No office rate
Use 44360 for diagnostic small-bowel enteroscopy without endoscopic nasojejunal tube placement. Tube placement is the defining service for 44373.
On this page
CMS RVU26D · Effective 2026-10-01
44373 Small bowel endoscopy Medicare reimbursement rates in Kentucky
Reports enteroscopy beyond the second portion of the duodenum when the endoscopist places a nasojejunal feeding tube under direct visualization. Compare 44373 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 44373 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
$164.08
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.
Gastroenterology
About 44373: Enteroscopy with feeding tube placement
Reports enteroscopy beyond the second portion of the duodenum when the endoscopist places a nasojejunal feeding tube under direct visualization.
The endoscopist advances a small-bowel scope beyond the second portion of the duodenum and guides a feeding tube through the upper gastrointestinal tract into the jejunum. This service is generally performed by a gastroenterologist or surgeon in an endoscopy or hospital setting when enteral nutrition needs to be delivered beyond the stomach. The tube placement is the distinguishing therapeutic service; a diagnostic examination alone does not support this code.
Report the service when the procedure record supports both the enteroscopy and endoscopic tube placement, including the tube’s destination. When related endoscopies are performed together, CMS endoscopy-family pricing applies. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate because bilateral adjustment does not apply. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 44373
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.31 · 65%
- Practice expense (office) RVU1.36 · 27%
- Malpractice RVU0.43 · 8%
789
Medicare services in 2024 · #3162 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.
44373 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Use 44361 when the enteroscopy includes biopsy. Use 44373 when the endoscopist places a nasojejunal feeding tube.
No office rate
44372 represents small-bowel endoscopy with dilation; 44373 represents endoscopic placement of a nasojejunal feeding tube.
No office rate
44376 is diagnostic enteroscopy that includes the ileum. 44373 describes tube placement during enteroscopy that does not include the ileum.
Compare 44373 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
$164.08
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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 44373 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,398
- Code
- 44373
- Physician work
- 3.31
- Practice expense
- 1.36
- Malpractice
- 0.43
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.31 | × 1.000 | 3.3100 |
| Practice expense | 1.36 | × 0.889 | 1.2090 |
| Malpractice | 0.43 | × 0.915 | 0.3935 |
| Total RVUs | 4.9125 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$164.08
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.31 | 1 |
| Practice expense | 1.36 | 0.889 |
| Malpractice | 0.43 | 0.915 |
(3.31 × 1 + 1.36 × 0.889 + 0.43 × 0.915) × $33.4009 = $164.08
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.
44373 billing questions
How does this differ from diagnostic enteroscopy?
This code is for enteroscopy with endoscopic placement of a nasojejunal feeding tube. A diagnostic enteroscopy without that placement is represented by a different code.
What documentation supports reporting it?
Document the enteroscopic approach, the endoscopic guidance, and the feeding tube’s jejunal destination. The record should establish that tube placement was performed, not merely planned.
Can the diagnostic enteroscopy be billed separately during the same procedure?
The endoscopic examination used to place the tube is part of this service. When related endoscopies are performed together, CMS endoscopy-family pricing applies.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inapplicable for this code, making modifier 50 inappropriate.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
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.
5,39544369,,Small bowel endoscopy,A,,4.30,1.69,NA,1.69,,0.47,6.46,6.46,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39644370,,Small bowel endoscopy/stent,A,,4.57,1.99,NA,1.99,,0.49,7.05,7.05,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39744372,,Small bowel endoscopy,A,,4.19,1.61,NA,1.61,,0.55,6.35,6.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39844373,,Small bowel endoscopy,A,,3.31,1.36,NA,1.36,,0.43,5.10,5.10,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39944376,,Small bowel endoscopy,A,,5.02,1.88,NA,1.88,,0.54,7.44,7.44,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40044377,,Small bowel endoscopy/biopsy,A,,5.28,1.94,NA,1.94,,0.59,7.81,7.81,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40144378,,Small bowel endoscopy,A,,6.84,2.43,NA,2.43,,0.76,10.03,10.03,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
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