Billing code 44206: Partial colectomyMedicare rate & RVUs in Nevada
Reports laparoscopic removal of part of the colon when the surgeon creates an end colostomy and closes the remaining distal bowel segment.
CMS doesn’t publish an office rate for 44206 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 44206 covers
The surgeon removes a segment of colon using a laparoscopic approach, brings the proximal bowel through the abdominal wall as an end colostomy, and closes the distal bowel segment. This Hartmann-type operation is used when the surgeon does not restore intestinal continuity during the same procedure, such as in selected cases of complicated diverticular disease, obstruction, or perforation. It is typically performed by a general or colorectal surgeon in a hospital operating room.
Report 44206 when the operative documentation supports partial colon resection, laparoscopic technique, an end colostomy, and closure of the distal segment. Distinguish it from partial colectomy codes that include an anastomosis or a different reconstruction. Medicare assigns a 90-day global period, including 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 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.
44206 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,564.39 |
How the 44206 rate is calculated
Each of 44206’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 · 44206
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 29.05Practice expense 12.31Malpractice 6.56
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44206
44206 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44206
Partial colectomy
| 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 · 44206
Partial colectomy
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
44206 without 51 · national facility
$1,600.57
Partial colectomy
44206-51 · Second procedure: 50%
$800.29
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%).
44206 compared with similar codes
Compare codes
44206 vs 44204 vs 44205 vs 44207 vs 44208: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44204Partial colectomy
- Use 44204 when the partial colectomy includes an anastomosis. Use 44206 when the surgeon creates an end colostomy and closes the distal segment.
- 44205Colectomy
- 44205 includes removal of terminal ileum with ileocolic reconstruction; 44206 describes an end colostomy with closure of the distal bowel segment.
- 44207Colectomy
- 44207 includes a coloproctostomy. Choose 44206 when there is no bowel anastomosis and the operation ends with an end colostomy and closed distal segment.
- 44208Colectomy
- 44208 includes a coloproctostomy plus a colostomy. 44206 instead describes an end colostomy with closure of the distal segment.
44206 billing questions
How does 44206 differ from 44204?
44206 includes an end colostomy and closure of the distal bowel segment. 44204 describes partial colectomy with an anastomosis rather than this Hartmann-type reconstruction.
Can 44206 be reported when the surgeon reconnects the bowel?
No. When the surgeon creates a bowel anastomosis, select the code that matches the resection and reconstruction performed rather than 44206.
What operative details support 44206?
Document the laparoscopic approach, the colon segment removed, creation of the end colostomy, and closure of the distal bowel segment.
Can splenic flexure mobilization be reported with 44206?
When separately performed and supported by the operative report, laparoscopic splenic flexure mobilization may be reported with add-on code 44213.
Can modifier 50 be used with 44206?
Modifier 50 is inappropriate for this colectomy service; the code describes a single bowel resection and reconstruction.
How does the 90-day global period affect postoperative reporting?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Medicare applies its standard multiple-procedure reduction when other procedures are performed in the same session.
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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