No office rate
Choose 44500 for a long tube advanced into the intestine. Choose 43752 for naso- or orogastric placement requiring physician skill and fluoroscopic guidance.
On this page
CMS RVU26D · Effective 2026-10-01
44500 GI tube placement Medicare reimbursement rates in Maryland
Reports placement of a long gastrointestinal tube advanced into the intestine for decompression or diagnostic use, such as enteroclysis. Compare 44500 office and facility rates across CMS payment localities in Maryland.
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 44500 in Maryland?
Maryland has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$16.41–$17.62
3 of 3 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.
Where 44500 pays more and less in Maryland
Gastrointestinal procedures
About 44500: Long gastrointestinal tube introduction
Reports placement of a long gastrointestinal tube advanced into the intestine for decompression or diagnostic use, such as enteroclysis.
A physician or other qualified practitioner introduces a long tube through the nose or mouth and advances it into the gastrointestinal tract, commonly into the small intestine. The tube may be used to decompress the bowel or to provide access for a diagnostic study such as enteroclysis. This is distinct from placing a routine nasogastric tube that terminates in the stomach. The service is commonly performed in a hospital or other facility when intestinal access is needed.
Report 44500 for the long-tube introduction itself, not simply because a tube is present. Documentation should identify the tube and route, the intended destination, and the clinical purpose; when applicable, it should also describe the placement work. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 44500
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU0.38 · 78%
- Practice expense (office) RVU0.07 · 14%
- Malpractice RVU0.04 · 8%
4.5K
Medicare services in 2024 · #1954 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.
44500 compared with similar codes
Office rates for Maryland, from the same CMS release.
74251
No office rateX-ray xm sm int 2cntrst std
74251 describes the radiologic enteroclysis examination and contrast infusion through an enteroclysis catheter; 44500 describes introducing the long gastrointestinal tube.
$796.11–$911.78
49440 is percutaneous gastrostomy tube placement. It differs from 44500, which introduces a long gastrointestinal tube through the nose or mouth.
Compare 44500 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.
3 of 3 payment localities
Baltimore/Surr. Cntys →
Office / nonfacility
Unavailable
Facility
$17.06
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$17.62
Rest Of Maryland →
Office / nonfacility
Unavailable
Facility
$16.41
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44500 billing questions
How is 44500 different from 43752?
44500 is for introducing a long gastrointestinal tube advanced into the intestine. Code 43752 describes naso- or orogastric tube placement requiring physician skill and fluoroscopic guidance, rather than long intestinal tube introduction.
Does 44500 include an enteroclysis imaging study?
44500 reports the tube introduction. The radiologic enteroclysis examination is described by 74251; documentation should distinguish the tube-placement service from the imaging service.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. Care on a later date is outside this global period.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; 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.
5,42144406,,Colonoscopy w/ultrasound,A,,4.00,1.61,NA,1.61,,0.44,6.05,6.05,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42244407,,Colonoscopy w/ndl aspir/bx,A,,4.84,1.85,NA,1.85,,0.53,7.22,7.22,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42344408,,Colonoscopy w/decompression,A,,4.04,1.62,NA,1.62,,0.44,6.10,6.10,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42444500,,Intro gastrointestinal tube,A,,0.38,0.07,NA,0.07,,0.04,0.49,0.49,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4254450F,,Self-care ed provided to pt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42644602,,Suture small intestine,A,,24.10,8.53,NA,8.53,,6.00,38.63,38.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42744603,,Suture small intestine,A,,27.46,10.32,NA,10.32,,6.66,44.44,44.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00