opening from the small bowel or cecum to the abdominal skin and places a tube through it. The tube may provide enteral feeding or bowel decompression. This service is generally performed in a facility operating room when open access is needed; a jejunostomy tube is a common form of enteral access, while cecostomy tubes may be used for decompression.
Report this code for open tube access, not for a non-tube ileostomy or jejunostomy. The operative note should identify the bowel segment, open approach, tube placement, and clinical purpose. The 90-day global includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur 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 bowel-to-skin service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44300
- 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 RVU13.41 · 56%
- Practice expense (office) RVU7.04 · 30%
- Malpractice RVU3.39 · 14%
1.3K
Medicare services in 2024 · #2796 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.
44300 compared with similar codes
Office rates for Kentucky, from the same CMS release.
Compare 44300 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$760.55
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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 44300 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,379
- Code
- 44300
- Physician work
- 13.41
- Practice expense
- 7.04
- Malpractice
- 3.39
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.41 | × 1.000 | 13.4100 |
| Practice expense | 7.04 | × 0.889 | 6.2586 |
| Malpractice | 3.39 | × 0.915 | 3.1019 |
| Total RVUs | 22.7704 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$760.55
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.41 | 1 |
| Practice expense | 7.04 | 0.889 |
| Malpractice | 3.39 | 0.915 |
(13.41 × 1 + 7.04 × 0.889 + 3.39 × 0.915) × $33.4009 = $760.55
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.
44300 billing questions
How is this different from 44310?
This code includes placement of a tube through an open bowel-to-skin access. Code 44310 describes a non-tube ileostomy or jejunostomy.
Does the code include the tube placement?
Yes. The open enteric access and placement of the tube are part of the reported service; they are not separate portions of this procedure.
When is modifier 50 appropriate?
Modifier 50 is not appropriate because this bowel-to-skin procedure is not a paired bilateral service.
What documentation supports reporting this code?
Document the open operative approach, the bowel segment used, the tube placement, and whether access is for feeding or decompression.
How does the global period affect postoperative visits?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
5,37644213,,Lap mobil splenic fl add-on,A,,3.41,0.83,NA,0.83,,0.70,4.94,4.94,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37744227,,Lap close enterostomy,A,,27.90,11.39,NA,11.39,,6.20,45.49,45.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37844238,,Unlisted laps px intestine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37944300,,Open bowel to skin,A,,13.41,7.04,NA,7.04,,3.39,23.84,23.84,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38044310,,Ileostomy/jejunostomy,A,,17.15,7.97,NA,7.97,,3.85,28.97,28.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38144312,,Revision of ileostomy,A,,9.19,5.83,NA,5.83,,1.99,17.01,17.01,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38244314,,Revision of ileostomy,A,,16.32,8.33,NA,8.33,,3.36,28.01,28.01,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631