Billing code 44300: Enterostomy tubeMedicare rate & RVUs in Oregon
Open placement of a bowel-to-skin tube for enteral feeding or decompression, reported when a surgeon creates enteric access through an operative approach.
CMS doesn’t publish an office rate for 44300 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 44300 covers
A surgeon creates an opening from the small bowel or cecum to the abdominal skin and places a tube through it. The tube may provide enteral feeding or bowel decompression. This service is generally performed in a facility operating room when open access is needed; a jejunostomy tube is a common form of enteral access, while cecostomy tubes may be used for decompression.
Report this code for open tube access, not for a non-tube ileostomy or jejunostomy. The operative note should identify the bowel segment, open approach, tube placement, and clinical purpose. The 90-day global includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, 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 bowel-to-skin service. Assistant-at-surgery payment may be available; 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 44300 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $800.56 |
| Rest Of Oregon | Unavailable | $761.71 |
How the 44300 rate is calculated
Each of 44300’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 · 44300
RVUs × geographic indexes × conversion factor
Work13.41
13.41 RVUs× 1.000 GPCI
Practice expense7.04
7.04 RVUs× 1.000 GPCI
Malpractice3.39
3.39 RVUs× 1.000 GPCI
Adjusted RVUs
23.8400
Conversion factor
$33.4009
Medicare rate
$796.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 44300
44300 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 44300
Enterostomy tube
| 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 · 44300
Enterostomy tube
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
44300 without 51 · national facility
$796.28
Enterostomy tube
44300-51 · Second procedure: 50%
$398.14
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%).
44300 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 44310Small-bowel stoma
- Choose 44300 when the open bowel-to-skin access includes a tube. Choose 44310 for a non-tube ileostomy or jejunostomy.
- 44320Colostomy
- Code 44320 describes a colostomy or skin-level cecostomy, not open placement of an enterostomy or cecostomy tube.
- 49441Enteral tube placement
- Code 49441 is for percutaneous jejunostomy tube access; 44300 is the open approach.
44300 billing questions
How is this different from 44310?
This code includes placement of a tube through an open bowel-to-skin access. Code 44310 describes a non-tube ileostomy or jejunostomy.
Does the code include the tube placement?
Yes. The open enteric access and placement of the tube are part of the reported service; they are not separate portions of this procedure.
When is modifier 50 appropriate?
Modifier 50 is not appropriate because this bowel-to-skin procedure is not a paired bilateral service.
What documentation supports reporting this code?
Document the open operative approach, the bowel segment used, the tube placement, and whether access is for feeding or decompression.
How does the global period affect postoperative visits?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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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