No office rate
44140 describes partial colectomy with an anastomosis. Choose 44143 when the surgeon instead creates an end colostomy and closes the distal segment.
On this page
CMS RVU26D · Effective 2026-10-01
44143 Partial colectomy Medicare reimbursement rates in Missouri
Reports open removal of part of the colon with an end colostomy and closure of the remaining distal bowel, commonly as a Hartmann procedure. Compare 44143 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 44143 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
$1469.12–$1511.76
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 44143 pays more and less in Missouri
Colon surgery
About 44143: Partial colectomy with Hartmann procedure
Reports open removal of part of the colon with an end colostomy and closure of the remaining distal bowel, commonly as a Hartmann procedure.
The surgeon removes a diseased portion of colon, brings the upstream bowel through the abdominal wall as an end colostomy, and closes the downstream bowel segment inside the abdomen. This open operation is commonly performed for sigmoid disease, such as perforated diverticulitis or an obstructing lesion, when the surgeon does not create an immediate bowel reconnection. General and colorectal surgeons typically perform it in a hospital operating room.
Select this code when the operative report supports partial colectomy, end colostomy, and closure of the distal segment; a colostomy alone or a resection with another reconstruction is not enough. The record should identify the resection and the resulting bowel configuration. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44143
- 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 RVU27.10 · 59%
- Practice expense (office) RVU12.13 · 26%
- Malpractice RVU6.60 · 14%
9.3K
Medicare services in 2024 · #1514 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.
44143 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
44141 involves a skin-level cecostomy or colostomy. 44143 involves an end colostomy with closure of the distal bowel segment.
No office rate
44144 includes creation of a mucous fistula with the stoma. 44143 describes an end colostomy with the distal segment closed.
No office rate
44150 is for removal of the colon, not the partial colectomy described by 44143.
Compare 44143 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
$1500.98
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1511.76
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1469.12
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.
44143 billing questions
How does this differ from 44140?
44143 describes partial colectomy with an end colostomy and a closed distal segment. 44140 describes partial colectomy with bowel anastomosis.
Can the surgeon report a colostomy separately?
The end colostomy is part of the resection and reconstruction represented by 44143. The operative report should show the resection, end stoma, and closure of the distal segment.
When is 44141 a better fit?
Use 44141 for partial colectomy with a skin-level cecostomy or colostomy. Use 44143 when the surgeon creates an end colostomy and closes the distal bowel segment.
Can 44139 be reported with 44143?
44139 may be reported as an add-on when splenic flexure mobilization is performed with the colectomy and documented. The note should support that additional mobilization.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for resection on both sides?
No. Modifier 50 is inappropriate for this code; the colon resection and reconstruction are reported as a single procedure.
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.
5,34744139,,Mobilization of colon,A,,2.17,0.54,NA,0.54,,0.49,3.20,3.20,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34844140,,Partial removal of colon,A,,22.03,10.00,NA,10.00,,5.40,37.43,37.43,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,34944141,,Partial removal of colon,A,,29.16,14.31,NA,14.31,,7.16,50.63,50.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35044143,,Partial removal of colon,A,,27.10,12.13,NA,12.13,,6.60,45.83,45.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35144144,,Partial removal of colon,A,,29.16,12.76,NA,12.76,,7.02,48.94,48.94,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35244145,,Partial removal of colon,A,,27.87,11.33,NA,11.33,,6.17,45.37,45.37,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,35344146,,Partial removal of colon,A,,34.42,15.82,NA,15.82,,7.90,58.14,58.14,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00