Billing code 44125: Small-bowel resectionMedicare rate & RVUs in Oregon
Reports small-intestine resection when the surgeon creates an enterostomy rather than restoring bowel continuity with an anastomosis.
CMS doesn’t publish an office rate for 44125 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 44125 covers
This service involves removing a segment of small intestine and creating an enterostomy, bringing bowel to the abdominal wall to form a stoma. General surgeons commonly perform it in an operating room, including situations such as bowel injury, ischemia, obstruction, or contamination when the operative plan calls for diversion instead of an intestinal anastomosis. The operative report should establish that small bowel was resected and an enterostomy was created.
Select this code when the documented procedure includes both the resection and enterostomy; a resection with anastomosis is a different service. The 90-day global period includes the day-before preoperative visit and 90 days of 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 not appropriate for this bowel procedure. An assistant at surgery may be paid; co-surgeon payment requires 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 44125 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,099.80 |
| Rest Of Oregon | Unavailable | $1,049.78 |
How the 44125 rate is calculated
Each of 44125’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 · 44125
RVUs × geographic indexes × conversion factor
Work19.53
19.53 RVUs× 1.000 GPCI
Practice expense8.63
8.63 RVUs× 1.000 GPCI
Malpractice4.70
4.70 RVUs× 1.000 GPCI
Adjusted RVUs
32.8600
Conversion factor
$33.4009
Medicare rate
$1,097.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44125
44125 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44125
Small-bowel resection
| 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 · 44125
Small-bowel resection
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
44125 without 51 · national facility
$1,097.55
Small-bowel resection
44125-51 · Second procedure: 50%
$548.78
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%).
44125 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 44120Small-bowel resection
- 44120 describes small-bowel resection with anastomosis. Choose 44125 when the surgeon creates an enterostomy instead.
- 44130Bowel anastomosis
- 44130 describes an intestinal anastomosis, with or without a cutaneous enterostomy; 44125 involves resection of small bowel with an enterostomy.
- 44126Atresia resection
- 44126 is for resection addressing congenital small-bowel atresia or stenosis without tapering, rather than the enterostomy procedure represented by 44125.
- 44127Atresia resection
- 44127 addresses congenital small-bowel atresia or stenosis with tapering. The congenital condition and tapering technique distinguish it from 44125.
44125 billing questions
How is this different from 44120?
Use 44125 when the small-bowel resection is accompanied by creation of an enterostomy. Code 44120 describes a resection with anastomosis to restore bowel continuity.
Is the enterostomy reported separately?
The enterostomy is part of the service represented by 44125. The operative note should document both the bowel resection and the stoma creation.
What documentation supports choosing this code?
Document the small-bowel segment removed and the creation of the enterostomy. The operative report should make clear that the procedure resulted in a stoma rather than an anastomosis.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted for this code.
How does the 90-day global period affect postoperative visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical episode.
Should modifier 50 be used?
No. Modifier 50 is not appropriate for this small-bowel resection and enterostomy procedure.
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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