No office rate
Use 44025 for an incision into the colon and 44020 for the comparable exploration, biopsy, or foreign body service in the small intestine.
On this page
CMS RVU26D · Effective 2026-10-01
44025 Colon incision Medicare reimbursement rates in New Jersey
Reports an open incision into the colon to inspect it, obtain tissue samples, or remove a foreign body during a surgical procedure. Compare 44025 office and facility rates across CMS payment localities in New Jersey.
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 44025 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$976.82–$1002.41
2 of 2 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.
Digestive surgery
About 44025: Colon incision for exploration or removal
Reports an open incision into the colon to inspect it, obtain tissue samples, or remove a foreign body during a surgical procedure.
This service involves surgically opening the large bowel to inspect its interior, take a biopsy, or remove a foreign body. It is generally performed by a surgeon in an operating room, often during an open abdominal procedure. The purpose is access to the colon itself for one of these specific tasks, rather than removal of a segment of diseased bowel or treatment of an obstruction by another method.
Choose the code when the operative report supports a colotomy for exploration, biopsy, or foreign body removal. Documentation should identify the colon site and explain the reason for the incision and what was done through it. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 44025
- 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 RVU16.10 · 58%
- Practice expense (office) RVU7.50 · 27%
- Malpractice RVU3.93 · 14%
153
Medicare services in 2024 · #4547 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.
44025 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
44010 addresses an incision of the small bowel for decompression. This code concerns the colon and supports exploration, biopsy, or foreign body removal.
$518.17–$544.23
45380 is a colonoscopic biopsy service. This code describes a surgical incision into the colon rather than tissue sampling through an endoscope.
No office rate
44140 involves partial removal of the colon. Use this code when the service is a colotomy for exploration, biopsy, or foreign body removal rather than bowel resection.
Compare 44025 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1002.41
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$976.82
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
44025 billing questions
How is this different from an incision of the small bowel?
This code is for an incision into the colon. Use the small-bowel incision code when the operative site is the small intestine.
Can the incision be reported separately with a colectomy?
The code describes an incision for exploration, biopsy, or foreign body removal, not the access incision for a bowel resection. Review the operative report to determine whether a distinct colotomy service was performed.
Is modifier 50 appropriate when the colon is involved on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What documentation supports reporting this code?
The operative report should identify the colon site, the reason for opening the bowel, and whether the surgeon explored it, obtained a biopsy, or removed a foreign body.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
5,32644015,,Insert needle cath bowel,A,,2.55,0.62,NA,0.62,,0.62,3.79,3.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32744020,,Explore small intestine,A,,15.81,7.56,NA,7.56,,4.03,27.40,27.40,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32844021,,Decompress small bowel,A,,15.90,7.35,NA,7.35,,3.96,27.21,27.21,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,32944025,,Incision of large bowel,A,,16.10,7.50,NA,7.50,,3.93,27.53,27.53,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33044050,,Reduce bowel obstruction,A,,15.13,7.39,NA,7.39,,3.87,26.39,26.39,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33144055,,Correct malrotation of bowel,A,,24.99,9.92,NA,9.92,,6.34,41.25,41.25,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33244100,,Biopsy of bowel,A,,1.96,0.57,NA,0.57,,0.21,2.74,2.74,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00