No office rate
44204 reports the laparoscopic partial colectomy with anastomosis. Add 44213 only when the surgeon also performs and documents splenic flexure mobilization.
On this page
CMS RVU26D · Effective 2026-10-01
44213 Splenic flexure Medicare reimbursement rates in Missouri
Reports laparoscopic release of the splenic flexure to facilitate a partial colectomy, such as completing a colorectal resection or allowing a tension-free anastomosis. Compare 44213 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 44213 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
$160.57–$163.72
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 44213 pays more and less in Missouri
Laparoscopic colorectal surgery
About 44213: Laparoscopic splenic flexure mobilization
Reports laparoscopic release of the splenic flexure to facilitate a partial colectomy, such as completing a colorectal resection or allowing a tension-free anastomosis.
During laparoscopic colon surgery, the surgeon frees the splenic flexure from its attachments so the left colon can reach the planned resection or reconstruction site. This additional dissection may help provide adequate length for a colorectal anastomosis. It is performed by a general or colorectal surgeon in the operating room as part of a laparoscopic partial colectomy; it is not the colectomy itself.
Report 44213 only with an eligible primary procedure, such as a laparoscopic partial colectomy. The operative note should describe the flexure mobilization, rather than merely documenting routine exposure or the colon resection. CMS classifies this as an add-on code: it is billed with the primary procedure, and its payment is handled within that procedure's global period. The primary code identifies the colectomy and its reconstruction; 44213 identifies the separately documented flexure work.
CMS billing rules for 44213
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.41 · 69%
- Practice expense (office) RVU0.83 · 17%
- Malpractice RVU0.70 · 14%
10.6K
Medicare services in 2024 · #1443 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.
44213 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
44207 identifies a laparoscopic left colectomy with coloproctostomy. It is the primary resection and reconstruction code; 44213 reports additional flexure mobilization.
No office rate
44208 describes a laparoscopic left colectomy with coloproctostomy and colostomy. It does not replace 44213 when separately documented flexure mobilization is performed.
Compare 44213 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
$162.77
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$163.72
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$160.57
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44213 billing questions
Can 44213 be billed by itself?
No. It is an add-on and must be reported with a qualifying primary procedure, such as a laparoscopic partial colectomy.
Does every laparoscopic partial colectomy include 44213?
No. Report it when the surgeon performs and documents splenic flexure mobilization; a colectomy alone does not establish that this additional work occurred.
What documentation supports 44213?
The operative report should describe the laparoscopic dissection and release of the splenic flexure, in addition to the primary colectomy and reconstruction.
Which code describes the colectomy itself?
The primary colectomy code describes the resection and reconstruction, such as 44204 or 44207. Code 44213 identifies the additional flexure mobilization.
How does the global period affect 44213?
CMS treats 44213 as an add-on paid within the primary procedure's global period. Report it with the primary procedure rather than as an independent service.
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.
5,37344210,,Laparo total proctocolectomy,A,,29.34,13.86,NA,13.86,,5.53,48.73,48.73,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37444211,,Lap colectomy w/proctectomy,A,,36.15,16.36,NA,16.36,,5.19,57.70,57.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37544212,,Laparo total proctocolectomy,A,,33.72,16.01,NA,16.01,,6.02,55.75,55.75,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37644213,,Lap mobil splenic fl add-on,A,,3.41,0.83,NA,0.83,,0.70,4.94,4.94,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37744227,,Lap close enterostomy,A,,27.90,11.39,NA,11.39,,6.20,45.49,45.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37844238,,Unlisted laps px intestine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37944300,,Open bowel to skin,A,,13.41,7.04,NA,7.04,,3.39,23.84,23.84,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00