No office rate
Use 44310 for creating a non-tube ileostomy or jejunostomy. Use 44300 when the service is placement of an enterostomy or cecostomy tube.
On this page
CMS RVU26D · Effective 2026-10-01
44310 Small-bowel stoma Medicare reimbursement rates in Pennsylvania
Reports operative creation of a non-tube ileostomy or jejunostomy when a surgeon brings small bowel to the abdominal wall for diversion. Compare 44310 office and facility rates across CMS payment localities in Pennsylvania.
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 44310 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$938.72–$1013.67
2 of 2 localities have a supported rate.
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 44310: Non-tube ileostomy or jejunostomy creation
Reports operative creation of a non-tube ileostomy or jejunostomy when a surgeon brings small bowel to the abdominal wall for diversion.
A surgeon creates an opening from the ileum or jejunum to the abdominal wall, bringing the bowel to the skin to divert intestinal contents. The stoma may be temporary or permanent and may be created during an abdominal operation or as the principal procedure. This code is for a non-tube stoma; it is not the code for placing a feeding or decompression tube into the bowel.
The operative report should identify the small-bowel site, the stoma created, and the indication for diversion. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 44310
- 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 RVU17.15 · 59%
- Practice expense (office) RVU7.97 · 28%
- Malpractice RVU3.85 · 13%
3.2K
Medicare services in 2024 · #2140 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.
44310 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Code 44310 describes creating a stoma; 44312 describes revising an existing ileostomy.
No office rate
Code 44310 is for a small-bowel stoma. Code 44320 describes colostomy creation using colon.
No office rate
Code 44187 describes laparoscopic surgical enterostomy. Code 44310 is the non-tube ileostomy or jejunostomy code for the other operative approach.
Compare 44310 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1013.67
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$938.72
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44310 billing questions
How is this different from code 44300?
Code 44310 describes creation of a non-tube small-bowel stoma. Code 44300 is used for placement of an enterostomy or cecostomy tube.
Can this code be used for a feeding jejunostomy tube?
No. This code describes a non-tube stoma; tube placement is represented by a different procedure code.
Should modifier 50 be appended for two stomas?
No. CMS identifies modifier 50 as inappropriate for this code; it is not reported as a bilateral service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What documentation supports reporting this code?
Document the indication for diversion, the small-bowel site, and the non-tube stoma created. The operative report should make clear that the service was stoma creation rather than tube placement or revision.
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.
5,37744227,,Lap close enterostomy,A,,27.90,11.39,NA,11.39,,6.20,45.49,45.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37844238,,Unlisted laps px intestine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,37944300,,Open bowel to skin,A,,13.41,7.04,NA,7.04,,3.39,23.84,23.84,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38044310,,Ileostomy/jejunostomy,A,,17.15,7.97,NA,7.97,,3.85,28.97,28.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38144312,,Revision of ileostomy,A,,9.19,5.83,NA,5.83,,1.99,17.01,17.01,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38244314,,Revision of ileostomy,A,,16.32,8.33,NA,8.33,,3.36,28.01,28.01,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,38344316,,Devise bowel pouch,A,,23.00,10.49,NA,10.49,,6.16,39.65,39.65,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00