$242.91–$256.56
Choose 44380 for diagnostic ileoscopy through a stoma without biopsy; choose 44382 when one or more biopsies are taken.
On this page
CMS RVU26D · Effective 2026-10-01
44382 Ileoscopy Medicare reimbursement rates in New Jersey
Reports ileoscopy performed through a stoma when the clinician obtains one or more ileal tissue samples for diagnostic examination. Compare 44382 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 44382 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
$363.51–$384.13
2 of 2 localities have a supported rate.
Facility setting
$72.08–$74.56
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.
Gastrointestinal endoscopy
About 44382: Ileoscopy Through Stoma With Biopsy
Reports ileoscopy performed through a stoma when the clinician obtains one or more ileal tissue samples for diagnostic examination.
A gastroenterologist or other qualified endoscopist advances an endoscope through an ileostomy or other intestinal stoma to examine the ileum and obtain tissue samples. The service is used to investigate abnormalities such as suspected inflammation, ulceration, or other mucosal disease in the portion of bowel reached through the stoma. It is distinct from examining an ileal pouch or reaching the small bowel by an oral enteroscopy route.
Report this code when the endoscopy is performed through the stoma and includes one or more biopsies. The procedure note should identify the route, the bowel examined, and the tissue sampling performed. CMS assigns 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 for this anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 44382
- 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 RVU1.14 · 11%
- Practice expense (office) RVU8.75 · 87%
- Malpractice RVU0.13 · 1%
1.4K
Medicare services in 2024 · #2719 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.
44382 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
44361 covers small-bowel enteroscopy with biopsy by an enteroscopy route. 44382 is for ileoscopy performed through a stoma.
$377.19–$398.05
44386 is used when biopsying an ileal pouch. 44382 covers biopsy during ileoscopy through a stoma.
Compare 44382 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
$384.13
Facility
$74.56
Rest Of New Jersey →
Office / nonfacility
$363.51
Facility
$72.08
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44382 billing questions
How does this differ from 44380?
44380 describes diagnostic ileoscopy through a stoma without biopsy. Report 44382 when the endoscopist obtains one or more ileal tissue samples during the examination.
Can the biopsy be reported separately from the endoscopy?
The biopsy is part of this endoscopic service; do not separately report another endoscopy code just for obtaining the samples. The pathology examination of submitted tissue is a separate laboratory service when performed.
Does modifier 50 apply when examining bowel through a stoma?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What if another related endoscopy is performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. The procedure documentation should support each service and its distinct findings or work.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service, and 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.
5,40244379,,S bowel endoscope w/stent,A,,7.18,2.75,NA,2.75,,0.81,10.74,10.74,0,000,0.00,0.00,0.00,3,0,0,0,0,9,44376,33.4009,09,0,99,0.00,0.00,0.00
5,40344380,,Small bowel endoscopy br/wa,A,,0.85,5.76,,0.65,,0.09,6.70,1.59,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40444381,,Small bowel endoscopy br/wa,A,,1.35,30.44,,0.80,,0.17,31.96,2.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40544382,,Small bowel endoscopy,A,,1.14,8.75,,0.76,,0.13,10.02,2.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40644384,,Small bowel endoscopy,A,,2.78,0.90,NA,0.90,,0.36,4.04,4.04,0,000,0.00,0.00,0.00,3,0,1,0,0,9,44380,33.4009,09,0,99,0.00,0.00,0.00
5,40744385,,Endoscopy of bowel pouch,A,,1.17,6.00,,0.68,,0.17,7.34,2.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,40844386,,Endoscopy bowel pouch/biop,A,,1.46,8.77,,0.79,,0.18,10.41,2.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00