Billing code 44128: Small bowel resectionMedicare rate & RVUs in Ohio
Reports an additional small-bowel resection during operative treatment of congenital atresia, alongside the applicable primary atresia procedure.
CMS doesn’t publish an office rate for 44128 in Ohio.
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 44128 covers
Code 44128 identifies an additional small-bowel resection during surgery for congenital atresia. The operation is generally performed by a pediatric or general surgeon in a hospital operating room, often in an infant or child whose atresia requires more than one resection. The operative report should distinguish the additional resection from the primary atresia procedure and describe the bowel segments treated and the reason for each resection.
Report 44128 only with its primary procedure, generally 44127 for congenital atresia repair involving intestinal tapering. It represents an additional qualifying resection, not simply extra operative time or tapering work. CMS classifies it as an add-on code: payment is made within the primary procedure’s global period. Documentation should identify the primary procedure and clearly support the additional resection performed.
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.
44128 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $215.70 |
How the 44128 rate is calculated
Each of 44128’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 · 44128
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.33Practice expense 1.05Malpractice 1.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44128
The CMS indicators that decide how 44128 is paid alongside other services.
CMS payment indicators · 44128
Small bowel resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
44128 without 80 · national facility
$218.44
Small bowel resection
44128-80 · Assistant: 16%
$34.95
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
44128 compared with similar codes
Compare codes
44128 vs 44127 vs 44126 vs 44120: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44127Atresia resection
- 44127 describes the primary congenital-atresia operation with intestinal tapering; 44128 is used for a qualifying additional resection during that treatment.
- 44126Atresia resection
- 44126 is the primary congenital-atresia resection without intestinal tapering. 44128 is an add-on for an additional resection, not the primary procedure.
- 44120Small-bowel resection
- 44120 describes a standard small-bowel resection with anastomosis, rather than the congenital-atresia add-on represented by 44128.
44128 billing questions
Which primary code is typically paired with 44128?
It is generally reported with 44127 when an additional resection is performed in congenital atresia surgery involving intestinal tapering.
How does 44128 differ from 44127?
44127 describes the primary congenital-atresia resection with tapering; 44128 reports a qualifying additional resection in that operative treatment.
Can 44128 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
What should the operative report document?
Document the primary atresia procedure and identify the additional bowel resection, including the segment treated and its relationship to the congenital atresia.
How does CMS treat payment for this add-on?
CMS places payment for 44128 within the primary procedure’s global period.
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
Fee sheets
Put 44128 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →