No office rate
Stricturoplasty widens and preserves the narrowed segment. Code 44120 is used when the surgeon removes a small-intestinal segment and reconnects the bowel.
On this page
CMS RVU26D · Effective 2026-10-01
44615 Intestinal stricturoplasty Medicare reimbursement rates in Missouri
Reports surgery that widens a narrowed small-intestine segment while preserving bowel, typically for a symptomatic stricture such as one caused by Crohn disease. Compare 44615 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 44615 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
$954.82–$982.56
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 44615 pays more and less in Missouri
Intestinal surgery
About 44615: Small intestine stricture widening
Reports surgery that widens a narrowed small-intestine segment while preserving bowel, typically for a symptomatic stricture such as one caused by Crohn disease.
A surgeon opens and reshapes a narrowed segment of small intestine to improve passage through it while preserving the affected bowel rather than removing it. This bowel-sparing approach is commonly used for small-intestinal strictures, including those associated with Crohn disease, and is performed in an operating room. The code is reported for each stricture treated by stricturoplasty.
The operative report should identify the small-intestinal site, the stricture treated, and the procedure used to widen it. A 90-day global period includes 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 the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this intestinal operation. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44615
- 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 RVU17.71 · 59%
- Practice expense (office) RVU7.94 · 27%
- Malpractice RVU4.14 · 14%
173
Medicare services in 2024 · #4457 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.
44615 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Code 44602 describes repair of a small-intestinal injury by suturing; 44615 treats a narrowed segment by widening it.
No office rate
Code 44620 concerns closure of an intestinal opening or stoma, not treatment of a small-intestinal stricture.
Compare 44615 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
$975.65
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$982.56
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$954.82
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44615 billing questions
How is stricturoplasty different from small-bowel resection?
Report stricturoplasty when the surgeon widens the narrowed segment and preserves it. When the diseased segment is removed and the bowel is reconnected, consider the applicable resection code, such as 44120.
Is the code reported once for the operation or for each stricture?
The code is reported for each small-intestinal stricture treated by stricturoplasty. The operative report should distinguish the treated strictures and the work performed on each.
Can stricturoplasty be reported with a small-bowel resection?
They may be reported in the same session when the surgeon performs stricturoplasty on one segment and resects a separate segment. Document the distinct sites and procedures; the multiple-procedure reduction applies to procedures performed in the same session.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be used for stricturoplasties on more than one site?
No. Modifier 50 is not appropriate for this intestinal procedure; report the service for each treated stricture instead.
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.
5,42744603,,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
5,42844604,,Suture large intestine,A,,17.71,7.20,NA,7.20,,4.27,29.18,29.18,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42944605,,Repair of bowel lesion,A,,21.53,9.18,NA,9.18,,5.75,36.46,36.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43044615,,Intestinal stricturoplasty,A,,17.71,7.94,NA,7.94,,4.14,29.79,29.79,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43144620,,Repair bowel opening,A,,14.07,6.96,NA,6.96,,3.04,24.07,24.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43244625,,Repair bowel opening,A,,16.85,7.62,NA,7.62,,3.48,27.95,27.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43344626,,Repair bowel opening,A,,27.20,10.18,NA,10.18,,6.22,43.60,43.60,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00