No office rate
Both describe intestinal adhesiolysis, but 44005 is the open approach; 44180 is performed laparoscopically.
On this page
CMS RVU26D · Effective 2026-10-01
44180 Adhesion release Medicare reimbursement rates in Michigan
Reports laparoscopic freeing of intestinal adhesions, such as adhesions contributing to bowel obstruction, when the lysis is a distinct surgical service. Compare 44180 office and facility rates across CMS payment localities in Michigan.
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 44180 in Michigan?
Michigan 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
$859.82–$942.84
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.
Digestive surgery
About 44180: Laparoscopic intestinal adhesion release
Reports laparoscopic freeing of intestinal adhesions, such as adhesions contributing to bowel obstruction, when the lysis is a distinct surgical service.
A surgeon uses laparoscopic instruments to free the small intestine or other bowel from adhesions that restrict movement or contribute to obstruction. General and colorectal surgeons commonly perform the procedure in a hospital operating room. The operative work is directed at separating adherent bowel and releasing tethering bands; it does not describe removal of intestine. Adhesions may follow prior abdominal surgery or inflammation.
Report the code for laparoscopic adhesiolysis when the operative note supports substantive, distinct work, including the involved bowel and extent of release. Routine lysis needed to reach or complete another abdominal operation is generally included in that operation. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate for this intestinal service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44180
- 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 RVU14.89 · 58%
- Practice expense (office) RVU7.20 · 28%
- Malpractice RVU3.79 · 15%
7.7K
Medicare services in 2024 · #1607 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.
44180 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
44140 reports open removal of part of the colon. It does not describe laparoscopic release of adhesions without bowel removal.
No office rate
44204 reports laparoscopic partial colectomy. Choose it when part of the colon is removed; 44180 describes laparoscopic adhesiolysis.
Compare 44180 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
Detroit →
Office / nonfacility
Unavailable
Facility
$942.84
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$859.82
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
44180 billing questions
When should 44180 be chosen over open enterolysis?
Use 44180 when the adhesiolysis is performed laparoscopically. Open intestinal adhesiolysis is reported with 44005.
Can 44180 be reported with a bowel resection?
Routine adhesiolysis needed to expose or complete the resection is generally included. A distinct, substantive adhesiolysis may be separately reportable when the operative documentation supports it and applicable edits permit separate reporting.
What should the operative note document?
Document the laparoscopic approach, the bowel involved, the location and extent of adhesions, and the work required to free the bowel. If another procedure was performed, describe why the adhesiolysis was distinct from the work needed for that procedure.
Is modifier 50 appropriate for 44180?
No. Modifier 50 is inappropriate because intestinal adhesiolysis is not a bilateral service.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction. The 90-day global period includes the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
5,35944157,,Colectomy w/ileoanal anast,A,,34.81,17.01,NA,17.01,,9.32,61.14,61.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36044158,,Colectomy w/neo-rectum pouch,A,,35.78,17.25,NA,17.25,,9.58,62.61,62.61,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36144160,,Removal of colon,A,,20.37,9.38,NA,9.38,,4.90,34.65,34.65,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36244180,,Lap enterolysis,A,,14.89,7.20,NA,7.20,,3.79,25.88,25.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36344186,,Lap jejunostomy,A,,10.12,6.00,NA,6.00,,2.59,18.71,18.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36444187,,Lap ileo/jejuno-stomy,A,,16.97,10.31,NA,10.31,,3.40,30.68,30.68,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,36544188,,Lap colostomy,A,,18.87,11.04,NA,11.04,,4.21,34.12,34.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00