Billing code 44404: ColonoscopyMedicare rate & RVUs in Nebraska
Reports colonoscopy with a substance injected into the colonic submucosa, such as tattoo ink used to mark a lesion for later localization.
Medicare pays $430.22 for 44404 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 44404 covers
During this flexible colonoscopy, the endoscopist directs one or more injections into the submucosal layer of the colon. A common purpose is tattooing a lesion, such as a polyp or suspected tumor, so it can be located during later endoscopy or surgery. Gastroenterologists and other clinicians trained in colonoscopy perform the service, typically in a hospital outpatient department or ambulatory surgery center.
Select this code when the colonoscopy includes directed submucosal injection, rather than choosing a code for a different endoscopic intervention such as resection or dilation. The procedure report should identify the site and purpose of the injection and the substance used when documented. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgery and team surgery are not permitted.
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.
44404 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $430.22 | $141.66 |
How the 44404 rate is calculated
Each of 44404’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 44404
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.94Practice expense 10.61Malpractice 0.39
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44404
The CMS indicators that decide how 44404 is paid alongside other services.
CMS payment indicators · 44404
Colonoscopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44404 without 51 · national office
$465.61
Colonoscopy
44404-51 · Second procedure: 50%
$232.81
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
44404 compared with similar codes
Compare codes
44404 vs 44403 vs 44401 vs 44405: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44403Colonoscopy
- Use 44404 when the colonoscopy includes directed submucosal injection, such as lesion marking. Use 44403 when the service includes endoscopic tissue resection.
- 44401Colonoscopy ablation
- 44404 describes submucosal injection; 44401 describes ablation of a lesion.
- 44405Colonoscopy
- 44404 describes injection into the submucosa, while 44405 describes dilation during colonoscopy.
44404 billing questions
When should this code be chosen instead of the colonoscopy resection code?
Choose this code for directed injection into the colonic submucosa, such as tattooing a lesion. Use the resection code when the service includes endoscopic removal of tissue.
Can injection and another endoscopic service be reported at the same encounter?
The code describes the injection service. When related endoscopies are performed together, CMS endoscopy family pricing applies; the procedure documentation should show which services were performed.
Should modifier 50 be appended for injections on both sides of the colon?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Is same-day care included in the payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant, co-surgeon, or surgical team be paid for this procedure?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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