No office rate
Use 44407 when ultrasound guidance is used for needle aspiration or biopsy. Use 44406 for the specified colonic ultrasound examination without needle sampling.
On this page
CMS RVU26D · Effective 2026-10-01
44407 Colonoscopy with sampling Medicare reimbursement rates in Nebraska
Reports colonoscopy with endoscopic ultrasound-guided needle sampling of a target within or beyond the colon wall, including the limited colonic ultrasound examination. Compare 44407 office and facility rates across CMS payment localities in Nebraska.
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 44407 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$225.39
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
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.
Gastroenterology
About 44407: Colonoscopy with ultrasound-guided needle sampling
Reports colonoscopy with endoscopic ultrasound-guided needle sampling of a target within or beyond the colon wall, including the limited colonic ultrasound examination.
A gastroenterologist or other qualified endoscopist advances a colonoscope to evaluate a target with endoscopic ultrasound and guides a needle through the instrument to sample tissue or fluid. The sampled target may be within the bowel wall or beyond it; the ultrasound examination is limited to the colon. This service is performed in an endoscopy unit, ambulatory surgery center, or hospital setting when needle sampling is needed during the colonoscopy.
Report the service when the record supports both ultrasound guidance and intramural or transmural fine-needle aspiration or biopsy. Document the target, sampling method, and procedure performed; the ultrasound examination is included in this service. The code 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 not appropriate for this descriptor. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 44407
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.84 · 67%
- Practice expense (office) RVU1.85 · 26%
- Malpractice RVU0.53 · 7%
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.
44407 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
44403 describes colonoscopic lesion resection. 44407 describes ultrasound-guided needle sampling, not removal of the lesion.
$430.22
44404 describes colonoscopic injection. 44407 is selected for ultrasound-guided needle aspiration or biopsy of a target.
Compare 44407 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.
1 of 1 payment localities
Nebraska →
Office / nonfacility
Unavailable
Facility
$225.39
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 44407 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
5,422
- Code
- 44407
- Physician work
- 4.84
- Practice expense
- 1.85
- Malpractice
- 0.53
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.84 | × 1.000 | 4.8400 |
| Practice expense | 1.85 | × 0.923 | 1.7076 |
| Malpractice | 0.53 | × 0.378 | 0.2003 |
| Total RVUs | 6.7479 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$225.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.84 | 1 |
| Practice expense | 1.85 | 0.923 |
| Malpractice | 0.53 | 0.378 |
(4.84 × 1 + 1.85 × 0.923 + 0.53 × 0.378) × $33.4009 = $225.39
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
44407 billing questions
How does this differ from 44406?
44407 includes ultrasound-guided needle aspiration or biopsy. Choose 44406 when the colonoscopy includes the specified ultrasound examination but no needle sampling.
Is the ultrasound examination separately reported?
The ultrasound examination limited to the colon is included in 44407. Document the examination and needle-guided sampling as part of the service.
What documentation supports reporting 44407?
Record the sampled target, the use of endoscopic ultrasound guidance, and whether aspiration or biopsy was performed. The note should establish that the needle sampled a target within or beyond the bowel wall.
Can modifier 50 be appended?
No. Modifier 50 is not appropriate for this colonoscopy descriptor.
How are related endoscopies handled when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together. The code also has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 44407. 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 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.
5,41944404,,Colonoscopy w/injection,A,,2.94,10.61,,1.25,,0.39,13.94,4.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42044405,,Colonoscopy w/dilation,A,,3.15,14.89,,1.36,,0.36,18.40,4.87,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42144406,,Colonoscopy w/ultrasound,A,,4.00,1.61,NA,1.61,,0.44,6.05,6.05,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42244407,,Colonoscopy w/ndl aspir/bx,A,,4.84,1.85,NA,1.85,,0.53,7.22,7.22,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42344408,,Colonoscopy w/decompression,A,,4.04,1.62,NA,1.62,,0.44,6.10,6.10,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44388,33.4009,09,0,99,0.00,0.00,0.00
5,42444500,,Intro gastrointestinal tube,A,,0.38,0.07,NA,0.07,,0.04,0.49,0.49,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4254450F,,Self-care ed provided to pt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068