No office rate
Choose 44361 when tissue biopsy is performed during the small-bowel examination. Brushing or washing alone is included in 44360.
On this page
CMS RVU26D · Effective 2026-10-01
44360 Small-bowel exam Medicare reimbursement rates in Maine
Reports diagnostic enteroscopy beyond the second portion of the duodenum, when the examination evaluates the small bowel without biopsy or therapeutic intervention. Compare 44360 office and facility rates across CMS payment localities in Maine.
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 44360 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$121.29–$124.05
2 of 2 localities have a supported rate.
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 44360: Diagnostic small-bowel enteroscopy
Reports diagnostic enteroscopy beyond the second portion of the duodenum, when the examination evaluates the small bowel without biopsy or therapeutic intervention.
This service is a diagnostic endoscopic examination of the small bowel beyond the second portion of the duodenum, without entering the ileum. A gastroenterologist typically performs it in an endoscopy suite or hospital setting to evaluate concerns such as suspected small-bowel bleeding or abnormal findings on prior testing. The code includes specimen collection by brushing or washing when performed; it does not describe tissue sampling by biopsy.
Report this code when the documented examination is diagnostic and does not include a separately specified intervention such as biopsy, lesion removal, or bleeding control. The procedure note should identify the extent reached, findings, and any brushing or washing. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures in the same session qualify for the standard reduction, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this single-route anatomy. CMS does not pay an assistant at surgery and does not permit co-surgeon or team-surgery reporting for this service.
CMS billing rules for 44360
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- 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 RVU2.43 · 64%
- Practice expense (office) RVU1.13 · 30%
- Malpractice RVU0.26 · 7%
6.4K
Medicare services in 2024 · #1718 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.
44360 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
Choose 44363 when the endoscopist removes a foreign body; 44360 describes a diagnostic examination without that intervention.
No office rate
Choose 44364 for snare removal of a tumor, polyp, or other lesion during enteroscopy rather than a diagnostic-only examination.
Compare 44360 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$121.29
Southern Maine →
Office / nonfacility
Unavailable
Facility
$124.05
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44360 billing questions
When should 44360 be reported instead of 44361?
Use 44360 for a diagnostic examination that may include brushing or washing. Use 44361 when the enteroscopy includes biopsy.
Does brushing or washing require a different code?
No. Collection of specimens by brushing or washing is included in 44360 when performed.
Can 44360 be reported when the endoscopist removes a lesion?
A lesion-removal service is represented by a therapeutic enteroscopy code, such as 44364 for snare removal, rather than this diagnostic code alone.
How many units are generally reported for one examination?
Report one unit for the diagnostic enteroscopy, including any brushing or washing performed during that examination.
What documentation supports 44360?
Document the indication, the small-bowel extent examined, findings, and whether specimens were collected by brushing or washing. If biopsy or therapy was performed, document the specific intervention.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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.
5,38644340,,Revision of colostomy,A,,9.05,7.12,NA,7.12,,2.01,18.18,18.18,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38744345,,Revision of colostomy,A,,16.79,9.00,NA,9.00,,3.75,29.54,29.54,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38844346,,Revision of colostomy,A,,19.14,9.58,NA,9.58,,4.22,32.94,32.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38944360,,Small bowel endoscopy,A,,2.43,1.13,NA,1.13,,0.26,3.82,3.82,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,39044361,,Small bowel endoscopy/biopsy,A,,2.70,1.22,NA,1.22,,0.29,4.21,4.21,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39144363,,Small bowel endoscopy,A,,3.31,1.39,NA,1.39,,0.38,5.08,5.08,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00
5,39244364,,Small bowel endoscopy,A,,3.54,1.47,NA,1.47,,0.39,5.40,5.40,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44360,33.4009,09,0,99,0.00,0.00,0.00