Billing code 44111: Bowel lesion excisionMedicare rate & RVUs in Oregon
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.
CMS doesn’t publish an office rate for 44111 in Oregon.
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 44111 covers
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.
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.
Where 44111 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $912.84 |
| Rest Of Oregon | Unavailable | $870.46 |
How the 44111 rate is calculated
Each of 44111’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 · 44111
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.11Practice expense 7.57Malpractice 3.43
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 44111
44111 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44111
Bowel lesion excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 44111
Bowel lesion excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
44111 without 51 · national facility
$905.50
Bowel lesion excision
44111-51 · Second procedure: 50%
$452.75
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
44111 compared with similar codes
Compare codes
44111 vs 44110 vs 44100 vs 44120 vs 44140: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 44110Intestinal excision
- 44110 is used for excision of a single small-bowel lesion; 44111 is used when multiple lesions are excised.
- 44100Bowel biopsy
- 44100 describes bowel biopsy for diagnostic tissue sampling. Choose 44111 when multiple lesions are excised rather than sampled.
- 44120Small-bowel resection
- 44120 describes removal of a small-intestine segment with resection and anastomosis. It is not the local excision code for multiple lesions.
- 44140Partial colectomy
- 44140 is a partial colectomy for disease in the colon. 44111 concerns excision of multiple lesions in the small bowel.
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 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
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