No office rate
Choose 44126 for congenital atresia when the repair does not include bowel tapering. 44120 describes a small-bowel resection and anastomosis without that atresia-specific distinction.
On this page
CMS RVU26D · Effective 2026-10-01
44126 Atresia resection Medicare reimbursement rates in Missouri
Reports operative resection of small bowel for congenital atresia when the surgeon restores continuity without tapering the bowel. Compare 44126 office and facility rates across CMS payment localities in Missouri.
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 44126 in Missouri?
Missouri 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
$2201.02–$2260.06
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 44126 pays more and less in Missouri
Small intestine surgery
About 44126: Small bowel resection for congenital atresia
Reports operative resection of small bowel for congenital atresia when the surgeon restores continuity without tapering the bowel.
This service covers surgical removal of an atretic segment of small intestine in a patient with congenital intestinal atresia, followed by reconstruction to restore bowel continuity. It is typically performed by a pediatric or general surgeon in an operating room, often for an infant or child whose atresia obstructs intestinal passage. The distinguishing feature is that the surgeon does not taper the bowel as part of the repair.
Report this code when the operative note supports congenital atresia, the small-bowel resection and reconstruction, and the absence of tapering. Document additional resection and anastomosis work separately when supported by the applicable add-on code. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44126
- 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 RVU41.17 · 60%
- Practice expense (office) RVU16.20 · 24%
- Malpractice RVU11.05 · 16%
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.
44126 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
44125 describes small-bowel resection with an enterostomy. 44126 is the atresia repair without tapering that restores bowel continuity.
No office rate
The distinction is whether the surgeon tapers the bowel during the congenital-atresia repair: without tapering is 44126; with tapering is 44127.
No office rate
44128 is an add-on for additional congenital-atresia resection and anastomosis work, not the primary repair represented by 44126.
Compare 44126 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
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$2243.79
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$2260.06
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$2201.02
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.
44126 billing questions
How is 44126 distinguished from 44127?
44126 describes congenital-atresia resection without tapering. Use 44127 when the surgeon tapers the bowel as part of the repair.
Can 44126 be reported with 44128?
44128 represents each additional resection and anastomosis for congenital atresia. Report it with the primary procedure when the operative documentation supports additional work.
Does 44126 include reconstruction of the bowel?
The service includes reconstruction to restore bowel continuity after the atretic segment is removed. The operative report should describe the resection and the reconstruction performed.
How does 44126 differ from 44120?
44126 is specific to resection for congenital atresia without tapering. 44120 describes a small-bowel resection and anastomosis outside that atresia-specific service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
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.
5,33544120,,Removal of small intestine,A,,20.30,8.62,NA,8.62,,5.10,34.02,34.02,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33644121,,Removal of small intestine,A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33744125,,Removal of small intestine,A,,19.53,8.63,NA,8.63,,4.70,32.86,32.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33844126,,Enterectomy w/o taper cong,A,,41.17,16.20,NA,16.20,,11.05,68.42,68.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33944127,,Enterectomy w/taper cong,A,,48.07,17.73,NA,17.73,,12.87,78.67,78.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34044128,,Enterectomy cong add-on,A,,4.33,1.05,NA,1.05,,1.16,6.54,6.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34144130,,Bowel to bowel fusion,A,,21.56,9.95,NA,9.95,,5.34,36.85,36.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00