Billing code 44202: Small bowel resectionMedicare rate & RVUs in Nevada
Report this code for laparoscopic removal of a small-intestine segment with reconnection of the remaining bowel during the same operation.
CMS doesn’t publish an office rate for 44202 in Nevada.
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 44202 covers
A surgeon uses a laparoscopic approach to remove a segment of small intestine and join the remaining ends. General and colorectal surgeons may perform this operation for conditions such as a small-bowel tumor, Crohn disease, obstruction, ischemia, or injury. The code represents one resection with an anastomosis; a case involving additional resection-and-anastomosis work may also involve the add-on code for each additional such service.
The operative report should identify the small-bowel segment, the resection performed, the laparoscopic approach, and the anastomosis. CMS assigns a 90-day global period, including 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 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
44202 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,258.10 |
How the 44202 rate is calculated
Each of 44202’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 · 44202
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 22.81Practice expense 10.19Malpractice 5.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44202
44202 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44202
Small bowel resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44202
Small bowel resection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44202 without 51 · national facility
$1,288.94
Small bowel resection
44202-51 · Second procedure: 50%
$644.47
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%).
44202 compared with similar codes
Compare codes
44202 vs 44203 vs 44120 vs 44204 vs 44205: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44203Small bowel resection
- 44202 represents the initial small-intestine resection and anastomosis; 44203 is the add-on for each additional resection and anastomosis.
- 44120Small-bowel resection
- Choose 44202 for the laparoscopic approach and 44120 for the open approach to small-intestine resection with anastomosis.
- 44204Partial colectomy
- 44202 is for small intestine; 44204 is for laparoscopic partial colectomy involving colon.
- 44205Colectomy
- 44205 describes a laparoscopic partial colectomy that includes terminal ileum removal, rather than an isolated small-intestine resection.
44202 billing questions
When is 44203 reported with this code?
Report 44203 for each additional small-intestine resection and anastomosis beyond the single resection represented by 44202. It is an add-on code, not a substitute for the primary procedure.
How does 44202 differ from 44120?
Both describe small-intestine resection with anastomosis, but 44202 is for a laparoscopic approach and 44120 is the open approach. Use the approach documented in the operative report.
Should 44202 be used for a colon resection?
No. 44202 is for small intestine; a laparoscopic partial colectomy is represented by a colon-specific code such as 44204. If the operation includes terminal ileum removal with partial colectomy, consider 44205.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. CMS applies this global period to 44202.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available for 44202. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.
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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