No office rate
Both codes address suture repair of large-intestine perforations. Choose 44604 for one perforation and 44605 for multiple perforations.
On this page
CMS RVU26D · Effective 2026-10-01
44605 Colon repair Medicare reimbursement rates in Oklahoma
Reports operative suture repair of multiple perforations in the large intestine, such as traumatic or ulcer-related defects, when bowel is repaired rather than resected. Compare 44605 office and facility rates across CMS payment localities in Oklahoma.
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 44605 in Oklahoma?
Oklahoma 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
$1142.16
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 44605: Multiple perforation repair of large intestine
Reports operative suture repair of multiple perforations in the large intestine, such as traumatic or ulcer-related defects, when bowel is repaired rather than resected.
This service captures operative closure by suture of more than one perforation in the colon, including defects from injury, rupture, ulcer, or diverticular disease. A surgeon typically performs the repair during an abdominal operation for trauma, contamination, or an acute perforation. This is a repair service: when damaged or diseased bowel is removed instead of closed, a resection service better represents the work.
Report 44605 when the operative report supports multiple colon perforations and their suture repair. It differs from 44604, which represents one perforation, and from small-intestine repair codes. Document the bowel segment, number and cause or location of defects, and repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. 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 44605
- 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 RVU21.53 · 59%
- Practice expense (office) RVU9.18 · 25%
- Malpractice RVU5.75 · 16%
89
Medicare services in 2024 · #4972 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.
44605 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
Both codes address multiple perforations, but 44603 is for the small intestine and 44605 is for the large intestine.
No office rate
44620 concerns closure of an enterostomy; 44605 is for suture repair of multiple perforations in the large intestine.
Compare 44605 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$1142.16
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 44605 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
5,429
- Code
- 44605
- Physician work
- 21.53
- Practice expense
- 9.18
- Malpractice
- 5.75
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.53 | × 1.000 | 21.5300 |
| Practice expense | 9.18 | × 0.893 | 8.1977 |
| Malpractice | 5.75 | × 0.777 | 4.4678 |
| Total RVUs | 34.1955 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$1142.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.53 | 1 |
| Practice expense | 9.18 | 0.893 |
| Malpractice | 5.75 | 0.777 |
(21.53 × 1 + 9.18 × 0.893 + 5.75 × 0.777) × $33.4009 = $1142.16
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.
44605 billing questions
When should 44605 be chosen over 44604?
Use 44605 for suture repair of multiple perforations in the large intestine. Use 44604 when the repair is for a single perforation.
How does 44605 differ from 44603?
Both describe repair of multiple perforations, but 44605 is for the large intestine and 44603 is for the small intestine.
What documentation supports 44605?
Document that the repaired bowel was large intestine, that multiple perforations were present, and that the surgeon closed them by suture. Include the defects’ locations and cause when available in the operative report.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple procedure reduction. The code has a 90-day global period; assistant-at-surgery payment may be made, co-surgeon payment requires supporting documentation, and 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.
5,42644602,,Suture small intestine,A,,24.10,8.53,NA,8.53,,6.00,38.63,38.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42744603,,Suture small intestine,A,,27.46,10.32,NA,10.32,,6.66,44.44,44.44,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42844604,,Suture large intestine,A,,17.71,7.20,NA,7.20,,4.27,29.18,29.18,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,42944605,,Repair of bowel lesion,A,,21.53,9.18,NA,9.18,,5.75,36.46,36.46,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43044615,,Intestinal stricturoplasty,A,,17.71,7.94,NA,7.94,,4.14,29.79,29.79,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43144620,,Repair bowel opening,A,,14.07,6.96,NA,6.96,,3.04,24.07,24.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,43244625,,Repair bowel opening,A,,16.85,7.62,NA,7.62,,3.48,27.95,27.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193