No office rate
44120 describes small-intestine resection with anastomosis. Choose 44680 when the operative purpose is revision of prior intestinal anatomy, not simply removal and reconnection of bowel.
On this page
CMS RVU26D · Effective 2026-10-01
44680 Intestinal revision Medicare reimbursement rates in Ohio
Reports operative revision of intestinal anatomy, such as correction of blind-loop anatomy after prior surgery, rather than routine repair or stoma closure. Compare 44680 office and facility rates across CMS payment localities in Ohio.
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 44680 in Ohio?
Ohio 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
$987.32
1 of 1 localities have a supported rate.
Payment area: Ohio
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 44680: Surgical revision of intestine
Reports operative revision of intestinal anatomy, such as correction of blind-loop anatomy after prior surgery, rather than routine repair or stoma closure.
A surgeon uses this service to revise previously altered intestinal anatomy, including a blind-loop configuration after earlier intestinal surgery. The work may involve changing an intestinal connection or bypass to address the problem created by the prior anatomy. It is generally performed in an operating room, often in a hospital or other facility setting. The operative report should identify the prior reconstruction, the clinical problem prompting revision, the bowel segments and connections addressed, and the corrective work performed.
Select this code for the revision itself, not simply because bowel is resected or an anastomosis is created during another operation. Distinguish it from a focused stricturoplasty or closure of an enterostomy by the documented operative objective. The service 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 50% 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 44680
- 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 RVU17.51 · 58%
- Practice expense (office) RVU8.02 · 27%
- Malpractice RVU4.69 · 16%
95
Medicare services in 2024 · #4923 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.
44680 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
44615 is for intestinal stricturoplasty. A focal narrowing treated by widening the segment points to that procedure; 44680 concerns revision of intestinal anatomy.
No office rate
44620 is for enterostomy closure. Use an enterostomy-closure code when closing the stoma is the documented objective, rather than revising altered intestinal anatomy.
Compare 44680 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
Ohio →
Office / nonfacility
Unavailable
Facility
$987.32
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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 44680 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
5,438
- Code
- 44680
- Physician work
- 17.51
- Practice expense
- 8.02
- Malpractice
- 4.69
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.51 | × 1.000 | 17.5100 |
| Practice expense | 8.02 | × 0.913 | 7.3223 |
| Malpractice | 4.69 | × 1.008 | 4.7275 |
| Total RVUs | 29.5598 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$987.32
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.51 | 1 |
| Practice expense | 8.02 | 0.913 |
| Malpractice | 4.69 | 1.008 |
(17.51 × 1 + 8.02 × 0.913 + 4.69 × 1.008) × $33.4009 = $987.32
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.
44680 billing questions
How does 44680 differ from small-intestine resection code 44120?
Use 44680 when the operative objective is revision of previously altered intestinal anatomy. Use 44120 when the documented service is a small-intestine resection with anastomosis, rather than a broader intestinal revision.
Is 44680 the right code for a focal intestinal stricture?
Not when the documented operation is a stricturoplasty to widen a narrowed segment; compare 44615. Choose based on the actual corrective procedure, not just the diagnosis.
Can bowel resection or anastomosis work be reported separately?
Do not automatically add separate codes for resection or anastomosis work that is part of the intestinal revision. The operative report must support any distinct, separately reportable service.
Does 44680 have a 90-day global period?
Yes. The global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can modifier 50 be used for this intestinal revision?
No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
When are assistant or co-surgeon claims supported?
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.
5,43544650,,Repair bowel fistula,A,,24.49,9.63,NA,9.63,,5.50,39.62,39.62,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43644660,,Repair bowel-bladder fistula,A,,23.31,8.75,NA,8.75,,4.36,36.42,36.42,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43744661,,Repair bowel-bladder fistula,A,,26.67,9.85,NA,9.85,,5.82,42.34,42.34,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43844680,,Surgical revision intestine,A,,17.51,8.02,NA,8.02,,4.69,30.22,30.22,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43944700,,Suspend bowel w/prosthesis,A,,17.04,7.30,NA,7.30,,3.10,27.44,27.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44044701,,Intraop colon lavage add-on,A,,3.02,0.73,NA,0.73,,0.81,4.56,4.56,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,44144705,,Prepare fecal microbiota,I,+,1.38,1.92,,0.31,,0.15,3.45,1.84,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703