No office rate
44110 is used for excision of a single small-bowel lesion; 44111 is used when multiple lesions are excised.
On this page
CMS RVU26D · Effective 2026-10-01
44111 Bowel lesion excision Medicare reimbursement rates in New Mexico
Reports operative excision of multiple lesions from the small bowel when the surgeon removes the lesions rather than taking diagnostic biopsy samples or resecting a bowel segment. Compare 44111 office and facility rates across CMS payment localities in New Mexico.
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 44111 in New Mexico?
New Mexico 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
$907.54
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
General surgery
About 44111: Multiple small-bowel lesion excision
Reports operative excision of multiple lesions from the small bowel when the surgeon removes the lesions rather than taking diagnostic biopsy samples or resecting a bowel segment.
A surgeon uses an operative approach to remove multiple lesions from the small bowel, typically through an incision into the bowel wall and local excision of the targeted tissue. General surgeons and other surgeons treating small-bowel disease may perform this service in a hospital operating room. It is distinct from sampling tissue for diagnosis and from removing a segment of intestine. The operative report should establish the small-bowel location, the number of lesions excised, and the extent of bowel removal.
Report this code when multiple lesions are excised locally; use the related single-lesion code when only one lesion is treated. Documentation should distinguish local lesion removal from segmental small-bowel resection. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. 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. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44111
- 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 RVU16.11 · 59%
- Practice expense (office) RVU7.57 · 28%
- Malpractice RVU3.43 · 13%
146
Medicare services in 2024 · #4582 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.
44111 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
44100 describes bowel biopsy for diagnostic tissue sampling. Choose 44111 when multiple lesions are excised rather than sampled.
No office rate
44120 describes removal of a small-intestine segment with resection and anastomosis. It is not the local excision code for multiple lesions.
No office rate
44140 is a partial colectomy for disease in the colon. 44111 concerns excision of multiple lesions in the small bowel.
Compare 44111 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$907.54
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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 44111 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
5,334
- Code
- 44111
- Physician work
- 16.11
- Practice expense
- 7.57
- Malpractice
- 3.43
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.11 | × 1.000 | 16.1100 |
| Practice expense | 7.57 | × 0.917 | 6.9417 |
| Malpractice | 3.43 | × 1.201 | 4.1194 |
| Total RVUs | 27.1711 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$907.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.11 | 1 |
| Practice expense | 7.57 | 0.917 |
| Malpractice | 3.43 | 1.201 |
(16.11 × 1 + 7.57 × 0.917 + 3.43 × 1.201) × $33.4009 = $907.54
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.
44111 billing questions
How is this different from a bowel biopsy?
This service removes multiple lesions. A biopsy code describes sampling tissue for diagnosis rather than excising the lesions.
When is 44120 more appropriate?
Use 44120 when the surgeon removes a segment of small intestine and performs a resection, rather than locally excising lesions.
Does the code have a postoperative global period?
Yes. Medicare assigns a 90-day global period that includes the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate 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 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.
5,33144055,,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
5,33344110,,Excise intestine lesion(s),A,,13.69,7.00,NA,7.00,,3.18,23.87,23.87,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33444111,,Excision of bowel lesion(s),A,,16.11,7.57,NA,7.57,,3.43,27.11,27.11,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33544120,,Removal of small intestine,A,,20.30,8.62,NA,8.62,,5.10,34.02,34.02,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33644121,,Removal of small intestine,A,,4.33,1.08,NA,1.08,,1.07,6.48,6.48,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,33744125,,Removal of small intestine,A,,19.53,8.63,NA,8.63,,4.70,32.86,32.86,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210