No office rate
Choose 44312 for simple local revision. Choose 44314 when the revision is complicated, such as when bowel resection is required.
On this page
CMS RVU26D · Effective 2026-10-01
44312 Ileostomy revision Medicare reimbursement rates in Kentucky
Reports surgical correction of an existing ileostomy when a localized revision addresses problems such as retraction or narrowing without bowel resection. Compare 44312 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 44312 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
$540.88
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 44312: Simple ileostomy revision
Reports surgical correction of an existing ileostomy when a localized revision addresses problems such as retraction or narrowing without bowel resection.
A surgeon revises an established ileostomy to correct a local stoma problem, such as retraction or stenosis. The operation is generally performed by a general or colorectal surgeon in a hospital or other surgical setting. This code is for a simple revision; a more extensive revision involving bowel resection is distinguished from it by the operative work performed.
Report the code when the operative note supports revision of an existing ileostomy and describes the problem and corrective technique. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 44312
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.19 · 54%
- Practice expense (office) RVU5.83 · 34%
- Malpractice RVU1.99 · 12%
330
Medicare services in 2024 · #3922 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.
44312 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
44310 describes creation of an ileostomy or jejunostomy; 44312 revises an ileostomy that already exists.
No office rate
44340 applies to revision of a colostomy. Use 44312 when the revised ostomy is an ileostomy.
Compare 44312 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
$540.88
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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 44312 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,381
- Code
- 44312
- Physician work
- 9.19
- Practice expense
- 5.83
- Malpractice
- 1.99
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.19 | × 1.000 | 9.1900 |
| Practice expense | 5.83 | × 0.889 | 5.1829 |
| Malpractice | 1.99 | × 0.915 | 1.8209 |
| Total RVUs | 16.1937 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$540.88
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.19 | 1 |
| Practice expense | 5.83 | 0.889 |
| Malpractice | 1.99 | 0.915 |
(9.19 × 1 + 5.83 × 0.889 + 1.99 × 0.915) × $33.4009 = $540.88
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.
44312 billing questions
How do I distinguish this from 44314?
Use 44312 for a simple local revision, such as correction of retraction or stenosis. A revision involving bowel resection is associated with 44314.
Can I report this for creating a new ileostomy?
No. This code describes revision of an existing ileostomy. Code 44310 describes ileostomy or jejunostomy creation.
What should the operative note document?
Document the existing ileostomy, the problem being corrected, the revision performed, and the extent of the work, including whether bowel resection was required.
Does the service have a global period?
Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 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.
5,37844238,,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
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
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