No office rate
44800 identifies excision of a Meckel's diverticulum and includes any associated small-bowel resection. 44120 describes small-intestine resection for other indications.
On this page
CMS RVU26D · Effective 2026-10-01
44800 Diverticulum excision Medicare reimbursement rates in New Mexico
Reports surgical removal of a Meckel's diverticulum, including cases requiring removal of an adjoining small-bowel segment. Compare 44800 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 44800 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
$738.60
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.
Intestinal surgery
About 44800: Meckel's diverticulum excision
Reports surgical removal of a Meckel's diverticulum, including cases requiring removal of an adjoining small-bowel segment.
A surgeon removes a Meckel's diverticulum, a pouch arising from the small intestine. The procedure is generally performed by a general surgeon in a hospital operating room for problems such as bleeding, inflammation, obstruction, or another complication attributed to the diverticulum. The service can include removal of a portion of small intestine when needed as part of the excision.
Report the code when the operative record supports removal of a Meckel's diverticulum; document the indication, operative findings, extent of excision, and whether adjacent bowel was removed. The CMS global period is 90 days and includes 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 multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this anatomy.
CMS billing rules for 44800
- 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 RVU11.75 · 53%
- Practice expense (office) RVU7.49 · 34%
- Malpractice RVU2.91 · 13%
219
Medicare services in 2024 · #4247 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.
44800 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
44202 describes laparoscopic resection of small intestine. Choose the code that matches the documented procedure and approach; 44800 specifically identifies Meckel's diverticulum excision.
44899
No office rateUnlisted px meckel's dvrtclm
44800 describes Meckel's diverticulum excision. Consider 44899 only for a Meckel's diverticulum procedure not represented by a specific CPT code.
Compare 44800 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
$738.60
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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 44800 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
5,447
- Code
- 44800
- Physician work
- 11.75
- Practice expense
- 7.49
- Malpractice
- 2.91
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.75 | × 1.000 | 11.7500 |
| Practice expense | 7.49 | × 0.917 | 6.8683 |
| Malpractice | 2.91 | × 1.201 | 3.4949 |
| Total RVUs | 22.1132 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$738.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.75 | 1 |
| Practice expense | 7.49 | 0.917 |
| Malpractice | 2.91 | 1.201 |
(11.75 × 1 + 7.49 × 0.917 + 2.91 × 1.201) × $33.4009 = $738.60
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.
44800 billing questions
Does this code include removal of small intestine?
Yes. The code covers excision of the Meckel's diverticulum with or without resection of adjoining small intestine when needed for that operation.
Can the bowel resection be reported separately?
Do not separately report a resection that is part of excising the Meckel's diverticulum. The operative report should clarify whether bowel removal was integral to that excision or a distinct procedure for separate pathology.
What documentation supports reporting this code?
Document that the structure removed was a Meckel's diverticulum, the clinical indication, operative findings, and the extent of any small-bowel removal.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code's descriptor and anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
5,44444720,,Prep donor intestine/venous,A,,4.88,1.18,NA,1.18,,1.31,7.37,7.37,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44544721,,Prep donor intestine/artery,A,,6.83,1.66,NA,1.66,,1.82,10.31,10.31,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44644799,,Unlisted px small intestine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44744800,,Excision of bowel pouch,A,,11.75,7.49,NA,7.49,,2.91,22.15,22.15,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4484480F,,Pt rcvng ace/arb b-blockertx,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4494481F,,Pt rcvng ace/arb blker <3mos,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45044820,,Excision of mesentery lesion,A,,13.39,7.23,NA,7.23,,3.58,24.20,24.20,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,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